Medical University of South Carolina, Charleston, USA.
Arch Phys Med Rehabil. 2010 Nov;91(11):1741-6. doi: 10.1016/j.apmr.2010.07.219.
To identify (1) the annual incidence of subsequent injury and injury-related hospitalizations in persons with preexisting spinal cord injury (SCI) and (2) risk and protective behaviors associated with differential risk for injury.
Longitudinal mailed survey. Participants were enrolled in 1997 to 1998, with a follow-up conducted 10 years later.
Data were collected from participants identified from a specialty hospital and were analyzed at a medical university in the Southeastern United States.
Participants (N=1386) during the baseline enrollment, 821 of whom also participated in the 10-year follow-up. Inclusion criteria were (1) traumatic SCI with residual impairment, (2) nonsurgical onset, (3) aged 18 years or older, and (4) a minimum of 12 months post-SCI.
Not applicable.
Number of injuries severe enough to require treatment in a clinic, emergency department, or hospital in the 12 months before the survey and number of injury-related hospitalizations. Predictor variables included selected items from the Behavioral Risk Factor Surveillance System, the Zuckerman-Kuhlman Personality Questionnaire, and prescription medication use.
More than 23% of participants reported at least 1 injury within the past year, an increase from that reported 10 years earlier by the same participants (19%), and 7% reported at least 1 injury-related hospitalization. Those who reported a subsequent injury during the preliminary baseline data collection were about twice as likely to report at least 1 injury 10 years later. Binge drinking, psychotropic prescription medication use, and several personality characteristics also were related to injuries and/or injury-related hospitalization.
Risk for injury continues to be a significant concern in the years and decades after SCI onset. Behavioral and personality factors hold the key to prevention.
确定（1）患有先前脊髓损伤（SCI）的人随后受伤和与受伤相关的住院治疗的年度发病率；（2）与受伤风险差异相关的风险和保护行为。
纵向邮寄调查。参与者于 1997 年至 1998 年登记，10 年后进行了随访。
数据来自一家专科医院确定的参与者收集，并在美国东南部的一所医科大学进行分析。
在基线登记时的参与者（N=1386），其中 821 人还参加了 10 年的随访。纳入标准为：（1）有残留损伤的创伤性 SCI；（2）非手术发病；（3）年龄在 18 岁或以上；（4）SCI 后至少 12 个月。
不适用。
在调查前 12 个月内因受伤需要在诊所、急诊室或医院治疗的次数和与受伤相关的住院次数。预测变量包括行为风险因素监测系统、Zuckerman-Kuhlman 人格问卷和处方药使用的选定项目。
超过 23%的参与者报告在过去一年中至少有 1 次受伤，比同一参与者 10 年前报告的（19%）有所增加，7%报告至少有 1 次与受伤相关的住院治疗。那些在初步基线数据收集期间报告有后续受伤的人，在 10 年后报告至少有 1 次受伤的可能性是前者的两倍左右。狂饮、精神科处方药物使用以及几种人格特征也与受伤和/或与受伤相关的住院治疗有关。
在 SCI 发病后的数年和数十年中，受伤风险仍然是一个严重的问题。行为和人格因素是预防的关键。
