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  • Title: Secondary conditions in spinal cord injury: results from a prospective survey.
    Author: Kroll T, Neri MT, Ho PS.
    Journal: Disabil Rehabil; 2007 Aug 15; 29(15):1229-37. PubMed ID: 17653997.
    Abstract:
    STUDY DESIGN: Prospective, self-report mail survey with two points of measurement one year apart. OBJECTIVES: To determine significant predictors of pressure ulcers (PU) and urinary tract infections (UTI) in adults with spinal cord injury (SCI) over 2 years. SETTING: Non-institutionalized adults with SCI living in the United States of America. METHODS: Secondary data analysis from 2 consecutive years. Independent variables included demographic, healthcare-related, functional, access to care, and health behavior measures. Dependent variables were the occurrence of PU and UTI at Time 2. RESULTS: Bivariate analyses showed significant associations between various independent variables and the occurrence of PU and UTI at Time 2. Separate logistic regression analyses for PU and UTI at Time 2 as dependent variables showed that PU at Time 1, not being married or cohabiting, not having access to primary care services when needed, and reporting a greater number of activities of daily living (ADL) requiring assistance were significant predictors of PU at Time 2. UTI at Time 1, a greater number of ADLs requiring assistance, and not engaging in weekly exercise are significant predictors of subsequent occurrence of UTI. CONCLUSIONS: Findings support previous research, and indicate the need for increased efforts to provide SCI self-management education to at-risk subpopulations, including individuals with greater personal assistance needs and functional limitations.
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