Parameters for positive outcome of the in-hospital rehabilitation of spinal cord lesion patients: the Boberg Quality Score

Thietje, Roland; Giese, R. M.; Kaphengst, C; Runde, P; Schulz, Arndt P.

doi:10.1038/sc.2009.171

Cited by 5 publications

(4 citation statements)

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“…Patients with paraplegia reached a mean score level of 69 points after 12 weeks that rose up to 71 points after 48 weeks. In a study by Thietje et al, 13 comparable values were report after 12 weeks with rehabilitation, whereas the time of discharge was not well defined. However, Thietje et al did not differ between tetraplegic and paraplegia in the outcome scores.…”

Section: Discussionsupporting

confidence: 48%

“…However, there was no significant difference between these parameters. Contrary to this, the study of Thietje et al 13 showed that age, sex and social isolation have no influence on the outcome regarding functional status. They found the results of functional status mainly influenced by the self-management attitude, next to the type of spinal injury.…”

Section: Discussionmentioning

confidence: 47%

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Functional outcome of patients 12 and 48 weeks after acute traumatic tetraplegia and paraplegia: data analysis from 2004–2009

2012

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Objectives: During the first rehabilitation of patients with traumatic spinal cord injuries (SCIs), professional skills are learned, which can be objectified in an independent measurement score. The aims of this study were to record the skills of patients 12 and 48 weeks after acute trauma and perform an analysis of the data to identify provisions of importance. Methods: All patients from 2004 to 2009 who experienced traumatic SCI were included in this investigation. Data recording were accomplished by the European Multi-centre Study about Spinal Cord Injury (EMSCI) databank. Patients were divided into tetraplegia and paraplegia groups. Parameters were age at injury, the American Spinal Injury Association-Score, level of lesion and Spinal Cord Independence Measure (SCIM-Score) 12 and 48 weeks after traumatic spinal cord lesion. A questionnaire was also added to help clarify where deficiencies were prevalent. Results: Data analysis of 103 tetraplegic and 110 paraplegic patients showed no correlation between the ASIA score, level of lesion, age and SCIM score. On average, tetraplegic patients had a SCIM score of 43 points 12 weeks after treatment, with 81% showing an increase to 58 points after 48 weeks. Paraplegic patients showed an average SCIM score of 60 points after 12 weeks, with 71% experiencing an increase to 71 points after 48 weeks. In all, 9% of tetraplegic patients and 19% of paraplegic patients experienced a decrease of SCIM points after 48 weeks, which occurred mainly in the bladder and intestinal control subgroups. Results of the questionnaire were not helpful for clarifying the location of the deficiencies. Conclusion: Most of the patients experienced an increase of SCIM points 48 weeks after traumatic SCI. However, data also showed that, especially in paraplegic patients, special attention must be given to bladder and intestinal management to avoid negative lateterm consequences.

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 47%

Functional outcome of patients 12 and 48 weeks after acute traumatic tetraplegia and paraplegia: data analysis from 2004–2009

2012

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“…The differences in the number of patients with poor (0-8), average (9)(10)(11)(12), and good knowledge (13)(14)(15)(16)(17)(18)(19)(20) between the different age classifications (age at injury) were calculated using a w 2 or Fisher's exact test as appropriate.…”

Section: Statisticsmentioning

confidence: 99%

“…[3][4][5][6][7] Our previous study showed that the combination of functional, psychological and cognitive parameters made it possible to determine the quality of a rehabilitation process in multiple dimensions. 8,9 However, an adequate scale to measure knowledge about SCI and SCI-related complications is missing.…”

Section: Introductionmentioning

confidence: 99%

How does knowledge about spinal cord injury-related complications develop in subjects with spinal cord injury? A descriptive analysis in 214 patients

Thietje¹,

Giese

Pouw

et al. 2010

Spinal Cord

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Study design: Monocentric cohort study. Objective: To investigate the acquisition of knowledge about spinal cord injury (SCI)-related complications in SCI patients. Setting: Level 1 trauma center. Methods: All patients with a traumatic or non-traumatic SCI were included in the study. Data were collected at admission, post-admission at 1 and 3 months and post-discharge at 6, 18 and 30 months. The discharge of all patients was between 3 and 6 months post-admission. Knowledge about pressure ulcers and bladder management was tested using the 'Knowledge' score. This score has a minimum and maximum of 0 and 20 points. To detect differences across the multiple time intervals, the Friedman test was used. Differences in the number of patients with poor (0-8), average (9-12) and good knowledge (13-20) between the different age classifications (age at injury) were calculated using a w 2 -test. Results: A total of 214 patients were included. At discharge subjects had increased their knowledge score to 11.2 compared with 5.4 on admission (Po0.001). After 30 months, however, the mean score decreased to 10.8 points. At the time of discharge, the number of patients who achieved poor, average or good knowledge were 48 (22.4%), 65 (30.4%) and 101 (47.2%), respectively. Subjects of B50 years old and tetraplegics had better (Po0.001) knowledge compared with subjects of B50 years old and paraplegics, respectively. Conclusion: In this study, less than 50% of SCI patients had good knowledge about bladder management and pressure ulcers after being discharged.

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Thietje¹

2014

Klinische Psychologie Bei Querschnittlähmung

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Parameters for positive outcome of the in-hospital rehabilitation of spinal cord lesion patients: the Boberg Quality Score

Cited by 5 publications

References 29 publications

Functional outcome of patients 12 and 48 weeks after acute traumatic tetraplegia and paraplegia: data analysis from 2004–2009

Functional outcome of patients 12 and 48 weeks after acute traumatic tetraplegia and paraplegia: data analysis from 2004–2009

How does knowledge about spinal cord injury-related complications develop in subjects with spinal cord injury? A descriptive analysis in 214 patients

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