Risk for Subsequent Injuries After Spinal Cord Injury: A 10-Year Longitudinal Analysis

Arch Phys Med Rehabil, 2010 · DOI: 10.1016/j.apmr.2010.07.219 · Published: November 1, 2010

Spinal Cord Injury Rehabilitation Public Health

Simple Explanation

This study investigates the risk of subsequent injuries in individuals with spinal cord injuries (SCI) over a 10-year period. The research identifies factors, such as behavioral and personality traits, that may increase or decrease the likelihood of sustaining new injuries after SCI. The findings emphasize the importance of addressing these factors through targeted prevention strategies to reduce the long-term risk of injury among individuals with SCI.

Study Duration

10 Years

Participants

821 participants with traumatic SCI

Evidence Level

Longitudinal study

Key Findings

1
The annual incidence of subsequent injuries among individuals with SCI was found to be significantly higher than previously reported.
2
Individuals who reported injuries at the beginning of the study were more likely to experience subsequent injuries during the follow-up period.
3
Binge drinking, psychotropic prescription medication use, and certain personality traits were identified as significant risk factors for subsequent injuries and injury-related hospitalizations.

Research Summary

This longitudinal study examined the incidence and risk factors associated with subsequent injuries among individuals with spinal cord injury (SCI) over a 10-year period. The study found a higher incidence of subsequent injuries than previously reported, with behavioral and personality factors playing a significant role in predicting injury risk. The findings underscore the need for targeted prevention strategies that address modifiable risk factors to reduce the burden of subsequent injuries among individuals with SCI.

Practical Implications

Targeted Prevention Programs

Develop and implement targeted prevention programs focusing on behavioral and personality factors to reduce the risk of subsequent injuries among individuals with SCI.

Comprehensive Assessments

Incorporate comprehensive assessments of behavioral and psychological risk factors into routine clinical care for individuals with SCI to identify those at higher risk of subsequent injuries.

Educational Interventions

Provide educational interventions for individuals with SCI, their families, and caregivers to promote awareness of injury risks and strategies for prevention.

Study Limitations

1
Reliance on self-reported data, which may be subject to recall bias.
2
Lack of detailed information on the types and circumstances of injuries.
3
Potential for selective attrition, as individuals with more severe injuries were less likely to participate in the follow-up survey.

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