Human Engineering Research Laboratories, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania; Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.
Human Engineering Research Laboratories, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania; Department of Physical Medicine and Rehabilitation, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Arch Phys Med Rehabil. 2018 Oct;99(10):1949-1956. doi: 10.1016/j.apmr.2018.04.002. Epub 2018 Apr 24.
To evaluate the relation between wheelchair breakdowns, their immediate consequences, and secondary health complications after spinal cord injury. "Immediate consequences" occur when part of a wheelchair breaks and leaves an individual stranded or injured, or causes him or her to miss medical appointments, work, or school.
Survey, cross-sectional.
Spinal Cord Injury Model Systems Centers.
Full-time wheelchair users (N=771) with SCI from 9 Spinal Cord Injury Model Systems Centers, with data collected between 2011 and 2016.
Not applicable.
Incidence of self-reported wheelchair breakdowns within the past 6 months that did or did not result in immediate consequences (ie, injury, being stranded, missing a medical appointment, or an inability to attend school/work); self-perceived health status scale; pain severity numerical rating scale; rehospitalizations; and self-reported pressure injury development within the past 12 months.
A total of 610 participants with complete data sets were included in the analyses. When compared to those who reported no breakdowns, participants who reported 1 or more immediate consequences had worse secondary complications: higher self-perceived health status and pain scores (partial -η=.009-.012, P<.05), and higher odds of rehospitalization (odds ratio: 1.86, P<.05) and pressure injury development (odds ratio: 1.73, P<.05). Secondary health complications were not different in those who reported no immediate consequences compared to those who reported no breakdown.
Wheelchair breakdowns that resulted in injury, being stranded, missing medical appointments, and/or an inability to attend work/school appear to have far-reaching impacts on health and secondary injury. Preventing wheelchair breakdowns, through either better maintenance or manufacturing, may be a means of decreasing secondary disability.
评估轮椅故障与其即时后果以及脊髓损伤后继发健康并发症之间的关系。“即时后果”是指轮椅的某个部件损坏，导致个人被困或受伤，或使其错过医疗预约、工作或学业。
调查，横断面研究。
脊髓损伤模型系统中心。
来自 9 个脊髓损伤模型系统中心的全职轮椅使用者（N=771），数据收集于 2011 年至 2016 年期间。
无。
过去 6 个月内报告的轮椅故障情况，包括是否有即时后果（即受伤、被困、错过医疗预约或无法上学/工作）；自我感知健康状况量表；疼痛严重程度数字评分量表；再住院率；以及过去 12 个月内自我报告的压疮发展情况。
共有 610 名参与者完成了完整的数据集分析。与未报告故障的参与者相比，报告 1 次或多次即时后果的参与者有更严重的继发并发症：自我感知健康状况和疼痛评分更差（偏η值为.009-.012，P<.05），再住院率（比值比：1.86，P<.05）和压疮发展（比值比：1.73，P<.05）的几率更高。与未报告即时后果的参与者相比，未报告故障的参与者的继发健康并发症并无差异。
导致受伤、被困、错过医疗预约和/或无法上学/工作的轮椅故障似乎对健康和继发损伤产生了深远的影响。通过更好的维护或制造来预防轮椅故障可能是减少继发残疾的一种手段。
