Bladder Management and Quality of Life After Spinal Cord Injury

Hicken, B; Putzke, John D.; Richards, J. Scott

doi:10.1097/00002060-200112000-00008

Cited by 116 publications

(85 citation statements)

References 37 publications

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“…Management of bowel and bladder is seen as paramount to independence. This is universally reported in the general literature 14,17,18 and also in cross-cultural features game studies, 16 demonstrating concurrent validation utilizing a new methodology.…”

Section: Discussionsupporting

confidence: 54%

Who wants to walk? Preferences for recovery after SCI: a longitudinal and cross-sectional study

et al. 2008

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Study design: Cross-sectional and longitudinal direct observation of a constrained consensus-building process in nine consumer panels and three rehabilitation professional panels. Objectives: To illustrate differences among consumer and clinician preferences for the restoration of walking function based on severity of injury, time of injury and age of the individual. Setting: Regional Spinal Cord Center in Philadelphia, USA. Methods: Twelve panels (consumer and clinical) came to independent consensus using the featuresresource trade-off game. The procedure involves trading imagined levels of independence (resources) across different functional items (features) at different stages of recovery. Results: Walking is given priority early in the game by eight out of nine consumer panels and by two out of three professional panels. The exception consumer panel (ISCIo50) moved walking later in the game, whereas the exception professional panel (rehRx) moved wheelchair early but walking much delayed. Bowel and Bladder was given primary importance in all panels. Conclusions: Walking is a high priority for recovery among consumers with spinal cord injury irrespective of severity of injury, time of injury and age at time of injury. Among professional staff, walking is also of high priority except in rehabilitation professionals.

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Section: Discussionsupporting

confidence: 54%

Who wants to walk? Preferences for recovery after SCI: a longitudinal and cross-sectional study

et al. 2008

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“…In a longitudinal, observational, epidemiologic study performed on a neurogenic bladder population (n ¼ 46 271) encompassing 4168 persons with SCI, due to the observation of high incidences of urinary tract complications and hospitalizations among patients with neurogenic bladder, it was concluded that these patients might have suboptimal management. 7 In their study, Hicken et al 8 reported that individuals with impaired bowel and bladder control had lower QoL on several domains than individuals with independent control of bowel and bladder. In the light of this information, it is obvious that bladder management is one of the important components of the treatment in patients with SCI.…”

Section: Discussionmentioning

confidence: 97%

Effects of different bladder management methods on the quality of life in patients with traumatic spinal cord injury

et al. 2012

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Study design: Multi-center, cross-sectional study. Objectives: To investigate the effects of different bladder management methods on the quality of life (QoL) in patients with spinal cord injury (SCI). Setting: Turkey. Methods: Consecutive SCI patients (n ¼ 195, 74.4% males), for whom at least 6 months had elapsed since the injury, were included and evaluated in five groups: normal spontaneous micturition (NSM), micturition with assisted maneuvers (MAM), aseptic intermittent catheterization by patient (IC-P), aseptic IC by an attendant/caregiver (IC-A) and indwelling catheterization. The King's Health Questionnaire was used to evaluate the patients' QoL. Results: The bladder management groups were similar regarding age, time elapsed since injury, education level, marital and occupational status. There was no difference among the groups in general health perception, personal relationships and sleep/energy domain scores. While the NSM group had generally the lowest scores, that is, better QoL, the IC-A group had the highest scores, that is, poorer QoL, in most of the domains. When the patients were grouped according to the frequency of urinary incontinence or American Spinal Injury Association Impairment Scale grades, no difference was found in the domain scores of the groups except the symptom severity domain scores. No significant difference was found between paraplegic and tetraplegic patients in the King's Health Questionnaire domains. Conclusion: The QoL was notably affected in SCI patients in IC-A group and negative effects on emotional status, physical and social activity limitations were observed, as well.

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“…11 Kuo 12 also reported that incontinence was the most troublesome urinary problem of SCI during their study's follow-up. The severity and frequency of incontinence and its impact on quality of life has rarely been studied among patients with SCI.…”

Section: Introductionmentioning

confidence: 95%

The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK

Liu

Gall

et al. 2009

Spinal Cord

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Study design: Cross-sectional study. Objectives: (1) To assess the relationship between bladder management methods and the healthrelated quality of life (HRQL) in patients with spinal cord injury (SCI). (2) To identify any correlation between the two questionnaires used to assess the quality of life (one validated for SCI and one validated for bladder symptoms). Setting: Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Middlesex, UK. Methods: This study is based on two questionnaires with results collected from 142 people with SCI. The two questionnaires were based on information from the Short-Form 36-Item Health Survey (SF-36) and the King's Health Questionnaire and included demographic characteristics, bladder management methods and the frequency of incontinence. Results: There is a moderate correlation between the results of the SF-36 and the King's Health Questionnaire. Only 21% SCI patients report normal voiding without any other form of bladder management. The type of bladder management may influence the HRQL in patients with SCI. Clean intermittent catheterization by attendant, indwelling transurethral catheterization and indwelling suprapubic catheterization are the three groups with the worst mental status. In addition, the frequency of incontinence is a strong influence on HRQL. Conclusions:The results of this study may provide a general baseline HRQL for patients with SCI. Our findings show the relationships between bladder management methods and quality of life in patients with SCI. In addition, the impact of incontinence on quality of life was also confirmed.

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Bladder Management and Quality of Life After Spinal Cord Injury

Cited by 116 publications

References 37 publications

Who wants to walk? Preferences for recovery after SCI: a longitudinal and cross-sectional study

Who wants to walk? Preferences for recovery after SCI: a longitudinal and cross-sectional study

Effects of different bladder management methods on the quality of life in patients with traumatic spinal cord injury

The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK

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