Department of Research, Sunnaas Rehabilitation Hospital, Nesoddtangen.
Department of Research, Sunnaas Rehabilitation Hospital, Nesoddtangen; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
J Rehabil Med. 2022 Jun 29;54:jrm00302. doi: 10.2340/jrm.v54.2040.
To describe the 3-month prevalence and correlates of self-reported physical health conditions in persons with spinal cord injury (SCI) worldwide.
Multinational cross-sectional survey.
Community-living persons with traumatic or non-traumatic SCI aged >18 years from 21 countries representing all the 6 World Health Organization regions.
The study used data from 11,058 participants in the International SCI Community Survey (InSCI). The survey, based on the International Classification of Functioning, Disability and Health (ICF) Core Sets for SCI, was conducted in 2017-19 simultaneously in the participating countries. The health conditions were reported on a modified version of the SCI Secondary Conditions Scale.
Overall, 95.8% of the participants reported having experienced 1 or more health problems secondary to SCI. Having pain was the most prevalent problem (77.3%), followed by spasticity/muscle spasms (73.5%) and sexual dysfunction (71.3%), and the least prevalent was respiratory problems (28.8%). The participants reported a mean of 7.4 concurrent health conditions. Unmet healthcare needs, being a smoker, being a female, having a complete lesion, and a traumatic injury exhibited significant associations with comorbidity.
Physical health problems secondary to SCI are extremely common worldwide and demand investment in appropriate management, medical care and preventative measures.
描述全球脊髓损伤（SCI）患者自我报告的身体健康状况在 3 个月内的流行情况及其相关因素。
多国横断面调查。
来自 21 个国家的 21 个世界卫生组织区域的 18 岁以上、居住在社区的创伤性或非创伤性 SCI 患者。
本研究使用了来自国际 SCI 社区调查（InSCI）的 11058 名参与者的数据。该调查基于 SCI 国际功能、残疾和健康分类核心集（ICF Core Sets for SCI），于 2017 年至 2019 年在参与国家同时进行。健康状况是根据改良版的 SCI 继发状况量表报告的。
总体而言，95.8%的参与者报告说经历过 1 种或多种与 SCI 相关的健康问题。疼痛是最常见的问题（77.3%），其次是痉挛/肌肉痉挛（73.5%）和性功能障碍（71.3%），最不常见的是呼吸系统问题（28.8%）。参与者报告了平均 7.4 种并存的健康状况。未满足的医疗需求、吸烟、女性、完全性损伤和创伤性损伤与合并症显著相关。
SCI 继发的身体健康问题在全球范围内极为常见，需要投资于适当的管理、医疗保健和预防措施。
