Saunders Lee L, Clarke Alexander, Tate Denise G, Forchheimer Martin, Krause James S
College of Health Professions, Medical University of South Carolina, Charleston, SC.
College of Medicine, Medical University of South Carolina, Charleston, SC.
Arch Phys Med Rehabil. 2015 Apr;96(4):673-9. doi: 10.1016/j.apmr.2014.11.019. Epub 2014 Dec 9.
To assess lifetime prevalence of 7 chronic health conditions (CHCs) among a cohort of adults with chronic traumatic spinal cord injury (SCI).
Cross-sectional.
Rehabilitation hospital.
Adults with SCI who were ≥18 years of age, were ≥1 year postinjury, and had residual neurologic effects impeding full recovery (n=1678).
Not applicable.
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.
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.
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.
评估慢性创伤性脊髓损伤（SCI）成年队列中7种慢性健康状况（CHC）的终生患病率。
横断面研究。
康复医院。
年龄≥18岁、受伤后≥1年且有残留神经功能障碍妨碍完全康复的SCI成年患者（n = 1678）。
不适用。
使用行为危险因素监测系统中关于糖尿病（不包括妊娠期）、心脏病发作（也称为心肌梗死）、心绞痛或冠状动脉疾病、中风、高血压（不包括孕期）、高血胆固醇或癌症的问题来测量CHC。
参与者中，49.5%报告至少有一种CHC，23.2%报告有两种及以上CHC。报告最频繁的CHC是高胆固醇（29.3%），其次是高血压（28.7%）和糖尿病（11.8%）。虽然CHC的患病率随年龄增长显著增加，但只有高血压和癌症与受伤后的年限显著相关。四种CHC（糖尿病、冠状动脉疾病、高血压、高胆固醇）与根据损伤水平和步行状态测量的活动能力状态显著相关。然而，在控制年龄、受伤年限、性别和种族后，活动能力状态与冠状动脉疾病的相关性不再显著，但仍与糖尿病、高血压和高胆固醇显著相关。
临床医生应意识到SCI患者发生CHC的风险，应筛查这些疾病以及与SCI相关的定期维持活动。
