Adults with Pediatric-onset Spinal Cord Injuries: Part 3: Impact of Medical Complications

Overview

Journal J Spinal Cord Med

Date 2002 Dec 17

PMID 12482173

Citations 19

Authors

Lawrence C Vogel

Katherine A Krajci

Caroline J Anderson

Affiliations

Soon will be listed here.

Abstract

Objective: To determine the impact of medical complications on adult outcomes of individuals with pediatric-onset spinal cord injury (SCI).

Method: Structured interview including standardized measures.

Participants: Individuals who sustained SCI at age 18 years or younger and were 24 years of age or older at interview.

Outcome Measures: A structured interview covering employment, independent living and driving, and marriage. Standardized measures include the Craig Handicap Assessment and Reporting Technique (CHART), the Short Form (SF-12), and the Satisfaction with Life Scale (SWLS).

Results: Two hundred sixteen individuals were interviewed, with a mean age at injury of 14 years and a mean age at follow-up of 29 years. Of all the complications, pressure ulcers, severe urinary tract infection (UTI), and spasticity had the greatest impact on adult outcomes. Pressure ulcers were statistically related to all main outcomes. Severe UTI was statistically associated with all the outcomes except for marriage. Spasticity was associated with all the measured outcomes, except for marriage and life satisfaction. Life satisfaction was most significantly associated with severe UTI, pressure ulcers, pain, and respiratory complications.

Conclusion: Medical complications significantly affect adult outcomes of individuals with pediatric-onset SCI.

Citing Articles

Triage tools for detecting cervical spine injury in paediatric trauma patients.

Tavender E, Eapen N, Wang J, Rausa V, Babl F, Phillips N Cochrane Database Syst Rev. 2024; 3:CD011686.

PMID: 38517085 PMC: 10958760. DOI: 10.1002/14651858.CD011686.pub3.

Feasibility and Acceptability of a Codesigned Health Care Transition Intervention for Young People With Spinal Cord Injuries.

Bray E, George A, Everett B, Salamonson Y, Ramjan L Top Spinal Cord Inj Rehabil. 2023; 29(3):89-97.

PMID: 38076288 PMC: 10644856. DOI: 10.46292/sci22-00049.

Transitioning between paediatric and adult healthcare services: a qualitative study of the experiences of young people with spinal cord injuries and parents/caregivers.

Bray E, Salamonson Y, Everett B, George A, Chapman I, Ramjan L BMJ Open. 2022; 12(11):e065718.

PMID: 36418132 PMC: 9684994. DOI: 10.1136/bmjopen-2022-065718.

Health and LifeDomain ResearchPriorities in Children, Adolescents and Young Adults With Pediatric-Onset Spinal Cord Injury: A National Cross-Sectional Survey in England.

Onal B, Leon M, Augutis M, Mattacola E, Graham A, Hart K Top Spinal Cord Inj Rehabil. 2022; 28(2):91-110.

PMID: 35521061 PMC: 9009198. DOI: 10.46292/sci21-00053.

A Systematic Review of the Scientific Literature for Rehabilitation/Habilitation Among Individuals With Pediatric-Onset Spinal Cord Injury.

McIntyre A, Sadowsky C, Behrman A, Martin R, Augutis M, Cassidy C Top Spinal Cord Inj Rehabil. 2022; 28(2):13-90.

PMID: 35521053 PMC: 9009193. DOI: 10.46292/sci21-00046.