University of Helsinki, Faculty of Medicine, Helsinki, Finland.
Oulu University Hospital, Department of Medical Rehabilitation/Spinal Cord Injury Outpatient Clinic, Oulu, Finland.
Spinal Cord. 2022 Jul;60(7):618-627. doi: 10.1038/s41393-021-00704-7. Epub 2021 Sep 11.
A cross-sectional study.
To explore the prevalence of comorbidities, secondary health conditions (SHCs), and multimorbidity in the Finnish population with spinal cord injury (SCI).
The data were collected from the Finnish Spinal Cord Injury Study (FinSCI). Participants were identified from three SCI outpatient clinics responsible for the lifelong follow-up of persons with SCI in Finland, (n = 884 participants, response rate; 50%).
The FinSCI-questionnaire included a question from the National Study of Health, Well-being, and Service (FinSote) for screening 12 comorbidities. The reference data of the general population for that question were received from the Finnish Institute for Health and Welfare. The Spinal Cord Injury Secondary Condition Scale (SCI-SCS) was used to screen 16 SHCs. The data were analysed with univariate testing and multivariable negative binomial regression modelling.
The most common comorbidities were high blood pressure/hypertension (38%), back problems (28%), and high cholesterol (22%). The most common SHCs were joint and muscle pain (81%), muscle spasms (74%), chronic pain (71%), and bowel problems (71%). The prevalence of comorbidities was highest among persons aged ≥76 years (mean; 2.0; scale range; 0-12). The prevalence of SHCs was highest in the severity of SCI group C1-4 AIS A, B, and C (mean; 8.9; scale range; 0-16).
Further research on geriatrics in SCI, non-traumatic SCI, and knowledge of the needs of persons with cervical lesion AIS A, B, or C is required, due to the fact that the prevalence of multimorbidity is high in these groups.
一项横断面研究。
探讨芬兰脊髓损伤（SCI）人群的共病、次要健康状况（SHC）和多种疾病的患病率。
数据来自芬兰脊髓损伤研究（FinSCI）。参与者从负责芬兰脊髓损伤患者终身随访的三个 SCI 门诊中确定（n=884 名参与者，应答率为 50%）。
FinSCI 问卷包括来自国家健康、幸福感和服务研究（FinSote）的一个筛查 12 种共病的问题。该问题的一般人群参考数据来自芬兰卫生福利研究所。使用脊髓损伤次要状况量表（SCI-SCS）筛查 16 种 SHC。使用单变量检验和多变量负二项回归模型进行数据分析。
最常见的共病是高血压/高血压（38%）、背部问题（28%）和高胆固醇（22%）。最常见的 SHC 是关节和肌肉疼痛（81%）、肌肉痉挛（74%）、慢性疼痛（71%）和肠道问题（71%）。≥76 岁人群的共病患病率最高（平均为 2.0；量表范围为 0-12）。SCI 严重程度组 C1-4 AIS A、B 和 C 的 SHC 患病率最高（平均为 8.9；量表范围为 0-16）。
由于这些群体的多种疾病患病率较高，因此需要进一步研究 SCI 老年病学、非创伤性 SCI 以及了解颈损伤 AIS A、B 或 C 患者的需求。
