Personality, High-Risk Behaviors, and Elevated Risk of Unintentional Deaths Related to Drug Poisoning Among Individuals With Spinal Cord Injury

2018 ◽  
Vol 99 (10) ◽  
pp. 1941-1948 ◽  
Author(s):  
James S. Krause ◽  
Yue Cao ◽  
Nicole D. DiPiro ◽  
Emma Cuddy
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
High Risk ◽  
Risk Behaviors ◽  
Elevated Risk ◽  
High Risk Behaviors ◽  
Drug Poisoning ◽  
Cord Injury

scholarly journals Bacteriophages: what role may they play in life after spinal cord injury?

Spinal Cord ◽  
2021 ◽  
Author(s):  
Lorenz Leitner ◽  
Shawna McCallin ◽  
Thomas M. Kessler
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Practice ◽  
High Risk ◽  
General Population ◽  
Bacterial Infections ◽  
Phage Therapy ◽  
Drug Resistant ◽  
Cord Injury ◽  
High Risk Populations

AbstractBacterial infections are the leading cause of death in people with a spinal cord injury (SCI). Bacteriophages (phages) are viruses that solely infect and kill bacteria. The idea of using phages to treat bacterial infections, i.e., phage therapy, is very promising and potentially allows a more specific and personalized treatment of bacterial infections than antibiotics. While multi-drug resistant infections affect individuals from the general population, alternative therapeutic options are especially warranted in high-risk populations, such as individuals with SCI. However, more clinical data must be collected before phage therapy can be implemented in clinical practice, with numerous possible, subsequent applications.

scholarly journals Upper Extremity Overuse Injuries and Obesity After Spinal Cord Injury

2021 ◽  
Vol 27 (1) ◽  
pp. 68-74
Author(s):  
Jose R. Vives Alvarado ◽  
Elizabeth R. Felix ◽  
David R. Gater
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
High Risk ◽  
Upper Extremity ◽  
Weight Bearing ◽  
Functional Decline ◽  
Overuse Injuries ◽  
Cord Injury ◽  
Preserve Function ◽  
The Relationship

Persons with spinal cord injury (SCI) are at high risk for developing neurogenic obesity due to muscle paralysis and obligatory sarcopenia, sympathetic blunting, anabolic deficiency, and blunted satiety. Persons with SCI are also at high risk for shoulder, elbow, wrist, and hand injuries, including neuromusculoskeletal pathologies and nociceptive pain, as human upper extremities are poorly designed to facilitate chronic weight-bearing activities, including manual wheelchair propulsion, transfers, self-care, and day-to-day activities. This article reviews current literature on the relationship between obesity and increased body weight with upper extremity overuse injuries, detailing pathology at the shoulders, elbows, and wrists that elicit pain and functional decline and stressing the importance of weight management to preserve function.

scholarly journals The Static Air-Mattress-Inflation Pressure and Nosocomial Pressure Injury-An Innovation in Preventing Pressure Injuries

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Aria ON ◽  
Gbeneol JT
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
High Risk ◽  
Femoral Neck ◽  
Inflation Pressure ◽  
The Unconscious ◽  
Cord Injury ◽  
Pressure Injury ◽  
Neck Fracture ◽  
Risk Patients

Background: Pressure injuries are said to be nosocomial when they occur after twenty-four (24) hours on admission. Prevention of pressure injuries in high-risk patients such as those with spinal cord injury, the unconscious, and those with femoral neck fracture is essential. The static air-mattress is one of the pressure relieving devices used to prevent pressure injury in low resource countries. However, some patients develop pressure injuries despite being nursed on the air-mattress. The inflation pressure of the static air-mattress is usually not measured, thus is unknown. Therefore, the air-mattress may be over-inflated or under-inflated and ineffective in the prevention of pressure injury.

scholarly journals The Impact of Autonomic Dysreflexia on Blood Flow and Skin Response in Individuals with Spinal Cord Injury

2008 ◽  
Vol 2008 ◽  
pp. 1-7 ◽  
Author(s):  
J. C. Ramella-Roman ◽  
J. M. Hidler
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pressure Sore ◽  
Elevated Risk ◽  
Autonomic Dysreflexia ◽  
Full Bladder ◽  
Dual Channel ◽  
Cord Injury ◽  
Skin Response ◽  
The Impact

Autonomic dysreflexia (AD) is an inappropriate response of the sympathetic nervous system that commonly occurs when individuals with spinal cord injury (SCI), at or above the sixth thoracic (T6) vertebra, are subjected to a noxious stimulus below the level of injury. An AD event can be put into motion by something as simple as an ingrown toenail or a full bladder, with symptoms ranging from headache, high blood pressure, and even stroke. We have characterized the onset of AD and resulting autonomic events in an individual with SCI using a fiberoptic-based probe. Two probes were located above and below the injury level, on the subjects forearm and thigh, respectively, and were connected to a dual channel spectrophotometer. Oxygen saturation was calculated using the reflectance spectra and an algorithm based on melanin and hemoglobin absorption. We noticed that during an AD event the amount of oxygen in the skin below the injury level dropped by as much as 40%, while above the injury level, skin oxygenation remained constant. In addition, we found that the level of skin perspiration below the level of injury increased significantly. We hypothesize that the combination of AD-related ischemia with pressure-related ischemia and increased perspiration places individuals with spinal cord injury level at T6 or above at an elevated risk for developing a pressure sore below the injury site.

scholarly journals A prediction model to identify people with spinal cord injury who are at high risk of dying within 5 years of discharge from hospital in Bangladesh

Spinal Cord ◽  
2018 ◽  
Vol 57 (3) ◽  
pp. 198-205 ◽  
Author(s):  
Mohammad Sohrab Hossain ◽  
Lisa A. Harvey ◽  
Md. Shofiqul Islam ◽  
Md. Akhlasur Rahman ◽  
Joanne V. Glinsky ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
High Risk ◽  
Prediction Model ◽  
Cord Injury ◽  
Discharge From Hospital

Mechanical ventilation strategy in quadriplegic patients for the intensivist

2021 ◽  
Author(s):  
Hervé Quintard ◽  
Franck Moniez
Keyword(s):  
Public Health ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Mechanical Ventilation ◽  
High Risk ◽  
Spinal Cord Injuries ◽  
Ventilation Strategy ◽  
Good Practices ◽  
Cord Injury ◽  
Withdrawal Phase

In France, the number of spinal cord injuries is around 2000 new cases per year, often affecting young men, and thus having a real impact on public health. Seventy percent of patients with spinal cord injury upper than C5 require mechanical ventilation during their hospitalization. The need for this mechanical ventilation expose the spinal cord injury (SCI) patients to 2 risk periods: the intubation phase with a high risk of displacement and compression during the course of the procedure, and the withdrawal phase, which is particularly difficult in this context, resulting in an increase in morbidity and hospitalization times. Recently, the latest guidelines from SFAR-SFMU experts on the management of spinal cord injuries published. In this context, we report on good practices in the management of these patients, particularly in the field of ventilation.

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