Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation

GÜNEŞ, Neşe; KURTAİŞ AYTÜR, Yeşim; A. KÜÇÜKDEVECİ, Ayşe; GÖK, HAYDAR; SONEL TUR, BİRKAN; KUTLAY, Şehim; Gunes, Secilay

Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation

Seçilay GÜNEŞ, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Ankara University, Ankara, Turkey)

Yeşim KURTAİŞ AYTÜR, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Ankara University, Ankara, Turkey)

Haydar GÖK, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Ankara University, Ankara, Turkey)

Şehim KUTLAY, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Ankara University, Ankara, Turkey)

Neşe GÜNEŞ, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Ankara University, Ankara, Turkey)

Birkan SONEL TUR, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Ankara University, Ankara, Turkey)

Ayşe A. KÜÇÜKDEVECİ (Department of Physical Medicine and Rehabilitation, Medical Faculty of Ankara University, Ankara, Turkey)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

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Yıl: 2017 Cilt: 63 Sayı: 1 Sayfa Aralığı: 66 - 71 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation

Öz:

Amaç: Bu çalışmada omurilik yaralanmalı (OY) hastaların demografik ve klinik özellikleri incelendi ve rehabilitasyon sonrasında fonksiyonel sonuçlar araştırıldı.Hastalar ve yöntemler: Bu retrospektif ve tanımlayıcı çalışmada Ocak 2005 - Aralık 2010 tarihleri arasında kliniğimizde rehabilitasyon programına alınmış, kayıtları eksiksiz olan toplam 118 OY'li hasta (74 erkek, 44 kadın; ort. yaş 41±16 yıl; dağılım 13-74 yıl) incelendi. Hastaların demografik özellikleri, etyolojik faktörler, yaralanma sonrası geçen süre, hastanede yatış süresi, Amerikan Omurilik Derneği (ASIA) Bozukluk Ölçeği ile değerlendirilen yaralanma seviyesi ve İşlevsel Bağımsızlık Ölçütü (FIMTM) ile değerlendirilen fonksiyonel statü hastaneye yatış ve taburculuk sırasında analiz edildi. Omurilik yaralanmasına bağlı komplikasyonlar kaydedildi. Hastaların karakteristik özellikleri, komplikasyonların görülme sıklığı ve fonksiyonel ve nörolojik iyileşme düzeyleri değerlendirildi.Bulgular: Hastaların %70'i tetraplejik idi. Yaralanma sonrası geçen medyan süre dört ay (IQR: 1-15 ay) iken, medyan hastanede yatış süresi 76 gün idi. ASIA Bozukluk Ölçeğine göre yatışta Evre A (komplet) olan 47 hastadan dördü (%8) Evre B'ye ilerledi. İşlevsel Bağımsızlık Ölçütü motor skorları taburculukta anlamlı iyileşme gösterdi (p<0.001). En yaygın görülen komplikasyonlar idrar yolu enfeksiyonları (%70), bası yarası (%31) ve ağrıydı (%28).Sonuç: Üçüncü basamak bir hastanede yatarak rehabilitasyon OY'li hastalarda önemli fonksiyonel ve motor kazanımlar sağlamaktadır. Çalışma sonuçlarımıza göre, FIM motor skorları ile değerlendirilen günlük yaşam aktivitelerinde rehabilitasyon sonrasında önemli düzeyde iyileşme elde edilebilir

Anahtar Kelime:

Konular: Rehabilitasyon

Omurilik hasarlı hastaların demografik ve klinik özellikleri ve rehabilitasyon sonrası fonksiyonel sonuçları

Öz:

Objectives: This study aims to analyze the demographic and clinical properties of patients with spinal cord injury (SCI) and to investigate the functional outcomes after rehabilitation.Patients and methods: In this retrospective and descriptive study, we investigated a total of 118 SCI patients (74 males, 44 females; mean age 41±16 years; range 13 to 74 years) with full records who were admitted to our rehabilitation program between January 2005 and December 2010. Demographic characteristics of the patients, etiological factors, time since injury, length of hospital stay, level of injury, as assessed by the American Spinal Injury Association (ASIA) Impairment Scale and functional status, as assessed by the Functional Independence Measure (FIMTM) on admission and discharge were analyzed. Complications related to SCI were also noted. Characteristic features of the patients’, frequency of complications, and functional and neurological recovery were evaluated.Results: Of the patients, 70% were tetraplegic. The median time since injury was four months (IQR: 1 to 15 months), while the median length of stay was 76 days (IQR: 46 to 104 days). Four of 47 patients (8%) with Grade A (complete) according to the ASIA Impairment Scale on admission progressed to Grade B on discharge. Functional independence measure motor scores showed significant improvements at discharge (p<0.0001). The most common complications were urinary tract infections (70%), pressure ulcers (31%), and pain (28%).Conclusion: Inpatient rehabilitation in a tertiary referral hospital appears to provide substantial functional and motor gains in patients with SCI. Based on our study results, considerable improvement in the activities of daily living, as assessed by FIM motor scores, can be achieved with rehabilitation

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Gunes S, KURTAİŞ AYTÜR Y, GÖK H, KUTLAY Ş, GÜNEŞ N, SONEL TUR B, A. KÜÇÜKDEVECİ A (2017). Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. , 66 - 71.
Chicago	Gunes Secilay,KURTAİŞ AYTÜR Yeşim,GÖK HAYDAR,KUTLAY Şehim,GÜNEŞ Neşe,SONEL TUR BİRKAN,A. KÜÇÜKDEVECİ Ayşe Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. (2017): 66 - 71.
MLA	Gunes Secilay,KURTAİŞ AYTÜR Yeşim,GÖK HAYDAR,KUTLAY Şehim,GÜNEŞ Neşe,SONEL TUR BİRKAN,A. KÜÇÜKDEVECİ Ayşe Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. , 2017, ss.66 - 71.
AMA	Gunes S,KURTAİŞ AYTÜR Y,GÖK H,KUTLAY Ş,GÜNEŞ N,SONEL TUR B,A. KÜÇÜKDEVECİ A Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. . 2017; 66 - 71.
Vancouver	Gunes S,KURTAİŞ AYTÜR Y,GÖK H,KUTLAY Ş,GÜNEŞ N,SONEL TUR B,A. KÜÇÜKDEVECİ A Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. . 2017; 66 - 71.
IEEE	Gunes S,KURTAİŞ AYTÜR Y,GÖK H,KUTLAY Ş,GÜNEŞ N,SONEL TUR B,A. KÜÇÜKDEVECİ A "Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation." , ss.66 - 71, 2017.
ISNAD	Gunes, Secilay vd. "Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation". (2017), 66-71.

APA	Gunes S, KURTAİŞ AYTÜR Y, GÖK H, KUTLAY Ş, GÜNEŞ N, SONEL TUR B, A. KÜÇÜKDEVECİ A (2017). Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63(1), 66 - 71.
Chicago	Gunes Secilay,KURTAİŞ AYTÜR Yeşim,GÖK HAYDAR,KUTLAY Şehim,GÜNEŞ Neşe,SONEL TUR BİRKAN,A. KÜÇÜKDEVECİ Ayşe Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63, no.1 (2017): 66 - 71.
MLA	Gunes Secilay,KURTAİŞ AYTÜR Yeşim,GÖK HAYDAR,KUTLAY Şehim,GÜNEŞ Neşe,SONEL TUR BİRKAN,A. KÜÇÜKDEVECİ Ayşe Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.63, no.1, 2017, ss.66 - 71.
AMA	Gunes S,KURTAİŞ AYTÜR Y,GÖK H,KUTLAY Ş,GÜNEŞ N,SONEL TUR B,A. KÜÇÜKDEVECİ A Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(1): 66 - 71.
Vancouver	Gunes S,KURTAİŞ AYTÜR Y,GÖK H,KUTLAY Ş,GÜNEŞ N,SONEL TUR B,A. KÜÇÜKDEVECİ A Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(1): 66 - 71.
IEEE	Gunes S,KURTAİŞ AYTÜR Y,GÖK H,KUTLAY Ş,GÜNEŞ N,SONEL TUR B,A. KÜÇÜKDEVECİ A "Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63, ss.66 - 71, 2017.
ISNAD	Gunes, Secilay vd. "Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63/1 (2017), 66-71.