Article

OBJECTIVE: To assess lifetime prevalence of 7 chronic health conditions (CHCs)
among a cohort of adults with chronic traumatic spinal cord injury (SCI). DESIGN: Cross-sectional. SETTING: Rehabilitation hospital. PARTICIPANTS: Adults with SCI
who were >/=18 years of age, were >/=1 year postinjury, and had residual
neurologic effects impeding full recovery (n=1678). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: CHCs were measured using questions from the
Behavioral Risk Factor Surveillance System for diabetes (not including
gestational), heart attack (also called a myocardial infarction), angina or
coronary artery disease, stroke, hypertension (not including during pregnancy),
high blood cholesterol, or cancer. RESULTS: Of participants, 49.5% reported
having at least 1 CHC, with 23.2% reporting >/=2 CHCs. The most frequently
reported CHC was high cholesterol (29.3%) followed by hypertension (28.7%) and
diabetes (11.8%). Although the prevalence of CHCs significantly increased with
increasing age, only hypertension and cancer were significantly associated with
years postinjury. Four CHCs (diabetes, coronary artery disease, hypertension,
high cholesterol) were significantly related to mobility status as measured by
injury level and ambulatory status. However, after controlling for age, years
postinjury, sex, and race, mobility status became nonsignificant in relation to
coronary artery disease, but it remained significantly associated with diabetes,
hypertension, and high cholesterol. CONCLUSIONS: Clinicians should be aware of
the risk of CHCs in persons with SCI and should screen for these conditions and
regular maintenance activities related to SCI.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS