Study on the prevalence of neurogenic bladder in Brazilians with traumatic and non-traumatic spinal cord injury

Pelosi, Giovana; Faleiros, Fabiana; Pereira, Melissa Rovina Castro; Bimbatti, Karina de Fátima; Tholl, Adriana Dutra

doi:10.1080/10790268.2021.1981715

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…In the evaluated sample, there was a predominance of young, male participants with completed higher education studies, as shown in previous studies (Faleiros et al, 2022;Pelosi, Faleiros, Pereira, Bimbatti, & Tholl, 2021;Kumar et al, 2018). These findings show the prevalence of SCI related to adventurous behavior, which commonly involves risky activities such as urban violence, traffic accidents, accidents caused by firearms, sharp instruments and weapons, falls, sports, work accidents and diving in shallow waters (Albuquerque et al, 2021).…”

Section: Discussionsupporting

confidence: 77%

Resilience in people with traumatic spinal cord injury

Faleiros

Carvalho

Bimbatti

et al. 2022

ijhs

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Introduction: The rehabilitation of people with traumatic spinal cord injury (SCI) should encourage resilience, which is a complex issue that involves self-esteem, social support, life meaningfulness and life satisfaction in order to prevent suicidal ideation. Objective: To analyze resilience and its relationship with suicidal ideation, self-esteem, social support, life meaningfulness and life satisfaction in people with SCI. Methods: Quantitative, cross-sectional, descriptive, correlational and comparative study carried out with 204 Brazilian adults with SCI. Data were collected with previously validated instruments using an online platform. Results: Among the participants, 74% were male, with a mean age of 36.1 years (SP=9.24), 64.7% were retired or receiving benefits, and with an average time of injury of 8.6 (SP=7, 73). Suicidal ideation (p≤0.001), self-esteem (p≤0.001), social support, life satisfaction (p≤0.001) and life meaningfulness (p≤0.001) were strongly associated with resilience. Discussion: The variables related to mental health were shown to be influenced by resilience, indicating that participants with higher levels of resilience have better results in the assessment of emotional factors. Implications for practice: It is recommended that psychological and social factors be considered in the rehabilitation of people with SCI.

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Section: Discussionsupporting

confidence: 77%

Resilience in people with traumatic spinal cord injury

Faleiros

Carvalho

Bimbatti

et al. 2022

ijhs

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“…1,2 Neurogenic bladder (NB) has emerged as a prevalent and detrimental consequence of SCI, impacting approximately 80% of SCI patients in the United States 3 and an alarming 94.65% in Brazil. 4 NB is characterized by involuntary bladder voiding, increased activity, reduced capacity, and compromised bladder wall compliance due to fibrosis. 5 There is an increasing consensus suggesting that patients with NB and inadequate bladder management face a heightened risk of urinary tract infection (UTI).…”

Section: Introductionmentioning

confidence: 99%

“…Spinal cord injury (SCI) represents a devastating event, predominantly affecting individuals aged between 29 and 43, imposing significant burdens on both patient families and society 1,2 . Neurogenic bladder (NB) has emerged as a prevalent and detrimental consequence of SCI, impacting approximately 80% of SCI patients in the United States 3 and an alarming 94.65% in Brazil 4 . NB is characterized by involuntary bladder voiding, increased activity, reduced capacity, and compromised bladder wall compliance due to fibrosis 5 .…”

Section: Introductionmentioning

confidence: 99%

Prediction of early bladder outcomes after spinal cord injury: The HALT score

Wu,

Xi,

et al. 2024

CNS Neurosci Ther

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AimsNeurogenic bladder (NB) is a prevalent and debilitating consequence of spinal cord injury (SCI). Indeed, the accurate prognostication of early bladder outcomes is crucial for patient counseling, rehabilitation goal setting, and personalized intervention planning.MethodsA retrospective exploratory analysis was conducted on a cohort of consecutive SCI patients admitted to a rehabilitation facility in China from May 2016 to December 2022. Demographic, clinical, and electrophysiological data were collected within 40 days post‐SCI, with bladder outcomes assessed at 3 months following SCI onset.ResultsThe present study enrolled 202 SCI patients with a mean age of 40.3 ± 12.3 years. At 3 months post‐SCI, 79 participants exhibited complete bladder emptying. Least absolute shrinkage and selection operator (LASSO) and multivariate logistic regression analyses identified the H‐reflex of the soleus muscle, the American Spinal Injury Association Lower Extremity Motor Score (ASIA‐LEMS), and the time from lesion to rehabilitation facility (TLRF) as significant independent predictors for bladder emptying. A scoring system named HALT was developed, yielding a strong discriminatory performance with an area under the receiver operating characteristics curve (aROC) of 0.878 (95% CI: 0.823–0.933). A simplified model utilizing only the H‐reflex exhibited excellent discriminatory ability with an aROC of 0.824 (95% CI: 0.766–0.881). Both models demonstrated good calibration via the Hosmer–Lemeshow test and favorable clinical net benefits through decision curve analysis (DCA). In comparison to ASIA‐LEMS, both the HALT score and H‐reflex showed superior predictive accuracy for bladder outcome. Notably, in individuals with incomplete injuries, the HALT score (aROC = 0.973, 95% CI: 0.940–1.000) and the H‐reflex (aROC = 0.888, 95% CI: 0.807–0.970) displayed enhanced performance.ConclusionTwo reliable models, the HALT score and the H‐reflex, were developed to predict bladder outcomes as early as 3 months after SCI onset. Importantly, this study provides hitherto undocumented evidence regarding the predictive significance of the soleus H‐reflex in relation to bladder outcomes in SCI patients.

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