Article

OBJECTIVE: To examine the effect of obesity on change in FIM self-care and
mobility ratings and community discharge for patients with traumatic spinal cord
injury (SCI). DESIGN: Retrospective cohort study analyzing National Model Systems
SCI Database data. SETTING: Fourteen Model Systems SCI programs. PARTICIPANTS:
Patients (N=1524) with a new traumatic SCI discharged from Model Systems
rehabilitation centers between October 2006 and October 2009. INTERVENTIONS:
None. MAIN OUTCOME MEASURES: Change in FIM self-care and mobility ratings,
discharge destination. Separate analyses were conducted by neurologic category:
paraplegia incomplete, paraplegia complete, tetraplegia incomplete, and
tetraplegia complete. RESULTS: Of all patients with traumatic SCI, approximately
25% were obese at admission. Patients who were obese were more likely to be
married and slightly older than nonobese patients. In patients with paraplegia
incomplete, obese patients had lower FIM self-care (-1.9; 95% confidence interval
[CI], -3.4 to -.4) and mobility score gains (-1.5; 95% CI, -2.9 to -.1) than
normal-weight patients. For patients with paraplegia complete, obese patients had
significantly lower self-care (-2.2; 95% CI, -3.5 to -.8) and mobility score
gains (-2.7; 95% CI, -3.9 to -1.5). For patients with tetraplegia incomplete and
tetraplegia complete, FIM self-care and mobility ratings for obese patients were
not significantly different from ratings for normal-weight patients. Within each
neurologic category, the percentage of patients discharged to the community was
not significantly different for nonobese and obese patients. CONCLUSIONS: Obesity
appears to be a barrier to meeting self-care and mobility functional goals for
patients with paraplegia in inpatient SCI rehabilitation.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS