Health Status, Quality of Life and Socioeconomic Situation of People with Spinal Cord Injuries Six Years After Discharge from a Hospital in Bangladesh

Overview

Journal Spinal Cord

Specialty Neurology

Date 2019 Feb 22

PMID 30787428

Citations 15

Authors

Mohammad Sohrab Hossain

Md Shofiqul Islam

Md Akhlasur Rahman

Joanne V Glinsky

Robert D Herbert

Stanley Ducharme

Lisa A Harvey

Affiliations

Soon will be listed here.

Abstract

Study Design: Cross-sectional analysis of a mixed retrospective and prospective inception cohort study.

Objectives: To determine health status, quality of life and socioeconomic situation of people with spinal cord injuries (SCI) 6 years after discharge from a hospital in Bangladesh.

Setting: Bangladesh.

Methods: All patients alive 6 years after discharge from a hospital in Bangladesh were interviewed using the SF12 health survey, the SCI Secondary Conditions Scale, the Centre for Epidemiologic Studies Depression Scale (CESD), and the participation in society items of World Health Organisation Disability Assessment Schedule (WHODAS 2.0). Additional questions determined participants' socioeconomic and employment status.

Results: The cohort comprised 260 participants: 145 used wheelchairs for mobility and 115 were able to walk at discharge. The median (IQR) Mental and Physical Component scores for the SF12 were 54 (49-57) and 44 (40-51) points, respectively. The median scores for the SCI Secondary Conditions Scale, CESD and WHODAS 2.0 were 8 (4-13), 7 (4-13) and 12 (6-17) points, respectively. Fourteen percent of all participants and 23% of those who used wheelchairs had a pressure ulcer at the time of interview. Forty-four percent of participants were unemployed and 65% were living below the poverty line (median (IQR) income, USD 0 (0-91)) per month.

Conclusion: Many people with SCI in Bangladesh are unemployed and living in poverty with a reduced quality of life and participation. Pressure ulcers are a common complication.

Citing Articles

Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh.

Das S, Bakhtiar M, Sabrin S, Curtin M, Rahman E, Nahid Z Front Rehabil Sci. 2024; 5:1435656.

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Challenges in traumatic spinal cord injury care in developing countries - a scoping review.

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A Systematic Review of the Impact of Spinal Cord Injury on Costs and Health-Related Quality of Life.

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Mahmoodkhani M, Rezvani M, Farshin A, Ghasemi P, Sheibani Tehrani D Adv Biomed Res. 2023; 12:217.

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Pediatric Spinal Trauma at a Single Level 1 Trauma Center: Review of 62 Cases.

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References

Cook K, Kallen M, Bombardier C, Bamer A, Choi S, Kim J . Do measures of depressive symptoms function differently in people with spinal cord injury versus primary care patients: the CES-D, PHQ-9, and PROMIS-D. Qual Life Res. 2016; 26(1):139-148. DOI: 10.1007/s11136-016-1363-x. View

Lofvenmark I, Wikmar L, Hasselberg M, Norrbrink C, Hultling C . Outcomes 2 years after traumatic spinal cord injury in Botswana: a follow-up study. Spinal Cord. 2016; 55(3):285-289. DOI: 10.1038/sc.2016.114. View

Borg J, Lindstrom A, Larsson S . Assistive technology in developing countries: national and international responsibilities to implement the Convention on the Rights of Persons with Disabilities. Lancet. 2009; 374(9704):1863-5. DOI: 10.1016/S0140-6736(09)61872-9. View

Scovil C, Ranabhat M, Craighead I, Wee J . Follow-up study of spinal cord injured patients after discharge from inpatient rehabilitation in Nepal in 2007. Spinal Cord. 2011; 50(3):232-7. DOI: 10.1038/sc.2011.119. View

Kumar N, Gupta B . Effect of Spinal Cord Injury on Quality of Life of Affected Soldiers in India: A Cross-Sectional Study. Asian Spine J. 2016; 10(2):267-75. PMC: 4843063. DOI: 10.4184/asj.2016.10.2.267. View

Strauss D, DeVivo M, Shavelle R, Brooks J, Paculdo D . Economic factors and longevity in spinal cord injury: a reappraisal. Arch Phys Med Rehabil. 2008; 89(3):572-4. DOI: 10.1016/j.apmr.2007.11.025. View

Whitehurst D, Engel L, Bryan S . Short Form health surveys and related variants in spinal cord injury research: a systematic review. J Spinal Cord Med. 2014; 37(2):128-38. PMC: 4066421. DOI: 10.1179/2045772313Y.0000000159. View

Hossain M, Rahman M, Herbert R, Quadir M, Bowden J, Harvey L . Two-year survival following discharge from hospital after spinal cord injury in Bangladesh. Spinal Cord. 2015; 54(2):132-6. DOI: 10.1038/sc.2015.92. View

Singh R, Dhankar S, Rohilla R . Quality of life of people with spinal cord injury in Northern India. Int J Rehabil Res. 2008; 31(3):247-51. DOI: 10.1097/MRR.0b013e3282fb7d25. View

10.

Islam N, Khan I, Ferdous N, Rasker J . Translation, cultural adaptation and validation of the English "Short form SF 12v2" into Bengali in rheumatoid arthritis patients. Health Qual Life Outcomes. 2017; 15(1):109. PMC: 5441088. DOI: 10.1186/s12955-017-0683-z. View

11.

Haisma J, van der Woude L, Stam H, Bergen M, Sluis T, Post M . Complications following spinal cord injury: occurrence and risk factors in a longitudinal study during and after inpatient rehabilitation. J Rehabil Med. 2007; 39(5):393-8. DOI: 10.2340/16501977-0067. View

12.

Zakrasek E, Creasey G, Crew J . Pressure ulcers in people with spinal cord injury in developing nations. Spinal Cord. 2014; 53(1):7-13. DOI: 10.1038/sc.2014.179. View

13.

Kader M, Perera N, Hossain M, Islam R . Socio-demographic and injury-related factors contributing to activity limitations and participation restrictions in people with spinal cord injury in Bangladesh. Spinal Cord. 2017; 56(3):239-246. DOI: 10.1038/s41393-017-0001-y. View

14.

Brinkhof M, Al-Khodairy A, Eriks-Hoogland I, Fekete C, Hinrichs T, Hund-Georgiadis M . Health conditions in people with spinal cord injury: Contemporary evidence from a population-based community survey in Switzerland. J Rehabil Med. 2016; 48(2):197-209. DOI: 10.2340/16501977-2039. View

15.

Jorgensen S, Ginis K, Iwarsson S, Lexell J . Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity. J Rehabil Med. 2017; 49(8):644-651. DOI: 10.2340/16501977-2259. View

16.

Khazaeipour Z, Taheri-Otaghsara S, Naghdi M . Depression Following Spinal Cord Injury: Its Relationship to Demographic and Socioeconomic Indicators. Top Spinal Cord Inj Rehabil. 2015; 21(2):149-55. PMC: 4568096. DOI: 10.1310/sci2102-149. View

17.

Arora M, Harvey L, Lavrencic L, Bowden J, Nier L, Glinsky J . A telephone-based version of the spinal cord injury-secondary conditions scale: a reliability and validity study. Spinal Cord. 2015; 54(5):402-5. DOI: 10.1038/sc.2015.119. View

18.

Pagliacci M, Franceschini M, Di Clemente B, Agosti M, Spizzichino L . A multicentre follow-up of clinical aspects of traumatic spinal cord injury. Spinal Cord. 2006; 45(6):404-10. DOI: 10.1038/sj.sc.3101991. View

19.

Hartoonian N, Hoffman J, Kalpakjian C, Taylor H, Krause J, Bombardier C . Evaluating a spinal cord injury-specific model of depression and quality of life. Arch Phys Med Rehabil. 2013; 95(3):455-65. DOI: 10.1016/j.apmr.2013.10.029. View

20.

Tasiemski T, Priebe M, Wilski M . Life satisfaction and life values in people with spinal cord injury living in three Asian countries: a multicultural study. J Spinal Cord Med. 2013; 36(2):118-26. PMC: 3595959. DOI: 10.1179/2045772312Y.0000000074. View