Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Spinal Cord. 2012 Aug;50(8):570-8. doi: 10.1038/sc.2012.19. Epub 2012 Mar 27.
Systematic review.
To identify changes in subjective quality of life (QoL) as one ages with a spinal cord injury (SCI).
Vancouver, Canada.
Electronic databases were searched for studies reporting on age-related QoL changes over time. Data from relevant studies were transcribed into data extraction forms and analyzed by years post injury (YPI) and chronologic age. Each study was assigned a level of evidence based on a modified Sackett scale.
In all, 21 studies, each with a low level of evidence, were included for review. The results indicated that regardless of chronologic age, individuals with relatively new SCI have the potential to improve their QoL. Among individuals with advanced YPI, overall QoL is consistently reported as good or excellent over time, however, with variations in different QoL domains.
The QoL of individuals aging with a SCI has the potential to improve, and remain high and stable over time. As the identified studies provide low levels of evidence, more longitudinal research with greater methodological and measurement rigor is needed to corroborate the findings and conclusions of this review.
系统评价。
确定脊髓损伤（SCI）患者随年龄增长主观生活质量（QoL）的变化。
加拿大温哥华。
电子数据库检索报告随时间推移的年龄相关 QoL 变化的研究。将相关研究的数据转录到数据提取表中，并按损伤后年数（YPI）和实际年龄进行分析。根据改良 Sackett 量表，为每项研究分配一个证据级别。
共纳入 21 项研究，每项研究的证据水平均较低。结果表明，无论实际年龄如何，新近发生 SCI 的个体有可能改善其 QoL。在 YPI 较高的个体中，总体 QoL 随着时间的推移一直被报告为良好或优秀，但不同 QoL 领域存在差异。
随着 SCI 年龄增长，个体的 QoL 有可能改善，并随着时间的推移保持较高且稳定。由于所确定的研究提供的证据水平较低，因此需要进行更多具有更大方法学和测量严谨性的纵向研究，以证实本综述的发现和结论。
