Document Detail


Aging with a spinal cord injury: factors associated with the need for more help with activities of daily living.
MedLine Citation:
PMID:  15468013     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 OUTCOME MEASURE: 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.
Authors:
Nathania R Liem; Mary Ann McColl; Will King; Karen M Smith
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  85     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-06     Completed Date:  2004-11-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1567-77     Citation Subset:  AIM; IM    
Affiliation:
Division of Physical Medicine and Rehabilitation, University of Ottawa, Ottawa, ON, Canada. n_liem@tricolour.queensu.ca
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Age Factors
Aging / physiology*
Canada
Constipation / etiology
Cross-Sectional Studies
Diarrhea / etiology
England
Female
Health Services Needs and Demand*
Humans
Male
Middle Aged
Multivariate Analysis
Pressure Ulcer / etiology
Sampling Studies
Sex Factors
Spinal Cord Injuries / complications,  physiopathology*,  rehabilitation*
Time Factors
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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