Whiteneck G, Tate D, Charlifue S
Craig Hospital, Englewood, CO 80110, USA.
Arch Phys Med Rehabil. 1999 Nov;80(11):1485-91. doi: 10.1016/s0003-9993(99)90262-9.
To determine the influence of demographic and injury characteristics on the community reintegration of people with spinal cord injury (SCI).
Prospective cross-sectional and longitudinal examination of individuals with SCI.
Follow-up of individuals at 1, 2, 5, 10, 15, and 20 years after SCI who received their initial rehabilitation in a Regional Model Spinal Cord Injury System.
A total of 3,835 individuals who met the inclusion criteria for the National SCI Database were studied cross-sectionally, and a subset of 347 individuals who were also enrolled in a longitudinal study of aging with SCI.
Subscales of the Craig Handicap Assessment and Reporting Technique (CHART).
Neurologic classification, age, years postinjury, gender, ethnicity, and education explain 29% of the variance in physical independence, 29% of the variance in mobility, 28% of the variance in occupation. 9% of the variance in social integration, and 18% of the variance in economic self-sufficiency.
Although these factors are inadequate to explain most of the variation in community reintegration (handicap) after SCI, they might appropriately be used to adjust for case-mix differences when comparing rehabilitation facilities and techniques.
确定人口统计学和损伤特征对脊髓损伤（SCI）患者重返社区的影响。
对SCI患者进行前瞻性横断面和纵向检查。
对在区域脊髓损伤模型系统接受初始康复治疗的SCI患者在伤后1年、2年、5年、10年、15年和20年进行随访。
共有3835名符合国家SCI数据库纳入标准的个体接受横断面研究，另有347名个体纳入SCI老龄化纵向研究。
克雷格残疾评估与报告技术（CHART）分量表。
神经学分类、年龄、伤后年限、性别、种族和教育程度可解释身体独立性差异的29%、活动能力差异的29%、职业差异的28%、社会融合差异的9%以及经济自给自足差异的18%。
尽管这些因素不足以解释SCI后重返社区（残疾）的大部分差异，但在比较康复设施和技术时，它们可适当用于调整病例组合差异。
