Management of bladder dysfunction and satisfaction of life after spinal cord injury in Norway

Hagen, Ellen Merete; Rekand, Tiina

doi:10.1179/2045772313y.0000000171

Cited by 24 publications

(22 citation statements)

References 23 publications

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“…We found that the distribution of intermittent (54%), urethral (21%), and suprapubic catheterization (25%) at our institution is similar to recent studies of American patients, but differs from international studies which generally show lower rates of indwelling catheter use . For example, when considering only patients using indwelling or intermittent catheters, the proportion of patients utilizing intermittent catheter is 86‐95% in three Turkish studies, 84% in a Norwegian study, and 47‐54% in two British studies . These geographic differences may be a surrogate for the characteristics of each country's SCI population.…”

Section: Discussionsupporting

confidence: 72%

“…Vaidyanathan et al discussed barriers to implementing intermittent catheterization in SCI in a case report series and described the following barriers: frequency of catheterization, lack of time to catheterize, lack of public toilets suitable to perform catheterization, anatomical barriers (foreskin, false passage, sphincter spasms, positioning), and medical provider recommendations against intermittent catheterization in patients greater than 60 years old . Hagen and Rekand reported that 23% of the 53 patients studied “use other methods to empty [their] bladder other than disposable catheter because it suits [them] best” and an additional 20.6% report “methods other than intermittent catheterization gives [them] flexibility.” Bakke et al reported on aversion and general health questionnaire (GHQ‐28) scores in patients utilizing intermittent catheterization . They reported that the patient's feelings regarding intermittent catheterization were the most important predictor of distress and discomfort as measured by the GHQ‐28 …”

Section: Discussionmentioning

confidence: 99%

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A cross‐sectional study of the catheter management of neurogenic bladder after traumatic spinal cord injury

Lane

Driscoll

Tawfik

et al. 2017

Neurourology and Urodynamics

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Aims: This cross-sectional study describes the catheter management of neurogenic bladder (NGB) in patients with traumatic spinal cord injury (tSCI) with emphasis on the motivations behind transitions between intermittent (IC) and indwelling catheters. Methods: Patients at the Minneapolis VA with history of tSCI who utilized either intermittent catheterization (IC), urethral (UC) or suprapubic (SP) catheters, participated in a voluntary, anonymous survey regarding their bladder management strategies. Results: A total of 100 patients participated, 94% were male and 90% Caucasian with median age of 61 years. Patients with current UC or SP were older than those utilizing IC (P = 0.002). The median age at injury and years since SCI were 32 years and 20.5 years, respectively. The median time with current modality was 11 years. A total of 27% of all patients reported at least one transition between catheter type. A total of 14 of 54 patients using IC had prior use of UC or SP, while 12/25 patients using SP and 10/21 patients using UC had prior use of IC. The most common reasons to stop IC included inconvenience, physician recommendation, and dislike of IC. A total of 53% of patients currently using UC or SP reported never using IC. Patients currently using SP were more content with their current catheterization method than those using UC or IC (P = 0.046). Conclusions: Among patients using catheters for NGB, intermittent catheterization

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

A cross‐sectional study of the catheter management of neurogenic bladder after traumatic spinal cord injury

Lane

Driscoll

Tawfik

et al. 2017

Neurourology and Urodynamics

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“…In general, the reported historic rates of TUC are higher compared with the present results (1.6%). Mainly, moderate rates (4-9%) have been observed in European studies, 2,19,20 whereas in other parts of the world reported TUC rates range from 17 to 41%. 14,15,18 The use of SPC seems to be similar (11-14%) 14,18 or less common (4-9%) 15,19 compared with present data (13%).…”

Section: Discussionmentioning

confidence: 99%

“…6,17 Other authors have observed lower (that is, 15-33%) 2,14,15,18 or higher (that is, 66-78%) IC rates. 19,20 The discrepancies are the result of differences in the study populations, study designs, national health-care systems and follow-up duration between the studies. The reported data concerning the rate of indwelling catheterization are even more diverse.…”

Section: Discussionmentioning

confidence: 99%

Bladder management in individuals with chronic neurogenic lower urinary tract dysfunction

2015

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Study Design: Retrospective investigation. Objectives: To investigate the association of patient and injury characteristics with bladder evacuation by indwelling catheterization in patients with chronic neurogenic lower urinary tract dysfunction (NLUTD). Setting: Tertiary urologic referral center. Methods: The patient database was screened for patients with chronic (412 months) NLUTD. Patient characteristics and bladder management details were collected. Binary logistic regression analysis was used to investigate the effects of the investigated factors on bladder evacuation by indwelling catheterization. Results: The data of 1263 patients with a median age of 47 years (range 11-89 years) and a median NLTUD duration of 15.2 years (range 1.0-63.4 years) were investigated. The most common bladder evacuation method was intermittent catheterization (IC; 41.3%) followed by triggered reflex voiding (25.7%), suprapubic catheterization (11.8%), sacral anterior root stimulation (7.3%), spontaneous voiding (7.0%), abdominal straining (5.7%) and transurethral catheterization (1.3%). Female gender, tetraplegia, an age older than 45 years and injury duration were significant (o0.001) predictors of indwelling catheterization. The odds of bladder evacuation by indwelling catheterization were increased~2.5, 3 and 4 times in women, patients older than 45 years and tetraplegics, respectively. Conclusions: IC is the most common bladder evacuation method. However, the majority of individuals with NLUTD are using other evacuation methods, because factors such as functional deficiencies, mental impairment or the social situation are relevant for choosing a bladder evacuation method. Individuals at risk of indwelling catheterization can be identified based on female gender, age, injury severity and injury duration.

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“…[1][2][3][4][5][6][7] Spinal cord injury results in profound disability and these patients have various secondary complication attributable to SCI like neurogenic shock, arrhythmias, autonomic dysfunction, pressure ulcers, bowel and bladder dysfunctions, chronic pain, anxiety, recurrent urinary tract infections. [8][9][10][11][12][13][14][15] These patients have an increased risk for the cardiovascular complications due to hampered mobility and impaired autonomic system.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of ECG abnormalities in chronic spinal cord injury patients with deranged lipid profile

Ashta¹,

Kumar²

2017

Int J Adv Med

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INTRODUCTIONSpinal cord injury (SCI) is a catastrophic, unfortunate and terminal event that impairs motor, sensory, and autonomic functions of a person for life-time. [1][2][3][4][5][6][7] Spinal cord injury results in profound disability and these patients have various secondary complication attributable to SCI like neurogenic shock, arrhythmias, autonomic dysfunction, pressure ulcers, bowel and bladder dysfunctions, chronic pain, anxiety, recurrent urinary tract infections. [8][9][10][11][12][13][14][15] These patients have an increased risk for the cardiovascular complications due to hampered mobility and impaired autonomic system. 16,17 Most of the time, much attention is paid to the acute complications and their management, underestimating the chronic cardiovascular complications, which are the leading cause of mortality and morbidity in the spinal cord injury patients. [16][17][18] ECG is a convenient, precise and very effective tool diagnose or to detect these problems at an early stage. Abnormal ECG finding are common acutely after the spinal cord injury due to arrhythmias or spinal ABSTRACT Background: Spinal cord injury (SCI) is a catastrophic, unfortunate event which results in profound disability and secondary complications like neurogenic shock, arrhythmias, autonomic dysfunction, pressure ulcers, etc. These patients are at increased risk for the cardiovascular risk factors (like obesity, dyslipidemia and diabetes) and cardiovascular complications due to hampered mobility and impaired autonomic system. Therefore, these patients with must be screened quite frequently for cardiovascular problems. Methods: The study was an analytic cross-sectional study, to assess the prevalence of ECG abnormalities and deranged lipid profiles in the spinal cord injury patients and to access the correlation between these two in chronic Spinal Cord Injury patients. The early morning fasting blood samples were collected for the lipid profile test and thrice daily resting 12 lead ECG were done for all the patients for a month and were analyzed in context with their previous available ECGs from their respective records. Results: A total of 52 SCI patients were taken up for the study, of them 30 was paraplegic and 22 were tertraplegic. Out of 52, lipid profiles were deranged in 31 patients of which 17 had normal ECG and lipid profile was normal in 21, of which only 1 patient had an ECG abnormality. It was found that that out of 52 patients cholesterol levels were deranged in 17 patients, LDL in 6, triglycerides in 15 patients and the values of HDL were normal in all. Conclusions: The most common abnormality found in this population of SCI patients was sinus bradycardia. There was only one ECG which showed T-wave abnormalities suggesting possible myocardial ischemia.

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Management of bladder dysfunction and satisfaction of life after spinal cord injury in Norway

Cited by 24 publications

References 23 publications

A cross‐sectional study of the catheter management of neurogenic bladder after traumatic spinal cord injury

A cross‐sectional study of the catheter management of neurogenic bladder after traumatic spinal cord injury

Bladder management in individuals with chronic neurogenic lower urinary tract dysfunction

Prevalence of ECG abnormalities in chronic spinal cord injury patients with deranged lipid profile

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