Vogel Lawrence C, Krajci Katherine A, Anderson Caroline J
Shriners Hospitals for Children, Chicago, Illinois 60707, USA.
J Spinal Cord Med. 2002 Winter;25(4):297-305. doi: 10.1080/10790268.2002.11753632.
To determine the impact of medical complications on adult outcomes of individuals with pediatric-onset spinal cord injury (SCI).
Structured interview including standardized measures.
Individuals who sustained SCI at age 18 years or younger and were 24 years of age or older at interview.
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).
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.
Medical complications significantly affect adult outcomes of individuals with pediatric-onset SCI.
确定医疗并发症对儿童期脊髓损伤（SCI）患者成人期预后的影响。
采用包括标准化测量的结构化访谈。
18岁及以下发生脊髓损伤且在访谈时年龄为24岁及以上的个体。
涵盖就业、独立生活、驾驶和婚姻情况的结构化访谈。标准化测量包括克雷格障碍评估与报告技术（CHART）、简短健康调查问卷（SF - 12）以及生活满意度量表（SWLS）。
对216名个体进行了访谈，受伤时的平均年龄为14岁，随访时的平均年龄为29岁。在所有并发症中，压疮、严重尿路感染（UTI）和痉挛对成人期预后影响最大。压疮与所有主要结局在统计学上相关。严重尿路感染与除婚姻外的所有结局在统计学上相关。痉挛与除婚姻和生活满意度外的所有测量结局相关。生活满意度与严重尿路感染、压疮、疼痛及呼吸并发症最为显著相关。
医疗并发症显著影响儿童期脊髓损伤患者的成人期预后。
