Cardiovascular response during urodynamics in individuals with spinal cord injury
Study design: Retrospective chart review. Objectives: To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD. Settin...
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| Veröffentlicht in: | Spinal cord 2017-03, Vol.55 (3), p.279-284 |
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| creator | Liu, N Zhou, M-W Biering-Sørensen, F Krassioukov, A V |
| description | Study design:
Retrospective chart review.
Objectives:
To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.
Setting:
SCI outpatient clinic.
Methods:
A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.
Results:
A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.
Conclusion:
Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury. |
| doi_str_mv | 10.1038/sc.2016.110 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1877820782</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826741308</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-4a80ef3edc6bffa3c37d19a20651874db54017d94f1a714e6cac009535b27ce03</originalsourceid><addsrcrecordid>eNqNkV1LwzAUhoMobk6vvJeCN4J2nnw0aS9l-AUDEfS6pEmqGV1bk2Wyf2_mpoh4ISTkwHl4kpMXoWMMYww0v_RqTADzMcawg4aYCZ5mnLDdWFNOUkYLOkAH3s8AoMBFvo8GRLAcQwFD9DiRTttuKb0KjXSJM77vWm8SHZxtX5LgOr1q5dwqn9g2Lm2XVgfZ-OTdLl4T39tWNonqnI7NWXCrQ7RXx7Y52p4j9Hxz_TS5S6cPt_eTq2mqGGGLlMkcTE2NVryqa0kVFRoXkgDPcC6YrjIGWOiC1VgKzAxXUsX3ZzSriFAG6Aidbby9696C8Ytybr0yTSNb0wVfRovICcT9D5RwwTCFPKKnv9BZF1wc8VNIBXAmikidbyjlOu-dqcve2bl0qxJDuQ6l9Kpch1LGUCJ9snWGam70N_uVQgQuNoDv159u3I9L__B9AFXZlXY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1873706479</pqid></control><display><type>article</type><title>Cardiovascular response during urodynamics in individuals with spinal cord injury</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Liu, N ; Zhou, M-W ; Biering-Sørensen, F ; Krassioukov, A V</creator><creatorcontrib>Liu, N ; Zhou, M-W ; Biering-Sørensen, F ; Krassioukov, A V</creatorcontrib><description>Study design:
Retrospective chart review.
Objectives:
To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.
Setting:
SCI outpatient clinic.
Methods:
A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.
Results:
A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.
Conclusion:
Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2016.110</identifier><identifier>PMID: 27481090</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/617/375/1824 ; 692/700/228/491 ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; Anatomy ; Autonomic Dysreflexia - epidemiology ; Autonomic Dysreflexia - etiology ; Autonomic Dysreflexia - physiopathology ; Biomedical and Life Sciences ; Biomedicine ; Blood Pressure - physiology ; Blood Pressure Determination ; Cervical Vertebrae ; Female ; Heart Rate - physiology ; Human Physiology ; Humans ; Incidence ; Male ; Middle Aged ; Neurochemistry ; Neuropsychology ; Neurosciences ; original-article ; Outpatients ; Retrospective Studies ; Severity of Illness Index ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - epidemiology ; Spinal Cord Injuries - physiopathology ; Thoracic Vertebrae ; Urinary Bladder Diseases - epidemiology ; Urinary Bladder Diseases - etiology ; Urinary Bladder Diseases - physiopathology ; Urodynamics - physiology ; Young Adult</subject><ispartof>Spinal cord, 2017-03, Vol.55 (3), p.279-284</ispartof><rights>International Spinal Cord Society 2017</rights><rights>Copyright Nature Publishing Group Mar 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-4a80ef3edc6bffa3c37d19a20651874db54017d94f1a714e6cac009535b27ce03</citedby><cites>FETCH-LOGICAL-c424t-4a80ef3edc6bffa3c37d19a20651874db54017d94f1a714e6cac009535b27ce03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sc.2016.110$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sc.2016.110$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27481090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, N</creatorcontrib><creatorcontrib>Zhou, M-W</creatorcontrib><creatorcontrib>Biering-Sørensen, F</creatorcontrib><creatorcontrib>Krassioukov, A V</creatorcontrib><title>Cardiovascular response during urodynamics in individuals with spinal cord injury</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Retrospective chart review.
Objectives:
To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.
Setting:
SCI outpatient clinic.
Methods:
A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.
Results:
A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.
Conclusion:
Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury.</description><subject>692/617/375/1824</subject><subject>692/700/228/491</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care Facilities</subject><subject>Anatomy</subject><subject>Autonomic Dysreflexia - epidemiology</subject><subject>Autonomic Dysreflexia - etiology</subject><subject>Autonomic Dysreflexia - physiopathology</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Determination</subject><subject>Cervical Vertebrae</subject><subject>Female</subject><subject>Heart Rate - physiology</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Outpatients</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - epidemiology</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Thoracic Vertebrae</subject><subject>Urinary Bladder Diseases - epidemiology</subject><subject>Urinary Bladder Diseases - etiology</subject><subject>Urinary Bladder Diseases - physiopathology</subject><subject>Urodynamics - physiology</subject><subject>Young Adult</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkV1LwzAUhoMobk6vvJeCN4J2nnw0aS9l-AUDEfS6pEmqGV1bk2Wyf2_mpoh4ISTkwHl4kpMXoWMMYww0v_RqTADzMcawg4aYCZ5mnLDdWFNOUkYLOkAH3s8AoMBFvo8GRLAcQwFD9DiRTttuKb0KjXSJM77vWm8SHZxtX5LgOr1q5dwqn9g2Lm2XVgfZ-OTdLl4T39tWNonqnI7NWXCrQ7RXx7Y52p4j9Hxz_TS5S6cPt_eTq2mqGGGLlMkcTE2NVryqa0kVFRoXkgDPcC6YrjIGWOiC1VgKzAxXUsX3ZzSriFAG6Aidbby9696C8Ytybr0yTSNb0wVfRovICcT9D5RwwTCFPKKnv9BZF1wc8VNIBXAmikidbyjlOu-dqcve2bl0qxJDuQ6l9Kpch1LGUCJ9snWGam70N_uVQgQuNoDv159u3I9L__B9AFXZlXY</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Liu, N</creator><creator>Zhou, M-W</creator><creator>Biering-Sørensen, F</creator><creator>Krassioukov, A V</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Cardiovascular response during urodynamics in individuals with spinal cord injury</title><author>Liu, N ; Zhou, M-W ; Biering-Sørensen, F ; Krassioukov, A V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-4a80ef3edc6bffa3c37d19a20651874db54017d94f1a714e6cac009535b27ce03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>692/617/375/1824</topic><topic>692/700/228/491</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Care Facilities</topic><topic>Anatomy</topic><topic>Autonomic Dysreflexia - epidemiology</topic><topic>Autonomic Dysreflexia - etiology</topic><topic>Autonomic Dysreflexia - physiopathology</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Determination</topic><topic>Cervical Vertebrae</topic><topic>Female</topic><topic>Heart Rate - physiology</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Outpatients</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - epidemiology</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Thoracic Vertebrae</topic><topic>Urinary Bladder Diseases - epidemiology</topic><topic>Urinary Bladder Diseases - etiology</topic><topic>Urinary Bladder Diseases - physiopathology</topic><topic>Urodynamics - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, N</creatorcontrib><creatorcontrib>Zhou, M-W</creatorcontrib><creatorcontrib>Biering-Sørensen, F</creatorcontrib><creatorcontrib>Krassioukov, A V</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, N</au><au>Zhou, M-W</au><au>Biering-Sørensen, F</au><au>Krassioukov, A V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiovascular response during urodynamics in individuals with spinal cord injury</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>55</volume><issue>3</issue><spage>279</spage><epage>284</epage><pages>279-284</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Retrospective chart review.
Objectives:
To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.
Setting:
SCI outpatient clinic.
Methods:
A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.
Results:
A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.
Conclusion:
Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>27481090</pmid><doi>10.1038/sc.2016.110</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Spinal cord, 2017-03, Vol.55 (3), p.279-284 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | 692/617/375/1824 692/700/228/491 Adult Aged Aged, 80 and over Ambulatory Care Facilities Anatomy Autonomic Dysreflexia - epidemiology Autonomic Dysreflexia - etiology Autonomic Dysreflexia - physiopathology Biomedical and Life Sciences Biomedicine Blood Pressure - physiology Blood Pressure Determination Cervical Vertebrae Female Heart Rate - physiology Human Physiology Humans Incidence Male Middle Aged Neurochemistry Neuropsychology Neurosciences original-article Outpatients Retrospective Studies Severity of Illness Index Spinal Cord Injuries - complications Spinal Cord Injuries - epidemiology Spinal Cord Injuries - physiopathology Thoracic Vertebrae Urinary Bladder Diseases - epidemiology Urinary Bladder Diseases - etiology Urinary Bladder Diseases - physiopathology Urodynamics - physiology Young Adult |
| title | Cardiovascular response during urodynamics in individuals with spinal cord injury |
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