Original Article
Spinal Cord (2008) 46, 386–391; doi:10.1038/sj.sc.3102159; published online 8 January 2008
Health-related outcomes of people with spinal cord injury—a 10 year longitudinal study
- 1School of Human Services, Griffith University, Brisbane, Queensland, Australia
- 2Queensland Spinal Cord Injuries Service, Princess Alexandra Hospital, Brisbane, Queensland, Australia
Correspondence: Dr P Dorsett, School of Human Services, Griffith University, Logan Campus, University Drive, Meadowbrook, Queensland 4131, Australia. E-mail: p.dorsett@griffith.edu.au
Received 26 June 2007; Revised 9 November 2007; Accepted 11 November 2007; Published online 8 January 2008.
Abstract
Study Design:
Longitudinal panel design over 10 years.
Objectives:
To describe the health outcomes for people with spinal cord injury and identify how indicators of health change over time.
Setting:
Queensland, Australia.
Methods:
A structured interview consisting of measures of perceived health, medical service utilization, hospitalization and pressure sore occurrence was administered on six occasions over 10 years after discharge from the hospital following the initial rehabilitation episode.
Results:
The majority of respondents were relatively healthy over the course of the 10-year study and required minimal medical interventions or hospitalization. There was however a group of up to 20% of respondents who required extensive medical intervention, including hospitalization and pressure sore management.
Conclusion:
The findings have significant implications for health-care policy and strategic planning for the ongoing management of spinal cord injury. A biopsychosocial approach combining patient education, cognitive behavioral interventions, screening and treatment for affective disorders and environmental interventions is recommended to facilitate optimal health outcomes for people with spinal cord injury over the long term.
Keywords:
spinal cord injury, hospital readmission, pressure sores, health services, mortality
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