Causes of death following spinal cord injury during inpatient rehabilitation and the first five years after discharge. A Dutch cohort study

Osterthun, Rutger; Post, Marcel W.M.; Asbeck, F; Leeuwen, Christel M. C. van; Koppenhagen, Casper F. van

doi:10.1038/sc.2014.28

Cited by 37 publications

(27 citation statements)

References 25 publications

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“…After duplicates removal (n = 100), 147 of 180 screened articles were excluded because they were not related to the neuro-urological follow-up. In all, 23 of 33 full-text articles were included in the quantitative synthesis [1][2][3][4][5][6][7][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Thus, 10 articles were excluded because they did not bring additional information on the neuro-urological follow-up (six review articles, two case-reports, one animal model, one cross-sectional study) [25][26][27][28][29][30][31][32][33][34].…”

Section: Resultsmentioning

confidence: 99%

Follow‐up of the neuro‐urological patient: a systematic review

Averbeck

Madersbacher

2015

BJU International

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ObjectivesTo systematically review the long-term urological follow-up strategies for patients with neurogenic lower urinary tract dysfunction (NLUTD), focusing on three main groups of neurological diseases: (i) spinal cord injuries, (ii) spinal dysraphism, and (iii) multiple sclerosis. Patients and MethodsData acquisition comprised electronic search on the Medical Literature Analysis and Retrieval System Online (MEDLINE) database and the EMBASE database in August 2014 to retrieve English language studies. MEDLINE and EMBASE search included the following medical subject heading (MeSH) terms: (i) neurogenic bladder and (ii) neurogenic bladder dysfunction. Each of these terms was crossed with (i) long-term care and (ii) long-term surveillance. Only studies related to NLUTD and urological follow-up were included. Studies were also identified by hand search of reference lists and review articles. ResultsInitial records identified through database searching included 265 articles. In all, 23 articles were included in the quantitative synthesis. The proposed time schedule of investigations as well as the amount and type of investigation were different according to specific neurological lesions. They depend on the dysfunctional pattern of the lower urinary tract (LUT) and its risk profile. However, there is a lack of high-evidence level studies to support an optimal long-term follow-up protocol. ConclusionsThe goal of neuro-urological management is the best possible preservation of upper urinary tract (UUT) and LUT function in relation to the individual neurological disorder. Regular and risk adapted controls ('urochecks') allow detection of risk-factors in time before irreversible changes of the LUT and UUT have occurred. With risk-and patient-oriented lifelong regular urological care an optimised quality of life and life-expectancy can be achieved, although there is a complete lack of high-evidence level studies on this topic.

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Section: Resultsmentioning

confidence: 99%

Follow‐up of the neuro‐urological patient: a systematic review

Averbeck

Madersbacher

2015

BJU International

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“…In patients with SCI, the diaphragm moves, causing changes in the abdomen diameter. Simultaneously, accessory muscles, such as the pectoralis major, help the increase in negative pressure and the decrease in the anteroposterior diameter in the upper thoracic cavity (Osterthun, Post, Asbeck, Leeuwen, & Koppenhagen, ; Postma et al, ). This behaviour can be considered paradoxical breathing.…”

Section: Discussionmentioning

confidence: 99%

“…At each stage, actions and predominant activity of specific muscles occur. In the first stage, the glottis is open, and the expiratory muscles are relaxed and elongated, while the diaphragm works concentrically to expand the rib cage during increasing inspiratory volume (Chang, 2006 (Osterthun, Post, Asbeck, Leeuwen, & Koppenhagen, 2014;Postma et al, 2013). This behaviour can be considered paradoxical breathing.…”

Section: Discussionmentioning

confidence: 99%

Use of electromyographic signals for characterization of voluntary coughing in humans with and without spinal cord injury—A systematic review

Macedo

Rocha

Miosso

et al. 2018

Physiotherapy Res Intl

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Introduction Individuals with spinal cord injury (SCI) frequently have an ineffective cough ability due to dysfunctions in expiratory muscles. In such cases, several articles have reported the occurrence of residual muscular activity in muscles that are accessory to coughing. The knowledge about this activity may be useful for building cough assistance devices. The goal of this review is to investigate and to describe the electromyographic signals generated during voluntary coughing in healthy people and in patients with SCI. Methods Two researchers performed, blindly and independently, a systematic review of the following databases: PubMed, PEDro, LILACS, and Science Direct. We conducted the searches using descriptors in English, Portuguese, and Spanish, with no limitations regarding the publication year. The review included articles describing experiments performed in humans and with the use of electromyographic signals in the analysis of voluntary coughing. Results Among the 156 initially found articles, only nine had results that described the study of electromyographic signals associated with voluntary coughing. The results showed evidence that, during voluntary coughing, electromyographic signals are generated both in expiratory and accessory muscles in healthy subjects. In individuals with SCI below the 5th cervical level (C5), the electromyographic signal appeared only in the clavicular portion of the pectoralis major, especially in the explosive cough phase. Conclusion Our evaluation of the current literature shows that, according to the analysed studies, the electromyographic signals are more pre‐eminent in the expiratory phase of the pectoralis major, during voluntary cough of individuals with SCI (C5–T12).

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“…1 In a cohort study of persons with SCI admitted to a specialized rehabilitation center who were expected to remain wheelchair dependent, the cumulative mortality was 12% at 5 years after injury. 5 Main causes of death were cardiovascular disease (37%), pulmonary disease (30%), and neoplasm (15%). 5 …”

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confidence: 99%

“…5 Main causes of death were cardiovascular disease (37%), pulmonary disease (30%), and neoplasm (15%). 5 …”

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People with Spinal Cord Injury in the Netherlands

Post

Nooijen

Postma

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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The estimated incidence of traumatic spinal cord injury (SCI) was 14.0 per million per year in the Netherlands in 2010, or 11.7 per million per year for those surviving the acute phase.1 The incidence of traumatic SCI seems rather stable as an earlier study reported an estimated incidence of 10.4 per million per year surviving the acute phase in 1994. 2 The incidence of nontraumatic SCI in the Netherlands is unknown. However, a study on characteristics of persons with SCI admitted to an SCI department for initial inpatient rehabilitation found 54.7% of persons with SCI to have a nontraumatic lesion.3 Therefore, we assume that the incidence of nontraumatic SCI is slightly higher than the incidence of traumatic SCI. There are no reliable figures on the prevalence of SCI in the Netherlands.Most cases of traumatic SCI admitted to acute care hospitals were falls (53%) in 2010, followed by road traffic accidents (22%) and sports (14%).1 Within this last category, diving (27%) and bicycling (23%) were most common. Violence applied to only 2% of cases. Reported etiologies for nontraumatic SCI admitted to specialized rehabilitation centers were vascular diseases (28%), spinal degeneration (26%), inflammation (17%), malignant tumor (17%), and benign tumor (11%). 3The most notable change between 1994 and 2010 was a strong increase in age at injury. The proportion of newly injured people older than 60 years was 30% in 1994 compared with 52% in 2010.

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Causes of death following spinal cord injury during inpatient rehabilitation and the first five years after discharge. A Dutch cohort study

Cited by 37 publications

References 25 publications

Follow‐up of the neuro‐urological patient: a systematic review

Follow‐up of the neuro‐urological patient: a systematic review

Use of electromyographic signals for characterization of voluntary coughing in humans with and without spinal cord injury—A systematic review

People with Spinal Cord Injury in the Netherlands

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