Ponzano Matteo, Declercq Anja, Ziraldo Melissa, Hirdes John P
School of Health and Exercise Science, University of British Columbia, 1238 Discovery Ave, Kelowna, BC V1V 1V7, Canada.
International Collaboration on Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, BC V5Z 1N1, Canada.
J Clin Med. 2025 Apr 29;14(9):3060. doi: 10.3390/jcm14093060.
: People living with a spinal cord injury (PwSCI) present numerous complications at a systemic level that negatively impact their physical and mental health as well as their quality of life. The purpose of this study was to describe the clinical profile of PwSCI living in nursing homes (NHs), Complex Continuing Care Systems (CCCs), home care (HC), and inpatient mental health facilities (MHs) in nine Canadian provinces and territories. : We analyzed data collected with the following assessment tools: Resident Assessment Instrument (RAI) Minimum Data Set (RAI-MDS 2.0), RAI-MH, RAI-HC, Cognitive Performance Scale, Activities of Daily Living (ADL) Hierarchy Scale and impairments in instrumental ADLs (IADLs), Pain Scale, Changes in Health, End-Stage Disease, Signs, and Symptoms (CHESS) Scale, Depression Rating Scale, and Deafblind Severity Index (DBSI). We reported counts () and percentages (%) and performed Chi-square tests with a Bonferroni correction to determine the statistical significance of the differences in frequencies within and between care settings. : We identified 13,136 PwSCI, predominantly males and younger than comparison groups. PwSCI presented fewer comorbidities but reported higher pain than comparison groups. Almost all of the PwSCI in NHs (99.4%) and CCCs (98.9%) needed assistance to perform ADLs. : The prevalence of comorbidities and impairments following SCI varies based on the clinical setting. The present clinical profile of PwSCI will inform interventions to improve health of PwSCI across the continuum of care.
脊髓损伤患者（PwSCI）在全身层面存在诸多并发症，这些并发症会对他们的身心健康以及生活质量产生负面影响。本研究的目的是描述居住在加拿大九个省和地区的养老院（NHs）、综合持续护理系统（CCCs）、家庭护理（HC）和住院精神卫生设施（MHs）中的脊髓损伤患者的临床特征。：我们分析了使用以下评估工具收集的数据：居民评估工具（RAI）最小数据集（RAI-MDS 2.0）、RAI-MH、RAI-HC、认知表现量表、日常生活活动（ADL）分级量表和工具性日常生活活动（IADL）损伤、疼痛量表、健康变化、终末期疾病、体征和症状（CHESS）量表、抑郁评定量表和聋盲严重程度指数（DBSI）。我们报告了计数（）和百分比（%），并进行了带有Bonferroni校正的卡方检验，以确定不同护理环境内部和之间频率差异的统计学意义。：我们识别出13136名脊髓损伤患者，他们主要为男性，且比对照组年轻。脊髓损伤患者的合并症较少，但报告的疼痛程度高于对照组。几乎所有养老院（99.4%）和综合持续护理系统（98.9%）中的脊髓损伤患者在进行日常生活活动时都需要帮助。：脊髓损伤后合并症和损伤的患病率因临床环境而异。目前脊髓损伤患者的临床特征将为改善整个护理连续过程中脊髓损伤患者健康状况的干预措施提供参考。
