Age And Spinal Cord Injury: An Emphasis On Outcomes Among The Elderly

Age And Spinal Cord Injury: An Emphasis On Outcomes Among The Elderly

Objectives: Determine the unique effects of age across a variety of outcome domains following spinal cord injury (SCI). Design: Cross-sectional; 61 32 individuals with traumatic onset SCI in the National Spinal Cord Injury Statistical Center (NSCISC) database. Outcome Measures: Functional Independen...

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Bibliographic Details
Published in:The journal of spinal cord medicine Vol. 26; no. 1; pp. 37 - 44
Main Authors: David Putzke, John, Barrett, John, Richards, Scot, DeVivo, Michael J.
Format: Journal Article
Language:English
Published: England Taylor & Francis 01-03-2003
Subjects:
Activities of Daily Living
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Aging
Cross-Sectional Studies
Disability Evaluation
Female
Humans
Life satisfaction
Male
Middle Aged
Outcome Assessment (Health Care)
Paraplegia
Predictive Value of Tests
Quality of Life
Recovery of Function - physiology
Regression Analysis
Spinal cord injuries
Spinal Cord Injuries - physiopathology
Spinal Cord Injuries - therapy
Tetraplegia
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Summary:Objectives: Determine the unique effects of age across a variety of outcome domains following spinal cord injury (SCI). Design: Cross-sectional; 61 32 individuals with traumatic onset SCI in the National Spinal Cord Injury Statistical Center (NSCISC) database. Outcome Measures: Functional Independence Measure (FIM) , Sat isfaction With Life Scale (SWLS) , the Craig Hand icap Assessment and Reporting Technique (CHART), and the Short Form-12 (SF-12). Results: Older age was most consistently associated with decreased self-reported outcomes across most domains assessed. More specifically, a significant linear decline with age was found for functional independence (FIM) , overall life satisfaction (SWLS) , perceived physical health (SF-12 physical health), and overall handicap (CHART-total score), particularly in the areas of physical independence, mobility, occupational functioning, and social integration (CHART subscales). However, regression analyses, controlling for numerous demographic and medical characteristics, indicated that the amount of unique variance that could be specifically attributed to age was relatively small. Age was unrelated to self-reported mental health (S F-1 2 mental health subscale) and economic functioning (CHART -economic self-sufficiency subscale). Pain interference in day-to-day activities (ie, a single item from SF-12) significantly increased with age. Spinal Cord Med. 2003;26:37-44
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1079-0268
2045-7723
DOI:10.1080/10790268.2003.11753659