scholarly journals Pharyngeal Dysphagia in Individuals With Cervical Spinal Cord Injury: A Prospective Observational Cohort Study

2019 ◽  
Vol 25 (4) ◽  
pp. 322-330
Author(s):  
Kazuko Shem ◽  
Joseph Wong ◽  
Ben Dirlikov ◽  
Kathleen Castillo
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cohort Study ◽  
Time Course ◽  
Cervical Spinal Cord ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Unit ◽  
Cord Injury

Objectives: To identify and describe the types and time course of dysphagia following cervical spinal cord injury (SCI). Methods: This was a prospective cohort study conducted in an SCI inpatient rehabilitation unit. Seventy-six individuals with SCI were enrolled. Inclusion criteria were age 18 years or older, admitted into SCI inpatient rehabilitation unit, and medically stable for participation in bedside swallow evaluation (BSE) and videofluoroscopic swallow study (VFSS). All participants first underwent a BSE, of whom 33 completed a VFSS. A follow-up BSE was conducted on individuals who tested positive on the initial BSE and continued to show signs of dysphagia. Diagnosis and type of dysphagia as well risk factors were collected. Results: Twenty-three out of 76 individuals with cervical SCI were diagnosed with dysphagia using the BSE. All participants with positive BSE and VFSS had pharyngeal dysfunction. For participants with a positive initial BSE and persisting dysphagia ( n = 14), a follow-up BSE demonstrated resolution within 34 days. Risk factors associated with dysphagia were older age, nasogastric tube, invasive mechanical ventilation, tracheostomy, and pneumonia. Posterior spinal surgery was associated with a decreased risk of dysphagia. Conclusion: Dysphagia was present in 30% of individuals based on the initial BSE. All individuals with dysphagia demonstrated pharyngeal phase dysfunction on the VFSS. No participants experiencing dysphagia were missed on the BSE as confirmed by VFSS. In the subset of individuals who received a follow-up BSE, the time course of resolution of dysphagia was at most 34 days from initial BSE.

scholarly journals The time course of dysphagia following traumatic cervical spinal cord injury: a prospective cohort study

Spinal Cord ◽  
2019 ◽  
Vol 58 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Tetsuo Hayashi ◽  
Yuichi Fujiwara ◽  
Hiroaki Sakai ◽  
Kensuke Kubota ◽  
Osamu Kawano ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Time Course ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury

scholarly journals Risk factors for tracheostomy after traumatic cervical spinal cord injury

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901986180
Author(s):  
Zhiping Mu ◽  
Zhengfeng Zhang
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Logistic Regression ◽  
Cervical Spinal Cord ◽  
Neurological Impairment ◽  
Acute Stage ◽  
Cervical Spinal Cord Injury ◽  
Smoking History ◽  
Cord Injury

Objective: To determine the risk factors for the need of tracheostomy after cervical spinal cord injury (CSCI) at the acute stage. Methods: The authors retrospectively reviewed 294 patients with acute traumatic CSCI in Xinqiao Hospital between 2012 and 2016 and analyzed the factors postulated to increase the risk for tracheostomy, including patient’s age, neurological impairment scale grade and level, smoking history, combined injury, and surgical intervention. Logistic regression analysis was used to identify independent risk factor for the need of tracheostomy. Results: Of 294 patients, 52 patients received tracheostomy (17.7%). The factor identified by demographics and outcomes were smoking history, cause of injury, neurological impairment scale grade and level, and combined dislocation. A multiple logistic regression model demonstrated that age of 60 years older, combined facet dislocation, C4 level high, and the American Spinal Injury Association (ASIA) A and B scale were predictive of need for tracheostomy on 95% occasions. Conclusion: The high age of 60 years, combined facet dislocation, C4 level high, and ASIA A and B scale are indispensable to predict the need for tracheostomy in patients with CSCI at the acute stage.

scholarly journals Health promotion and cardiovascular risk reduction in people with spinal cord injury: physical activity, healthy diet and maintenance after discharge— protocol for a prospective national cohort study and a preintervention- postintervention study

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e030310 ◽  
Author(s):  
Nicolaj Jersild Holm ◽  
Tom Møller ◽  
Lis Adamsen ◽  
Line Trine Dalsgaard ◽  
Fin Biering-Sorensen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cohort Study ◽  
Cardiovascular Risk ◽  
Primary Study ◽  
Cord Injury ◽  
National Cohort ◽  
Test Retest Reliability

IntroductionSpinal cord injury (SCI) predisposes those who suffer from it to physical inactivity and weight gain; consequently, death due to cardiovascular diseases is more frequent among people with SCI than in the general population. The literature documents a consensus about an interdisciplinary multimodal approach for the prevention and treatment of cardiovascular risk factors including overweight and obesity in people with SCI, focusing on diet, physical activity (PA) and behavioural interventions. This study will investigate implementation of recommendations from a recent clinical practice guideline for identification and management of cardiometabolic risk after SCI through multimodal patient education in a subacute clinical setting.Methods and analysisAll patients who are aged 18 years or older with an SCI within the previous 12 months and admitted to highly specialised rehabilitation are included, regardless of SCI aetiology or neurological level. A primary study designed as a controlled, pragmatic, preintervention- postintervention study with 6-month follow-up evaluates the effect of the clinical intervention; a prospective national cohort study on body mass index (BMI) serves as a historical control. The intervention consists of a standardised approach to patient education about cardiovascular risk factors, PA and a healthy diet that begins at the outset of primary SCI rehabilitation and is integrated into existing settings and workflows. Outcome measures are collected at admission, discharge and 6 months after discharge and include peak oxygen uptake (VO2peak) (primary outcome), BMI, body composition, metabolic profile, neurological status, level of functioning, depression, quality of life, objective PA (accelerometry), self-reported PA, self-assessed PA ability, shared decision making, and dietary habits. Test–retest reliability of four VO2peak test protocols are investigated, as is test–retest reliability of a multisensor accelerometer in a rehabilitation setting.Ethics and disseminationThe project is approved by the Committees on Health Research Ethics in the Capital Region of Denmark on 10 July 2018 (Journal-nr.: H-18018325). The principal investigator obtains informed consent from all participants. The interventions in the project are closely related to existing rehabilitation care, and the risk of pain and discomfort is considered modest. Any unintended events related to the elements of the intervention are reported, according to existing regional procedures. Data are stored in a secure web-based database (Redcap). The primary study and prospective cohort study are registered at Clinicaltrials.gov. Positive and negative results will be submitted to relevant scientific journals related to SCI for publication. Important protocol modifications are reported to the Committees on Health Research Ethics in the Capital Region of Denmark.Trial registration numbersNCT03689023 and NCT03369080.

Risk factors for urinary stone formation in men with spinal cord injury: a 17-year follow-up study

2006 ◽  
Vol 97 (4) ◽  
pp. 790-793 ◽  
Author(s):  
JA HYEON KU ◽  
TAE Y. JUNG ◽  
JEONG K. LEE ◽  
WON H. PARK ◽  
HONG B. SHIM
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Stone Formation ◽  
Urinary Stone ◽  
Follow Up Study ◽  
Cord Injury

scholarly journals AB0837 Bone metabolism and osteoporosis risk factors analysis in spinal cord injury patients at twelve months follow up

2017 ◽  
Author(s):  
I Martínez Cordellat ◽  
F Torralba Collados ◽  
C Grao Castellote ◽  
E García Grau ◽  
V Fornes Ferrer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bone Metabolism ◽  
Factors Analysis ◽  
Cord Injury ◽  
Osteoporosis Risk Factors ◽  
Osteoporosis Risk
Sign in / Sign up

Export Citation Format

Share Document