Long term outcome of functional independence and quality of life after traumatic SCI in Germany
Study design Multicenter observational study. Objective To describe the long-term outcome of functional independence and quality of life (QoL) for individuals with traumatic and ischemic SCI beyond the first year after injury. Setting A multicenter study in Germany. Methods Participants of the Europ...
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| Veröffentlicht in: | Spinal cord 2021-08, Vol.59 (8), p.902-909 |
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| creator | Möller, Florian Rupp, Rüdiger Weidner, Norbert Gutenbrunner, Christoph Kalke, Yorck B. Abel, Rainer F. |
| description | Study design
Multicenter observational study.
Objective
To describe the long-term outcome of functional independence and quality of life (QoL) for individuals with traumatic and ischemic SCI beyond the first year after injury.
Setting
A multicenter study in Germany.
Methods
Participants of the European multicenter study about spinal cord injury (EMSCI) of three German SCI centers were included and followed over time by the German spinal cord injury cohort study (GerSCI). Individuals’ most recent spinal cord independence measure (SCIM) scores assessed by a clinician were followed up by a self-report (SCIM-SR) and correlated to selected items of the WHO short survey of quality of life (WHO-QoL-BREF).
Results
Data for 359 individuals were obtained. The average time passed the last clinical SCIM examination was 81.47 (SD 51.70) months. In total, 187 of the 359 received questionnaires contained a completely evaluable SCIM-SR. SCIM scores remained stable with the exception of reported management of bladder and bowel resulting in a slight decrease of SCIM-SR of −2.45 points (SD 16.81). SCIM-SR scores showed a significant correlation with the selected items of the WHO-QoL-BREF (
p
|
| doi_str_mv | 10.1038/s41393-021-00659-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8338549</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2557913865</sourcerecordid><originalsourceid>FETCH-LOGICAL-c517t-7ca78699f5d3a76c465594f77503a9c29a55e67906be86daaac1053ef23c3de33</originalsourceid><addsrcrecordid>eNp9kTtrHDEUhYVJiB07fyCVIE2aSfTWqAmExS9YcOG4FrLmai0zI62lGcP--2i9JiEu0ugK3e8cDjoIfabkGyW8_14F5YZ3hNGOECVNZ47QCRVadVIx8a7duWKdaMwx-ljrIyHEUNN_QMdcUM0MMyfIrnPa4BnKhPMy-zwBzgGHJfk55uRGHNMAW2hH8oBdGvDT4sY47_bYGEN7C02N5-KWyc3R49vVdRPhy2bp0u4MvQ9urPDpdZ6iu4vzX6urbn1zeb36ue68pHrutHe6V8YEOXCnlRdKSiOC1pJwZzwzTkpQ2hB1D70anHOeEskhMO75AJyfoh8H3-1yP8HgIbVEo92WOLmys9lF--8mxQe7yc-257yXwjSDr68GJT8tUGc7xephHF2CvFTLpGiRNJW6oV_eoI95Ke2z9pTUhvJeyUaxA-VLrrVA-BOGErvvzx76s60_-9Kf3afgB1FtcNpA-Wv9H9VvDNmc8w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2557913865</pqid></control><display><type>article</type><title>Long term outcome of functional independence and quality of life after traumatic SCI in Germany</title><source>Springer Nature - Complete Springer Journals</source><creator>Möller, Florian ; Rupp, Rüdiger ; Weidner, Norbert ; Gutenbrunner, Christoph ; Kalke, Yorck B. ; Abel, Rainer F.</creator><creatorcontrib>Möller, Florian ; Rupp, Rüdiger ; Weidner, Norbert ; Gutenbrunner, Christoph ; Kalke, Yorck B. ; Abel, Rainer F.</creatorcontrib><description>Study design
Multicenter observational study.
Objective
To describe the long-term outcome of functional independence and quality of life (QoL) for individuals with traumatic and ischemic SCI beyond the first year after injury.
Setting
A multicenter study in Germany.
Methods
Participants of the European multicenter study about spinal cord injury (EMSCI) of three German SCI centers were included and followed over time by the German spinal cord injury cohort study (GerSCI). Individuals’ most recent spinal cord independence measure (SCIM) scores assessed by a clinician were followed up by a self-report (SCIM-SR) and correlated to selected items of the WHO short survey of quality of life (WHO-QoL-BREF).
Results
Data for 359 individuals were obtained. The average time passed the last clinical SCIM examination was 81.47 (SD 51.70) months. In total, 187 of the 359 received questionnaires contained a completely evaluable SCIM-SR. SCIM scores remained stable with the exception of reported management of bladder and bowel resulting in a slight decrease of SCIM-SR of −2.45 points (SD 16.81). SCIM-SR scores showed a significant correlation with the selected items of the WHO-QoL-BREF (
p
< 0.01) with moderate to strong influence.
Conclusion
SCIM score stability over time suggests a successful transfer of acquired independence skills obtained during primary rehabilitation into the community setting paralleled by positively related QoL measurements but bladder and bowel management may need special attention.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/s41393-021-00659-9</identifier><identifier>PMID: 34172929</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/617/375/1824 ; 692/699/578 ; Anatomy ; Biomedical and Life Sciences ; Biomedicine ; Bladder ; Human Physiology ; Intestine ; Ischemia ; Neurochemistry ; Neuropsychology ; Neurosciences ; Quality of life ; Rehabilitation ; Spinal cord injuries</subject><ispartof>Spinal cord, 2021-08, Vol.59 (8), p.902-909</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-7ca78699f5d3a76c465594f77503a9c29a55e67906be86daaac1053ef23c3de33</citedby><cites>FETCH-LOGICAL-c517t-7ca78699f5d3a76c465594f77503a9c29a55e67906be86daaac1053ef23c3de33</cites><orcidid>0000-0002-8328-8438 ; 0000-0002-6522-1942 ; 0000-0002-4548-258X ; 0000-0002-4070-0373 ; 0000-0002-3873-1023</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41393-021-00659-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41393-021-00659-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27915,27916,41479,42548,51310</link.rule.ids></links><search><creatorcontrib>Möller, Florian</creatorcontrib><creatorcontrib>Rupp, Rüdiger</creatorcontrib><creatorcontrib>Weidner, Norbert</creatorcontrib><creatorcontrib>Gutenbrunner, Christoph</creatorcontrib><creatorcontrib>Kalke, Yorck B.</creatorcontrib><creatorcontrib>Abel, Rainer F.</creatorcontrib><title>Long term outcome of functional independence and quality of life after traumatic SCI in Germany</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><description>Study design
Multicenter observational study.
Objective
To describe the long-term outcome of functional independence and quality of life (QoL) for individuals with traumatic and ischemic SCI beyond the first year after injury.
Setting
A multicenter study in Germany.
Methods
Participants of the European multicenter study about spinal cord injury (EMSCI) of three German SCI centers were included and followed over time by the German spinal cord injury cohort study (GerSCI). Individuals’ most recent spinal cord independence measure (SCIM) scores assessed by a clinician were followed up by a self-report (SCIM-SR) and correlated to selected items of the WHO short survey of quality of life (WHO-QoL-BREF).
Results
Data for 359 individuals were obtained. The average time passed the last clinical SCIM examination was 81.47 (SD 51.70) months. In total, 187 of the 359 received questionnaires contained a completely evaluable SCIM-SR. SCIM scores remained stable with the exception of reported management of bladder and bowel resulting in a slight decrease of SCIM-SR of −2.45 points (SD 16.81). SCIM-SR scores showed a significant correlation with the selected items of the WHO-QoL-BREF (
p
< 0.01) with moderate to strong influence.
Conclusion
SCIM score stability over time suggests a successful transfer of acquired independence skills obtained during primary rehabilitation into the community setting paralleled by positively related QoL measurements but bladder and bowel management may need special attention.</description><subject>692/617/375/1824</subject><subject>692/699/578</subject><subject>Anatomy</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Bladder</subject><subject>Human Physiology</subject><subject>Intestine</subject><subject>Ischemia</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Quality of life</subject><subject>Rehabilitation</subject><subject>Spinal cord injuries</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kTtrHDEUhYVJiB07fyCVIE2aSfTWqAmExS9YcOG4FrLmai0zI62lGcP--2i9JiEu0ugK3e8cDjoIfabkGyW8_14F5YZ3hNGOECVNZ47QCRVadVIx8a7duWKdaMwx-ljrIyHEUNN_QMdcUM0MMyfIrnPa4BnKhPMy-zwBzgGHJfk55uRGHNMAW2hH8oBdGvDT4sY47_bYGEN7C02N5-KWyc3R49vVdRPhy2bp0u4MvQ9urPDpdZ6iu4vzX6urbn1zeb36ue68pHrutHe6V8YEOXCnlRdKSiOC1pJwZzwzTkpQ2hB1D70anHOeEskhMO75AJyfoh8H3-1yP8HgIbVEo92WOLmys9lF--8mxQe7yc-257yXwjSDr68GJT8tUGc7xephHF2CvFTLpGiRNJW6oV_eoI95Ke2z9pTUhvJeyUaxA-VLrrVA-BOGErvvzx76s60_-9Kf3afgB1FtcNpA-Wv9H9VvDNmc8w</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Möller, Florian</creator><creator>Rupp, Rüdiger</creator><creator>Weidner, Norbert</creator><creator>Gutenbrunner, Christoph</creator><creator>Kalke, Yorck B.</creator><creator>Abel, Rainer F.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</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>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8328-8438</orcidid><orcidid>https://orcid.org/0000-0002-6522-1942</orcidid><orcidid>https://orcid.org/0000-0002-4548-258X</orcidid><orcidid>https://orcid.org/0000-0002-4070-0373</orcidid><orcidid>https://orcid.org/0000-0002-3873-1023</orcidid></search><sort><creationdate>20210801</creationdate><title>Long term outcome of functional independence and quality of life after traumatic SCI in Germany</title><author>Möller, Florian ; Rupp, Rüdiger ; Weidner, Norbert ; Gutenbrunner, Christoph ; Kalke, Yorck B. ; Abel, Rainer F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-7ca78699f5d3a76c465594f77503a9c29a55e67906be86daaac1053ef23c3de33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/617/375/1824</topic><topic>692/699/578</topic><topic>Anatomy</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Bladder</topic><topic>Human Physiology</topic><topic>Intestine</topic><topic>Ischemia</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Quality of life</topic><topic>Rehabilitation</topic><topic>Spinal cord injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Möller, Florian</creatorcontrib><creatorcontrib>Rupp, Rüdiger</creatorcontrib><creatorcontrib>Weidner, Norbert</creatorcontrib><creatorcontrib>Gutenbrunner, Christoph</creatorcontrib><creatorcontrib>Kalke, Yorck B.</creatorcontrib><creatorcontrib>Abel, Rainer F.</creatorcontrib><collection>Springer Nature OA/Free Journals</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>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Möller, Florian</au><au>Rupp, Rüdiger</au><au>Weidner, Norbert</au><au>Gutenbrunner, Christoph</au><au>Kalke, Yorck B.</au><au>Abel, Rainer F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long term outcome of functional independence and quality of life after traumatic SCI in Germany</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><date>2021-08-01</date><risdate>2021</risdate><volume>59</volume><issue>8</issue><spage>902</spage><epage>909</epage><pages>902-909</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><abstract>Study design
Multicenter observational study.
Objective
To describe the long-term outcome of functional independence and quality of life (QoL) for individuals with traumatic and ischemic SCI beyond the first year after injury.
Setting
A multicenter study in Germany.
Methods
Participants of the European multicenter study about spinal cord injury (EMSCI) of three German SCI centers were included and followed over time by the German spinal cord injury cohort study (GerSCI). Individuals’ most recent spinal cord independence measure (SCIM) scores assessed by a clinician were followed up by a self-report (SCIM-SR) and correlated to selected items of the WHO short survey of quality of life (WHO-QoL-BREF).
Results
Data for 359 individuals were obtained. The average time passed the last clinical SCIM examination was 81.47 (SD 51.70) months. In total, 187 of the 359 received questionnaires contained a completely evaluable SCIM-SR. SCIM scores remained stable with the exception of reported management of bladder and bowel resulting in a slight decrease of SCIM-SR of −2.45 points (SD 16.81). SCIM-SR scores showed a significant correlation with the selected items of the WHO-QoL-BREF (
p
< 0.01) with moderate to strong influence.
Conclusion
SCIM score stability over time suggests a successful transfer of acquired independence skills obtained during primary rehabilitation into the community setting paralleled by positively related QoL measurements but bladder and bowel management may need special attention.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34172929</pmid><doi>10.1038/s41393-021-00659-9</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8328-8438</orcidid><orcidid>https://orcid.org/0000-0002-6522-1942</orcidid><orcidid>https://orcid.org/0000-0002-4548-258X</orcidid><orcidid>https://orcid.org/0000-0002-4070-0373</orcidid><orcidid>https://orcid.org/0000-0002-3873-1023</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Spinal cord, 2021-08, Vol.59 (8), p.902-909 |
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| source | Springer Nature - Complete Springer Journals |
| subjects | 692/617/375/1824 692/699/578 Anatomy Biomedical and Life Sciences Biomedicine Bladder Human Physiology Intestine Ischemia Neurochemistry Neuropsychology Neurosciences Quality of life Rehabilitation Spinal cord injuries |
| title | Long term outcome of functional independence and quality of life after traumatic SCI in Germany |
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