Aging with a spinal cord injury: factors associated with the need for more help with activities of daily living.
Arch Phys Med Rehabil
; 85(10): 1567-77, 2004 Oct.
Article
en En
| MEDLINE
| ID: mdl-15468013
ABSTRACT
OBJECTIVES:
To determine (1) the frequency of the need for more help with activities of daily living (ADLs), (2) the frequency of medical complications, and (3) the association between medical, injury-related, and sociodemographic factors and the need for more help with ADLs among those aging with spinal cord injury (SCI).DESIGN:
Cross-sectional survey.SETTING:
General community, international.PARTICIPANTS:
Volunteers (N=352) with SCI for more than 20 years.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURE:
The need for more help with ADLs.RESULTS:
The need for more help with ADLs during the last 3 years was reported by 32.1% of participants. At least 1 medical complication was reported by 85%. Constipation (47.9%), diarrhea/bowel accidents (41.8%), and pressure ulcers (38.7%) were common. Constipation, pressure ulcers, female gender, and years postinjury were associated with needing more help with ADLs. Constipation and pressure ulcers were associated with a 97% and a 76% increase, respectively, in the likelihood of needing more help with ADLs during a 3-year time period. Female gender was associated with a 96% increased odds of needing more help with ADLs. There was a 42% increased odds of needing more help with ADLs per decade after SCI.CONCLUSIONS:
People aging with SCI are vulnerable to medical complications, and additional help is required to function. Knowledge of the effect of these factors, particularly the tetrad of constipation, pressure ulcers, female gender, and number of years postinjury, should increase awareness that more help with ADLs may be needed over time.
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Banco de datos:
MEDLINE
Asunto principal:
Traumatismos de la Médula Espinal
/
Actividades Cotidianas
/
Envejecimiento
/
Necesidades y Demandas de Servicios de Salud
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
/
Europa
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2004
Tipo del documento:
Article
País de afiliación:
Canadá