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Rehabilitation Practice and Science

Translated Title

脊髓損傷患者長期併發症之回溯性研究

Abstract

In order to determine the prevalence of medical complications after spinal cord injury, 52 patients who received regular follow up in a rehabilitation hospital (average 14.1 years) were studied. Medical records were reviewarticleed and analyzed, including demographic data, onset duration, neurological level, locomotion, reason for visiting doctor's office, rehospitalization, medication usage, and surgical intervention. The most common complication encountered was constipation (82.7%). Other common complications were neurogenic bladder dysfunction (80.8%), urinary tract infection (75.0%), musculoskeletal pain (71.2%), spasticity (67.3%) and gastrointestinal disturbance (51.9%). reviewarticleing the medical records in the most recent year, constipation was still the most common complication (46.2%). Spasticity (40.4%), neurogenic bladder dysfunction (34.6%), musculoskeletal pain (23.1%) and urinary tract infection (21.2%) remained among the top complications. The most common causes of rehospitalization were: regular follow-up of urological system, further rehabilitation training, urinary tract infection, and renal/bladder stone. The most frequent complications that required medication usage were constipation, spasticity, neurogenic bladder dysfunction, neuropathic pain, urinary tract infection and gastrointestinal disturbance. Complications of urological, musculoskeletal and dermatological systems were the most common causes that required surgical intervention.These findings suggest that there is still high prevalence of secondary complications after long-term spinal cord injury. Multiple systems were involved and thus negatively affect the quality of life. Therefore, we should emphasize the importance of early patient education and regular systemic follow up to enhance long term care after spinal cord injury.

Language

Traditional Chinese

First Page

167

Last Page

174

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