Predicting quality of life 5 years after medical discharge for traumatic spinal cord injury

Erosa, Norma A.; Berry, Jack W.; Elliott, Timothy R.; Underhill, Andrea T.; Fine, Philip R.

doi:10.1111/bjhp.12063

Cited by 49 publications

(53 citation statements)

References 40 publications

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“…Erosa, et al, by contrast found that people with spinal cord injury for whom severe functional disorders have been defined do not always evaluate their overall health status as being bad. Better participation in society is experienced by those respondents who have a better evaluation of their physical functioning (getting around, self-care, and life activities), and that corresponds to studies about the evaluation of quality of life and physical functioning [9][10][11].…”

Section: Discussionmentioning

confidence: 99%

The World Health Organisation Disability Assessment Scale (WHODAS II): Links between self-rated health and objectively defined and clinical parameters in the population of spinal cord injury

Steinerte

Vētra

2016

SHS Web Conf.

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Abstract. There are many clinical and objectively defined parameters that are used to evaluate a person's disability. Since the World Health Organisation has presented the WHODAS II as a means of objectively measuring subjectively defined functions, greater attention has been focused on self-rated health. Only a few studies, however, have been conducted about differences between self-rated health and objectively defined parameters. The survey for this study was conducted on the basis of WHODAS II and the population in Latvia with spinal cord injury. Respondents were between 18 and 65, and 98 questionnaires were analysed. The results show that people with spinal cord injury on average rate their functioning as limited (33-40 points of 100). Most respondents have been declared to be disabled, which is defined as very serious or severe functional disorders. More than 40% have paid jobs, while one-third do not work for reasons of health. The research shows that there is a close coherence (p< 0.05) between individual, objectively and clinically defined indicators on the one hand and the aspects of the questionnaire in which physical functioning was an important factor on the other hand. In order to understand the real functional abilities of patients and the individual factors that influence those abilities, it is necessary to define functional self-rated health in addition to objectively defined indicators.

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Section: Discussionmentioning

confidence: 99%

The World Health Organisation Disability Assessment Scale (WHODAS II): Links between self-rated health and objectively defined and clinical parameters in the population of spinal cord injury

Steinerte

Vētra

2016

SHS Web Conf.

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“…This resulted in a final sample of 16 independent studies. 11,18,24,26,[29][30][31][32][33][34][35][36][37][38][39][40] Data extraction and organisation…”

Section: Psychosocial Aspects Of Sci Pain J Tran Et Almentioning

confidence: 99%

“…8,9 For example, Donnelly and Eng 17 found that pain intensity was significantly associated with one's ability to reintegrate into the community in the first 6 months post SCI. Longitudinal studies have also demonstrated that those with pain report less social interaction and support compared with pain-free peers, 18 and lower satisfaction with their participation in daily self-care activities, family roles and relationships. 19 Notably, these studies have operationalised participation in various ways, highlighting the multidimensionality of this concept.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial aspects of spinal cord injury pain: a meta-analysis

2016

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Study design: Meta-analysis. Objectives: Although the association between modifiable psychosocial factors and spinal cord injury (SCI) pain has been identified, the full range of psychological and social difficulties for those who experience acute and/or persistent pain remains unclear. This metaanalysis consolidates the available evidence, using the International Classification of Functioning, Disability and Health (ICF) as a reference framework. Methods: Nineteen studies that examined persistent neuropathic, nociceptive or mixed pain subtypes in adults with a SCI (newly acquired and chronic; N participants = 2934) were identified from electronic database searches. Standardised mean differences between SCI pain and no-pain groups on self-reported psychosocial outcomes were calculated, along with 95% confidence intervals, fail-safe Ns and heterogeneity statistics.

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“…The present study also showed that women exhibited a lower degree of accessibility in the physical and social environment compared to men. Other studies reported that married people with SCI have less depression, greater psychological well-being and better QoL [23,24], due to the improved social participation that the status of marriage provides [25]. In the present series, the marital status partially affects social reintegration; married people with SCI have less cognitive independence and transfers ability.…”

Section: Discussionmentioning

confidence: 44%

“…Gender and marital status should probably be considered important factors for SR and QoL of patients with SCI [3,12,13,[22][23][24][25]. Most studies reported that women with SCI exhibit a lack of vitality and vigor [12], and have a higher proportion of medical, social and psychological problems [13], which explains their decreased participation in educational, voluntary and recreational activities [3].…”

Section: Discussionmentioning

confidence: 99%

Social Reintegration and Quality of Life after Spinal Cord Injury: the Greek Paradigm

Tzanos¹,

Mitsiokapa²,

Megaloikonomos³

et al. 2016

J. Biomed

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Previous studies reported on social reintegration (SR) of spinal cord injury (SCI) patients at their own countries. Their results on community accessibility, SR and ability to enter the labor market, and quality of life (QoL) varied. Therefore, we performed this study to evaluate SR and QoL of SCI people who have completed their rehabilitation program in Greece, and to correlate these findings with the demographic characteristics of the participants, as well as with the clinical parameters associated with SCI. We retrospectively studied 164 patients with SCI (129 men, 35 women; mean age, 46 years; range, 20-80 years) who completed their rehabilitation program and lived in the community in Greece. Mean time from SCI was 15 years (range, 1-43 years). All participants completed questionnaires in an interview form. Questionnaires included demographic details and clinical information, pain score in a 0-10 point pain scale, CHART scale to assess SR, and the WHOQoL BREF scale to assess QoL. Univariate predictors for SR and QoL varied. Multivariate predictors for SR and QoL were gender, educational level, employment, type of SCI, presence of pressure ulcers, age for all domains except for economic self-sufficiency and environment, time elapsed from SCI, and pain for all domains except for physical independence and general health. Patients with SCI in Greece experience similar SR and QoL with other European countries, except for community accessibility and ability to enter the labor market which is more adverse in Greece than in the other European countries.

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Predicting quality of life 5 years after medical discharge for traumatic spinal cord injury

Cited by 49 publications

References 40 publications

The World Health Organisation Disability Assessment Scale (WHODAS II): Links between self-rated health and objectively defined and clinical parameters in the population of spinal cord injury

The World Health Organisation Disability Assessment Scale (WHODAS II): Links between self-rated health and objectively defined and clinical parameters in the population of spinal cord injury

Psychosocial aspects of spinal cord injury pain: a meta-analysis

Social Reintegration and Quality of Life after Spinal Cord Injury: the Greek Paradigm

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