Kendall, Melissa B., Amsters, Delena, Schuurs, Sarita, Borg, David, Pershouse, Kiley, and Kuipers, Pim (2022) Longitudinal effects of time since injury and age at injury on outcomes of people with spinal cord injury in Queensland, Australia. Spinal Cord, 60. pp. 1087-1093.

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Abstract

Study design: Longitudinal cohort study.

Objectives: To investigate the longitudinal effects of time since injury and age at injury on outcomes of quality of life, physical function, secondary conditions and participation, in people with traumatic spinal cord injury (SCI).

Setting: Community resident people with spinal cord injury in Queensland, Australia.

Methods: A baseline sample of 270 people with SCI was recruited. Telephone surveys on measures of quality of life (WHOQOL-Bref), secondary conditions (Secondary Conditions Surveillance Instrument, subset), physical functioning (Functional Independence Measure motor subscale) and participation (Community Integration Measure) were conducted each year between 2004 and 2008, and again in 2018. Random-effect within-between models were used to determine the effect of time since injury and age at injury on each outcome variable. Inverse probability-of-censoring weights were used to correct for selection bias.

Results: There was an effect of time since injury on secondary conditions, with a one-year change associated with 9% higher odds of having worse Secondary Conditions Surveillance Instrument scores (odds ratio = 1.09, 95% confidence interval = 1.02, 1.17; p = 0.006). We did not find any evidence of a time since injury effect on quality of life, physical function, or participation. Similarly, we did not find any evidence of an age at injury effect on any outcome variable.

Conclusions: Secondary conditions may increase with longer time since injury among people with SCI, suggesting appropriate formal and informal supports are required to minimise the impact of these emerging health problems as individuals age.

Item ID:	75568
Item Type:	Article (Research - C1)
ISSN:	1476-5624
Keywords:	Quality Of Life, Rehabilitation
Copyright Information:	© The Author(s) 2022 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Date Deposited:	08 Aug 2022 00:05
FoR Codes:	42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420109 Rehabilitation @ 60% 42 HEALTH SCIENCES > 4205 Nursing > 420506 Sub-acute care @ 40%
SEO Codes:	23 LAW, POLITICS AND COMMUNITY SERVICES > 2301 Community services > 230101 Ability and disability @ 70% 20 HEALTH > 2003 Provision of health and support services > 200302 Community health care @ 30%
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