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Titre : | Wheelchair Breakdowns Are Associated With Pain, Pressure Injuries, Rehospitalization, and Self-Perceived Health in Full-Time Wheelchair Users With Spinal Cord Injury (2018) |
Auteurs : | Nathan S. Hogaboom ; Lynn A. Worobey ; Bethlyn V. Houlihan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 10, 2018) |
Article en page(s) : | p. 1949-1956 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Escarre ; Pain ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Pressure ulcer ; Spinal cord injuries ; Wheelchairs ; Fauteuils roulants |
Résumé : |
Objectives To evaluate the relation between wheelchair breakdowns, their immediate consequences, and secondary health complications after spinal cord injury. Immediate consequences occur when part of a wheelchair breaks and leaves an individual stranded or injured, or causes him or her to miss medical appointments, work, or school. Design Survey, cross-sectional. Setting Spinal Cord Injury Model Systems Centers. Participants Full-time wheelchair users (N=771) with SCI from 9 Spinal Cord Injury Model Systems Centers, with data collected between 2011 and 2016. Interventions Not applicable. Main Outcome Measures Incidence of self-reported wheelchair breakdowns within the past 6 months that did or did not result in immediate consequences (ie, injury, being stranded, missing a medical appointment, or an inability to attend school/work); self-perceived health status scale; pain severity numerical rating scale; rehospitalizations; and self-reported pressure injury development within the past 12 months. Results A total of 610 participants with complete data sets were included in the analyses. When compared to those who reported no breakdowns, participants who reported 1 or more immediate consequences had worse secondary complications: higher self-perceived health status and pain scores (partial −η2=.009-.012, P<.05 and higher odds of rehospitalization ratio: p pressure injury development secondary health complications were not different in those who reported no immediate consequences compared to breakdown.> Conclusions Wheelchair breakdowns that resulted in injury, being stranded, missing medical appointments, and/or an inability to attend work/school appear to have far-reaching impacts on health and secondary injury. Preventing wheelchair breakdowns, through either better maintenance or manufacturing, may be a means of decreasing secondary disability. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |