Demographics of the Dutch multicenter prospective cohort study ‘Restoration of mobility in spinal cord injury rehabilitation’

Groot, de Sonja; Dallmeijer, Annet J.; Post, Marcel W.M.; Asbeck, F; Nene, A.V.; Angenot, Edmond L.; Woude, van der Lucas

doi:10.1038/sj.sc.3101906

Cited by 72 publications

(54 citation statements)

References 31 publications

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“…12 This cohort study included persons with SCI who were admitted for initial rehabilitation after SCI to one of the eight SCI-specialized rehabilitation centres in The Netherlands. The inclusion criteria were as follows: recent SCI, age between 18 and 65 years, ASIA A-D and being at least in part wheelchair-dependent.…”

Section: Patientsmentioning

confidence: 99%

“…Although the subjects were representative of the whole group of in-patient SCI patients with respect to age and gender, there were more patients with a complete lesion and tetraplegia included when compared with the excluded group and the drop-out patients. 12 In addition, there was a positive selection as patients who were deceased were excluded, and also a negative selection bias because patients who became community walkers during in-patient rehabilitation were excluded from the study.…”

Section: Limitationsmentioning

confidence: 99%

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Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

et al. 2010

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Study design: Multicenter prospective cohort study. Objectives: To determine the occurrence and predictors for pressure ulcers in patients with spinal cord injury (SCI) during primary in-patient rehabilitation. Setting: Eight Dutch rehabilitation centres with specialized SCI units. Methods: The occurrence, location and stage of pressure ulcers were registered between admission and start of functional rehabilitation (called acute rehabilitation phase) and between start of functional rehabilitation and discharge. Possible risk factors for the occurrence of pressure ulcers during functional rehabilitation (personal and lesion characteristics, complications and functional independence) were measured at the start of functional rehabilitation and were entered as predictors in univariate and multivariate logistic regression analysis with pressure ulcers during functional rehabilitation as the dependent variable. Results: Data for 193 patients (86%) were available. The occurrence of pressure ulcers, including stage 1, was 36.5% during acute rehabilitation phase and 39.4% during functional rehabilitation. Most pressure ulcers were located at the sacrum (43%), followed by heel (19%) and ischium (15%). The significant risk factors for pressure ulcers during functional rehabilitation were motor completeness of the lesion, tetraplegia, pressure ulcer during acute rehabilitation phase, pneumonia and/or pulmonary disease, low score on the Functional Independence Measure (FIM) self-care, continence, transfers, locomotion and total FIM motor score. Having had a pressure ulcer during acute rehabilitation phase was the strongest risk factor. Conclusion: The occurrence of pressure ulcers was comparable with other studies. A few significant risk factors were found, of which having had a pressure ulcer during acute rehabilitation phase being the strongest predictor.

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Section: Patientsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

et al. 2010

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“…We included patients who required a wheelchair for daily functioning, which explains why a relatively large number of subjects with a complete lesion were included. 30 In comparison with other studies, however, which focused mainly on young male athletes with paraplegia, 14,40 our data seem to better reflect outcome in a general population with SCI. 30 Ideally the difference between the predicted and the observed outcome is as small as possible.…”

Section: Study Limitationsmentioning

confidence: 44%

“…30 In comparison with other studies, however, which focused mainly on young male athletes with paraplegia, 14,40 our data seem to better reflect outcome in a general population with SCI. 30 Ideally the difference between the predicted and the observed outcome is as small as possible. This brings us to a second limitation because, as figure 1 illustrates, we found discrepancies between these values.…”

Section: Study Limitationsmentioning

confidence: 44%

“…11,30 Of all patients admitted with SCI during the study period, however, relatively few (48%) had a complete lesion. 30 The number of subjects included when predicting different aspects of physical capacity on the 2 occasions did not coincide for several reasons. First, hindered by cardiovascular contraindications or limited wheelchair skills or complications, not all subjects completed a maximal exercise test on all 3 testing occasions.…”

Section: Resultsmentioning

confidence: 99%

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Prognostic Models for Physical Capacity at Discharge and 1 Year Postdischarge From Rehabilitation in Persons With Spinal Cord Injury

Haisma¹,

Woude²,

Stam³

et al. 2007

Archives of Physical Medicine and Rehabilitation

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ABSTRACT. Haisma JA, van der Woude LH, Stam HJ, Bergen MP, Sluis TA, de Groot S, Dallmeijer AJ, Bussmann JB. Prognostic models for physical capacity at discharge and 1 year postdischarge from rehabilitation in persons with spinal cord injury. Arch Phys Med Rehabil 2007;88:1694-703.Objective: To develop prognostic models for physical capacity at discharge and 1 year after discharge from inpatient rehabilitation in persons with spinal cord injury (SCI).Design: Inception cohort; data collected at start of rehabilitation (nϭ104), at discharge (nϭ81), and 1 year later (nϭ74).Setting: Eight Dutch rehabilitation centers. Participants:Patients with SCI at initial rehabilitation.Interventions: Not applicable. Main Outcome Measures: Physical capacity determined by endurance capacity (peak oxygen uptake [VO 2 peak, in L/min] and power output [POpeak, in watts]) during a maximal exercise test, arm muscle strength, and respiratory function. Multiple regression models, either with or without prior outcome, evaluated subject, lifestyle, and lesion-related predictors.Results: Only start VO 2 peak contributed to the prediction of discharge VO 2 peak (R 2 ϭ.51). Discharge VO 2 peak contributed to its prediction 1 year later (R 2 ϭ.75). Start POpeak, sex, age, and level of lesion contributed to discharge POpeak (R 2 ϭ.73). Discharge POpeak, hours of employment before injury, and level of lesion contributed to POpeak 1 year later (R 2 ϭ.81). Models without prior outcome explained less variance. Education, employment, body mass index, not smoking, and conservative stabilization of the spine positively contributed to endurance capacity. Muscle strength was well predicted (R 2 range, .68Ϫ.84). Without prior outcome, respiratory function was poorly predicted.Conclusions: Because prior outcome contributed to an accurate prediction, the early assessment of physical capacity is important in establishing prognoses. Although their accuracy warrants caution in their application, models could complement clinical expertise when informing patients about expected physical outcome and identifying those at risk of low physical capacity.

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The Rehabilitation of Spinal Cord Injury Patients in Europe

Scivoletto

Miscusi

Forcato

et al. 2017

Acta Neurochirurgica Supplement

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In Western European countries there is an incidence of traumatic spinal cord injury (SCI) of 16 to 19.4 new cases per million inhabitants per year. Since World War II, European physicians have been fundamental in the development of SCI medicine, starting from Sir Ludwig Guttman, who developed the idea of the integrated treatment of these patients. More recently, scientists from Germany and Switzerland have developed a new rehabilitative approach, Body Weight Support Treadmill Training, based on the concept of activity-based therapy and aimed at restoring walking in SCI patients. This review highlights issues concerning different organizational systems and health policies within and outside Europe.

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Demographics of the Dutch multicenter prospective cohort study ‘Restoration of mobility in spinal cord injury rehabilitation’

Cited by 72 publications

References 31 publications

Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

Prognostic Models for Physical Capacity at Discharge and 1 Year Postdischarge From Rehabilitation in Persons With Spinal Cord Injury

The Rehabilitation of Spinal Cord Injury Patients in Europe

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