Department of Spinal Cord Injury Rehabilitation, Sint Maartenskliniek, Nijmegen, The Netherlands.
Department of Neurorehabilitation, Sint Maartenskliniek, Nijmegen, The Netherlands.
Spinal Cord Ser Cases. 2021 Sep 27;7(1):86. doi: 10.1038/s41394-021-00451-0.
Explorative retrospective cohort study.
Secondary health conditions (SHCs) are common in people with spinal cord injury (SCI). To date, little is known about the effectiveness of long-term follow-up care in preventing SHCs. The objective of this study was to explore the therapeutic content of an interdisciplinary follow-up clinic by retrospective analyses of provided recommendations and collected data concerning SHCs.
Rehabilitation center Sint Maartenskliniek, The Netherlands.
All people with SCI, who visited one or more outpatient interdisciplinary follow-up clinics between January 2012 and October 2020 were included in this study. Treatment information was retrieved from their medical records.
The 264 participants of the follow-up clinic received, after their first visit, an average of 3.9 recommendations regarding SHCs. Most recommendations were preventive in nature (43%), and were related to physical SHCs (61%). Most recommendations were followed by the participants (34% out of 40% that could be determined) and half of the underlying problems were solved (31% out of 62%). The bodyweight and respiratory function remained stable over time.
Participants of the interdisciplinary follow-up clinics received extensive recommendations on a variety of subjects, which most likely, reflects the interdisciplinary approach. Recommendations were followed-up to a large extent, resulting in solving half of the underlying SHCs. This way, worse SHCs were prevented by the recommendations. This findings, together with the stability of respiratory function and bodyweight, suggests the added value of the interdisciplinary follow-up clinic to usual care. More prospective research is necessary to investigate the (cost-)effectiveness.
探索性回顾性队列研究。
继发性健康状况（SHCs）在脊髓损伤（SCI）患者中很常见。迄今为止，人们对长期随访护理在预防 SHCs 方面的效果知之甚少。本研究的目的是通过对提供的建议和收集的有关 SHCs 的数据进行回顾性分析，探讨跨学科随访诊所的治疗内容。
荷兰 Sint Maartenskliniek 康复中心。
所有在 2012 年 1 月至 2020 年 10 月期间访问过一个或多个门诊跨学科随访诊所的 SCI 患者均纳入本研究。从他们的病历中检索治疗信息。
随访诊所的 264 名参与者在首次就诊后平均收到 3.9 条关于 SHCs 的建议。大多数建议是预防性的（43%），与身体 SHCs 有关（61%）。大多数建议都得到了参与者的遵循（40%中可以确定的有 34%），其中一半的潜在问题得到了解决（62%中可以确定的有 31%）。体重和呼吸功能随时间保持稳定。
跨学科随访诊所的参与者收到了广泛的各种主题的建议，这很可能反映了跨学科的方法。建议得到了很大程度的遵循，解决了一半的潜在 SHCs。通过这些建议预防了更严重的 SHCs。这些发现，以及呼吸功能和体重的稳定性，表明跨学科随访诊所对常规护理具有附加价值。需要进行更多的前瞻性研究来调查（成本）效益。
