1. Journal of Surgery and Medicine
  2. Arşiv
  3. Cilt 4, Sayı 4
Yıl 2020, Cilt 4 , Sayı 4, Sayfalar 301 - 304 2020-04-01

Omurilik yaralanmalı hastalarda komorbidite bağımsızlık ile ilişkili midir?
Is comorbidity related to the independence of patients with spinal cord injury?

Aylin SARI [1] , Nurdan PAKER [2]

Öz

Amaç: Omurilik yaralanması ile yaşayan bireyler de gelişebilecek komplikasyonlar dışında birtakım komorbiditelerde uzun vade de göz önünde bulundurulmalıdır. Bu çalışmada kronik omurilik yaralanmalı hastalarda görülebilecek komorbiditelerin tanımlanması ve bunların bağımlılık düzeyi ile ilişkisini incelemeyi amaçladık.
Yöntemler: Mart 2014-Ocak 2016 tarihleri arasında hastanemizde omurilik yaralanması nedeni ile yatarak rehabilitasyon programına alınan 40 olgu ile retrospektif kohort çalışma yapıldı. Katılımcılar; yaş, boy, kilo, vücut kitle indeksi, yaşadığı yer, medeni hal vb. demografik yönden değerlendirildi. Yaralanma şekli, yaralanma seviyesi, yaralanma süresi ile ASIA Bozukluk Skalası (AIS), Fonksiyonel Bağımsızlık Ölçeği (FBÖ), Fonksiyonel Ambulasyon Skalası (FAS), Spinal Kord Bağımsızlık Ölçeği (SBÖ) ve Kümülatif Hastalık Değerlendirme Ölçeği (CIRS) ölçekleri ile de değerlendirildi.
Bulgular: Yaş ortalamaları 41,83 (16,87) olan toplam 40 kronik omurilik yaralanmalı hasta çalışmaya dahil edildi. En sık görülen komorbiditeler; genitoürüner sistem problemleri (%62,5), alt gastrointestinal sistem problemleri (%50), oftalmolojik-otolaringolojik problemler (%42,5) olarak görüldü. Çalışmaya katılan olguların CIRS skorları ile FBÖ skorları ve SCIM skorları ile arasında istatistiksel olarak anlamlı ilişki saptanmamıştır (sırasıyla P=0,949, P=0,469, P=0,452, P=0,521). Olguların FBÖ skorları ile SCIM skorları arasında pozitif yönlü ilişki istatistiksel olarak anlamlı bulunmuştur (P=0,014).
Sonuç: Omurilik yaralanmalı hastalarda uzun dönemde en sık görülen komorbiditeler; genitoürüner sistem problemleri, alt gastrointestinal sistem problemleri, oftalmolojik-otolaringolojik problemlerdir. Komorbiditelerin, ambulasyon düzeyi ve bağımsızlık düzeyi ile doğrudan ilişkisi bulunmamıştır. 

Aim: Apart from the complications of spinal cord injury, some comorbidities in patients with this injury should be considered in the long term. In this study, we aimed to identify the comorbidities in patients with chronic spinal cord injury and the relationship of these comorbidities with the patients’ level of independence.
Methods: This retrospective cohort study involved 40 patients who had spinal cord injury and were admitted to an inpatient rehabilitation program at our hospital between March 2014 and January 2016. The participants were evaluated in terms of age, height, weight, body mass index, place of residence, and marital status. Their type, level, and duration of injury were also assessed. ASIA Impairment Scale (AIS), Functional Independence Scale (FIM), Functional Ambulation Scale (FAS), Spinal Cord Independence Scale (SCIM), and Cumulative Illness Rating Scale (CIRS) were used to evaluate the patients.
Results: The mean age of the 40 patients with chronic spinal cord injury was 41.83 (16.87) years. Their most common comorbidities were genitourinary (62.5%), lower gastrointestinal (50%), and ophthalmological–otolaryngologic problems (42.5%). No correlation was found between the CIRS scores and the SCIM Personal Care, Respiratory and Sphincter Management, Mobility, and the total SCIM scores of the participants. (P=0.949, P=0.469, P=0.452, P=0.521, respectively). By contrast, the FIM scores were correlated with the SCIM scores of the cases (P=0.014).
Conclusion: The most common long-term comorbidities in patients with spinal cord injury were genitourinary, lower gastrointestinal, and ophthalmological–otolaryngologic problems. However, these comorbidities were not directly related to the patients’ ambulation and independence levels.

Kaynakça

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Ayrıntılar

Birincil Dil en
Konular Nörolojik Bilimler, Rehabilitasyon, Sağlık Bilimleri ve Hizmetleri
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0002-0391-2940
Yazar: Aylin SARI (Sorumlu Yazar)
Kurum: TCSB ERENKOY FİZİK TEDAVİ VE REHABİLİTASYON HASTANESİ
Ülke: Turkey

Orcid: 0000-0001-8957-1843
Yazar: Nurdan PAKER
Kurum: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL FİZİK TEDAVİ VE REHABİLİTASYON SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey
Tarihler

Yayımlanma Tarihi : 1 Nisan 2020

Kaynak Göster

Bibtex @araştırma makalesi { josam717855, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {301 - 304}, doi = {10.28982/josam.717855}, title = {Is comorbidity related to the independence of patients with spinal cord injury?}, key = {cite}, author = {Sarı, Aylin and Paker, Nurdan} }
APA Sarı, A , Paker, N . (2020). Is comorbidity related to the independence of patients with spinal cord injury? . Journal of Surgery and Medicine , 4 (4) , 301-304 . DOI: 10.28982/josam.717855
MLA Sarı, A , Paker, N . "Is comorbidity related to the independence of patients with spinal cord injury?" . Journal of Surgery and Medicine 4 (2020 ): 301-304 <http://jsurgmed.com/tr/pub/issue/53710/717855>
Chicago Sarı, A , Paker, N . "Is comorbidity related to the independence of patients with spinal cord injury?". Journal of Surgery and Medicine 4 (2020 ): 301-304
RIS TY - JOUR T1 - Is comorbidity related to the independence of patients with spinal cord injury? AU - Aylin Sarı , Nurdan Paker Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.717855 DO - 10.28982/josam.717855 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 301 EP - 304 VL - 4 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.717855 UR - https://doi.org/10.28982/josam.717855 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Is comorbidity related to the independence of patients with spinal cord injury? %A Aylin Sarı , Nurdan Paker %T Is comorbidity related to the independence of patients with spinal cord injury? %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 4 %R doi: 10.28982/josam.717855 %U 10.28982/josam.717855
ISNAD Sarı, Aylin , Paker, Nurdan . "Is comorbidity related to the independence of patients with spinal cord injury?". Journal of Surgery and Medicine 4 / 4 (Nisan 2020): 301-304 . https://doi.org/10.28982/josam.717855
AMA Sarı A , Paker N . Is comorbidity related to the independence of patients with spinal cord injury?. J Surg Med. 2020; 4(4): 301-304.
Vancouver Sarı A , Paker N . Is comorbidity related to the independence of patients with spinal cord injury?. Journal of Surgery and Medicine. 2020; 4(4): 301-304.
IEEE A. Sarı ve N. Paker , "Is comorbidity related to the independence of patients with spinal cord injury?", Journal of Surgery and Medicine, c. 4, sayı. 4, ss. 301-304, Nis. 2020, doi:10.28982/josam.717855
Makalenin Yazarları
Aylin SARI [1]
Nurdan PAKER [2]
Makale Gönder
Arşiv
Editör Kurulu
İletişim

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