Health Conditions: Effect on Function, Health-Related Quality of Life, and Life Satisfaction After Traumatic Spinal Cord Injury. A Prospective Observational Registry Cohort Study

The RHSCIR Network

doi:10.1016/j.apmr.2017.06.012

Health Conditions: Effect on Function, Health-Related Quality of Life, and Life Satisfaction After Traumatic Spinal Cord Injury. A Prospective Observational Registry Cohort Study

The RHSCIR Network

Medicine

Résultat de recherche: Article › examen par les pairs

109 Citations (Scopus)

Résumé

Objective: To analyze relations among injury, demographic, and environmental factors on function, health-related quality of life (HRQoL), and life satisfaction in individuals with traumatic spinal cord injury (SCI). Design: Prospective observational registry cohort study. Setting: Specialized acute and rehabilitation SCI centers. Participants: Participants (N=340) from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) who were prospectively recruited from 2004 to 2014 were included. The model cohort participants were 79.1% men, with a mean age of 41.6±17.3 years. Of the participants, 34.7% were motor/sensory complete (ASIA Impairment Scale [AIS] grade A). Interventions: None. Main Outcome Measures: Path analysis was used to determine relations among SCI severity (AIS grade and anatomic level [cervical/thoracolumbar]), age at injury, education, number of health conditions, functional independence (FIM motor score), HRQoL (Medical Outcomes Study 36-Item Short-Form Health Survey [Version 2] Physical Component Score [PCS] and Mental Component Score [MCS]), and life satisfaction (Life Satisfaction-11 [LiSat-11]). Model fit was assessed using recommended published indices. Results: Goodness of fit of the model was supported by all indices, indicating the model results closely matched the RHSCIR data. Higher age, higher severity injuries, cervical injuries, and more health conditions negatively affected FIM motor score, whereas employment had a positive effect. Higher age, less education, more severe injuries (AIS grades A–C), and more health conditions negatively correlated with PCS (worse physical health). More health conditions were negatively correlated with a lower MCS (worse mental health), however were positively associated with reduced function. Being married and having higher function positively affected Lisat-11, but more health conditions had a negative effect. Conclusions: Complex interactions and enduring effects of health conditions after SCI have a negative effect on function, HRQoL, and life satisfaction. Modeling relations among these types of concepts will inform clinicians how to positively effect outcomes after SCI (eg, development of screening tools and protocols for managing individuals with traumatic SCI who have multiple health conditions).

Langue d'origine	English
Pages (de-à)	443-451
Nombre de pages	9
Journal	Archives of Physical Medicine and Rehabilitation
Volume	99
Numéro de publication	3
DOI	https://doi.org/10.1016/j.apmr.2017.06.012
Statut de publication	Published - mars 2018

Note bibliographique

Funding Information:
The Rick Hansen Spinal Cord Injury Registry and this work are supported by funding from the Rick Hansen Institute, Health Canada, Western Economic Diversification Canada, and the Governments of Alberta, British Columbia, Manitoba, and Ontario.

Publisher Copyright:
© 2017 American Congress of Rehabilitation Medicine

ASJC Scopus Subject Areas

Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation

ODD de l’ONU

Cette action contribue à la réalisation des objectifs de développement durable suivants

Accès au document

10.1016/j.apmr.2017.06.012

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@article{70fc4c30e1b6467a82be0f9935051276,

title = "Health Conditions: Effect on Function, Health-Related Quality of Life, and Life Satisfaction After Traumatic Spinal Cord Injury. A Prospective Observational Registry Cohort Study",

abstract = "Objective: To analyze relations among injury, demographic, and environmental factors on function, health-related quality of life (HRQoL), and life satisfaction in individuals with traumatic spinal cord injury (SCI). Design: Prospective observational registry cohort study. Setting: Specialized acute and rehabilitation SCI centers. Participants: Participants (N=340) from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) who were prospectively recruited from 2004 to 2014 were included. The model cohort participants were 79.1% men, with a mean age of 41.6±17.3 years. Of the participants, 34.7% were motor/sensory complete (ASIA Impairment Scale [AIS] grade A). Interventions: None. Main Outcome Measures: Path analysis was used to determine relations among SCI severity (AIS grade and anatomic level [cervical/thoracolumbar]), age at injury, education, number of health conditions, functional independence (FIM motor score), HRQoL (Medical Outcomes Study 36-Item Short-Form Health Survey [Version 2] Physical Component Score [PCS] and Mental Component Score [MCS]), and life satisfaction (Life Satisfaction-11 [LiSat-11]). Model fit was assessed using recommended published indices. Results: Goodness of fit of the model was supported by all indices, indicating the model results closely matched the RHSCIR data. Higher age, higher severity injuries, cervical injuries, and more health conditions negatively affected FIM motor score, whereas employment had a positive effect. Higher age, less education, more severe injuries (AIS grades A–C), and more health conditions negatively correlated with PCS (worse physical health). More health conditions were negatively correlated with a lower MCS (worse mental health), however were positively associated with reduced function. Being married and having higher function positively affected Lisat-11, but more health conditions had a negative effect. Conclusions: Complex interactions and enduring effects of health conditions after SCI have a negative effect on function, HRQoL, and life satisfaction. Modeling relations among these types of concepts will inform clinicians how to positively effect outcomes after SCI (eg, development of screening tools and protocols for managing individuals with traumatic SCI who have multiple health conditions).",

author = "{The RHSCIR Network} and Rivers, {Carly S.} and Nader Fallah and Noonan, {Vanessa K.} and Whitehurst, {David G.} and Schwartz, {Carolyn E.} and Finkelstein, {Joel A.} and Craven, {B. Catharine} and Karen Ethans and Colleen O'Connell and Truchon, {B. Catherine} and Chester Ho and Linassi, {A. Gary} and Christine Short and Eve Tsai and Brian Drew and Henry Ahn and Dvorak, {Marcel F.} and J{\'e}r{\^o}me Paquet and Fehlings, {Michael G.} and Luc Noreau",

note = "Funding Information: The Rick Hansen Spinal Cord Injury Registry and this work are supported by funding from the Rick Hansen Institute, Health Canada, Western Economic Diversification Canada, and the Governments of Alberta, British Columbia, Manitoba, and Ontario. Publisher Copyright: {\textcopyright} 2017 American Congress of Rehabilitation Medicine",

year = "2018",

month = mar,

doi = "10.1016/j.apmr.2017.06.012",

language = "English",

volume = "99",

pages = "443--451",

journal = "Archives of Physical Medicine and Rehabilitation",

issn = "0003-9993",

publisher = "W.B. Saunders Ltd",

number = "3",

}

TY - JOUR

T1 - Health Conditions

T2 - Effect on Function, Health-Related Quality of Life, and Life Satisfaction After Traumatic Spinal Cord Injury. A Prospective Observational Registry Cohort Study

AU - The RHSCIR Network

AU - Rivers, Carly S.

AU - Fallah, Nader

AU - Noonan, Vanessa K.

AU - Whitehurst, David G.

AU - Schwartz, Carolyn E.

AU - Finkelstein, Joel A.

AU - Craven, B. Catharine

AU - Ethans, Karen

AU - O'Connell, Colleen

AU - Truchon, B. Catherine

AU - Ho, Chester

AU - Linassi, A. Gary

AU - Short, Christine

AU - Tsai, Eve

AU - Drew, Brian

AU - Ahn, Henry

AU - Dvorak, Marcel F.

AU - Paquet, Jérôme

AU - Fehlings, Michael G.

AU - Noreau, Luc

N1 - Funding Information: The Rick Hansen Spinal Cord Injury Registry and this work are supported by funding from the Rick Hansen Institute, Health Canada, Western Economic Diversification Canada, and the Governments of Alberta, British Columbia, Manitoba, and Ontario. Publisher Copyright: © 2017 American Congress of Rehabilitation Medicine

PY - 2018/3

Y1 - 2018/3

N2 - Objective: To analyze relations among injury, demographic, and environmental factors on function, health-related quality of life (HRQoL), and life satisfaction in individuals with traumatic spinal cord injury (SCI). Design: Prospective observational registry cohort study. Setting: Specialized acute and rehabilitation SCI centers. Participants: Participants (N=340) from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) who were prospectively recruited from 2004 to 2014 were included. The model cohort participants were 79.1% men, with a mean age of 41.6±17.3 years. Of the participants, 34.7% were motor/sensory complete (ASIA Impairment Scale [AIS] grade A). Interventions: None. Main Outcome Measures: Path analysis was used to determine relations among SCI severity (AIS grade and anatomic level [cervical/thoracolumbar]), age at injury, education, number of health conditions, functional independence (FIM motor score), HRQoL (Medical Outcomes Study 36-Item Short-Form Health Survey [Version 2] Physical Component Score [PCS] and Mental Component Score [MCS]), and life satisfaction (Life Satisfaction-11 [LiSat-11]). Model fit was assessed using recommended published indices. Results: Goodness of fit of the model was supported by all indices, indicating the model results closely matched the RHSCIR data. Higher age, higher severity injuries, cervical injuries, and more health conditions negatively affected FIM motor score, whereas employment had a positive effect. Higher age, less education, more severe injuries (AIS grades A–C), and more health conditions negatively correlated with PCS (worse physical health). More health conditions were negatively correlated with a lower MCS (worse mental health), however were positively associated with reduced function. Being married and having higher function positively affected Lisat-11, but more health conditions had a negative effect. Conclusions: Complex interactions and enduring effects of health conditions after SCI have a negative effect on function, HRQoL, and life satisfaction. Modeling relations among these types of concepts will inform clinicians how to positively effect outcomes after SCI (eg, development of screening tools and protocols for managing individuals with traumatic SCI who have multiple health conditions).

AB - Objective: To analyze relations among injury, demographic, and environmental factors on function, health-related quality of life (HRQoL), and life satisfaction in individuals with traumatic spinal cord injury (SCI). Design: Prospective observational registry cohort study. Setting: Specialized acute and rehabilitation SCI centers. Participants: Participants (N=340) from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) who were prospectively recruited from 2004 to 2014 were included. The model cohort participants were 79.1% men, with a mean age of 41.6±17.3 years. Of the participants, 34.7% were motor/sensory complete (ASIA Impairment Scale [AIS] grade A). Interventions: None. Main Outcome Measures: Path analysis was used to determine relations among SCI severity (AIS grade and anatomic level [cervical/thoracolumbar]), age at injury, education, number of health conditions, functional independence (FIM motor score), HRQoL (Medical Outcomes Study 36-Item Short-Form Health Survey [Version 2] Physical Component Score [PCS] and Mental Component Score [MCS]), and life satisfaction (Life Satisfaction-11 [LiSat-11]). Model fit was assessed using recommended published indices. Results: Goodness of fit of the model was supported by all indices, indicating the model results closely matched the RHSCIR data. Higher age, higher severity injuries, cervical injuries, and more health conditions negatively affected FIM motor score, whereas employment had a positive effect. Higher age, less education, more severe injuries (AIS grades A–C), and more health conditions negatively correlated with PCS (worse physical health). More health conditions were negatively correlated with a lower MCS (worse mental health), however were positively associated with reduced function. Being married and having higher function positively affected Lisat-11, but more health conditions had a negative effect. Conclusions: Complex interactions and enduring effects of health conditions after SCI have a negative effect on function, HRQoL, and life satisfaction. Modeling relations among these types of concepts will inform clinicians how to positively effect outcomes after SCI (eg, development of screening tools and protocols for managing individuals with traumatic SCI who have multiple health conditions).

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U2 - 10.1016/j.apmr.2017.06.012

DO - 10.1016/j.apmr.2017.06.012

M3 - Article

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SN - 0003-9993

VL - 99

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EP - 451

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

IS - 3

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