Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury
Autor(a) principal: | |
---|---|
Data de Publicação: | 2014 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25759/spmfr.129 |
Resumo: | Objectives: To evaluate the relationship between age and functional outcome in patients with sequelae of Traumatic Spinal Cord Injury (TSCI).Material and Methods: Retrospective study, with a 88 patients sample that were admitted as inpatients in Physical Medicine and Rehabilitation (PMR) Department of Hospital de Braga, between the years 2007 and 2011, with sequelae of TSCI. Clinical files were consulted and two age groups (<65 and ≥ 65 years) were compared. The Functional Independence Measure (FIM) was used to quantify the functional outcome by calculating the variation between the values at admission and discharge, in 68 of the 88 patients. For gait evaluation were used Modified Functional Ambulation Classification (MFAC) and the Walking Index for Spinal Cord Injury II (WISCI-II).Results: There were 65(73,9%) patients with <65 years and 23(26,2%) were ≥ 65 years. The mean age was 50 years. Fall was the most prevalent cause of TSCI. Cervical injuries were more frequent, as well as incomplete lesions. The average hospital stay was 95 days. The mean MIF score was 66.32 points (<65 = 67.2, ≥ 65 = 63.38) at admission and 97.09 points (<65 = 100.89, ≥ 65 = 83.4) at discharge . The mean MIF variation was 30.19 points (<65 = 33.36, ≥ 65 = 19). The mean MFAC was 0.33 and 1.57 points, and the mean WISCI-II was 1,60 and 8,55 points, at admission and discharge, respectively. There was a statistically significant relationship between age at the time of the accident and the FIM variation.Conclusions: In this sample there was a predominance of males and age at the time of the accident less than 65 years. There was an influence of age on functional outcome in patients with TSCI during hospitalization in a PRM Department, and patients aged ≥ 65 years showed a lower functional outcome, highlighting the importance of age on functional recovery after TCSI. |
id |
RCAP_24a9ce4317dda9cb83cd7ee1d9b69658 |
---|---|
oai_identifier_str |
oai:ojs.spmfrjournal.org:article/129 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord InjuryInfluência da Idade na Evolução Funcional de Doentes com Sequelas de Traumatismo Vertebro-MedularSpinal Cord Injuries; Aging; Treatment OutcomeIdoso; Traumatismo Vertebro-Medular; Evolução FuncionalObjectives: To evaluate the relationship between age and functional outcome in patients with sequelae of Traumatic Spinal Cord Injury (TSCI).Material and Methods: Retrospective study, with a 88 patients sample that were admitted as inpatients in Physical Medicine and Rehabilitation (PMR) Department of Hospital de Braga, between the years 2007 and 2011, with sequelae of TSCI. Clinical files were consulted and two age groups (<65 and ≥ 65 years) were compared. The Functional Independence Measure (FIM) was used to quantify the functional outcome by calculating the variation between the values at admission and discharge, in 68 of the 88 patients. For gait evaluation were used Modified Functional Ambulation Classification (MFAC) and the Walking Index for Spinal Cord Injury II (WISCI-II).Results: There were 65(73,9%) patients with <65 years and 23(26,2%) were ≥ 65 years. The mean age was 50 years. Fall was the most prevalent cause of TSCI. Cervical injuries were more frequent, as well as incomplete lesions. The average hospital stay was 95 days. The mean MIF score was 66.32 points (<65 = 67.2, ≥ 65 = 63.38) at admission and 97.09 points (<65 = 100.89, ≥ 65 = 83.4) at discharge . The mean MIF variation was 30.19 points (<65 = 33.36, ≥ 65 = 19). The mean MFAC was 0.33 and 1.57 points, and the mean WISCI-II was 1,60 and 8,55 points, at admission and discharge, respectively. There was a statistically significant relationship between age at the time of the accident and the FIM variation.Conclusions: In this sample there was a predominance of males and age at the time of the accident less than 65 years. There was an influence of age on functional outcome in patients with TSCI during hospitalization in a PRM Department, and patients aged ≥ 65 years showed a lower functional outcome, highlighting the importance of age on functional recovery after TCSI.Objectivos: Avaliar a relação entre idade e evolução funcional em doentes com sequelas de Traumatismo Vertebro-Medular (TVM).Material e Métodos: Estudo retrospectivo, mediante consulta de processos clínicos de 88 doentes internados no Serviço de Medicina Física e de Reabilitação (MFR) do Hospital de Braga, por sequela de TVM entre os anos de 2007 e 2011, comparando dois grupos etários (<65 anos e ≥ 65 anos). A Medida de Independência Funcional (MIF) foi utilizada para quantificar a evolução funcional através do cálculo da sua variação entre os valores na admissão e data de alta, em 68 dos 88 doentes. Para categorização da marcha foram utilizadas a Classificação Funcional da Marcha Modificada (CFMM) e a Walking Index for Spinal Cord Injury II (WISCI-II).Resultados: Dos doentes avaliados, a média de idades foi de 50 anos. O grupo etário <65 anos era constituído por 65 (73,9%) doentes e o grupo etário ≥65 anos por um total de 23 (26,1%). A principal causa de TVM foi a queda. As lesões localizavam-se, na sua maioria, a nível cervical, predominando as lesões incompletas. O tempo médio de internamento no Serviço foi de 95 dias. A MIF apresentou uma média de 66,32 pontos (<65=67,2, ≥65=63,38) na admissão e de 97,09 (<65=100,89, ≥65=83,4) à data de alta. A variação da MIF apresentou uma média de 30,19 pontos (<65=33,36, ≥65=19). A CFMM apresentou médias de 0,33 e 1,57 pontos, na admissão e alta, respectivamente. Por sua vez a WISCI-II apresentou, respectivamente, médias de 1,60 e 8,55 pontos. Verificou-se a existência de uma relação estatisticamente significativa entre a idade à data do acidente e a variação da MIF.Conclusões: Na população estudada houve um predomínio de indivíduos do sexo masculino e com idade à data do acidente <65 anos. Verificou-se uma influência da idade na evolução funcional em doentes com TVM durante internamento em Serviço de MFR, sendo que doentes com idade ≥ 65 anos mostraram uma menor evolução funcional, realçando a importância da idade na recuperação funcional após TVM.Sociedade Portuguesa de Medicina Física e de Reabilitação2014-07-17T00:00:00Zjournal articlejournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.25759/spmfr.129oai:ojs.spmfrjournal.org:article/129Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 25, n. 1 (2014): Ano 22; 25-280872-9204reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://spmfrjournal.org/index.php/spmfr/article/view/129https://doi.org/10.25759/spmfr.129https://spmfrjournal.org/index.php/spmfr/article/view/129/93Santos, Joana Machado; Interna de Formação Específica de MFR do Hospital de Braga, PortugalCastro e Cunha, António; Interna de Formação Específica de MFR do Hospital de Braga, PortugalMatias, Catarina; Interna de Formação Específica de MFR do Hospital de Braga, PortugalMira Coelho, Manuela; Assistente Hospitalar Graduada de MFR do Hospital de Braga, Portugalinfo:eu-repo/semantics/openAccess2022-09-20T15:28:47Zoai:ojs.spmfrjournal.org:article/129Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:51:21.666439Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury Influência da Idade na Evolução Funcional de Doentes com Sequelas de Traumatismo Vertebro-Medular |
title |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury |
spellingShingle |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury Santos, Joana Machado; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Spinal Cord Injuries; Aging; Treatment Outcome Idoso; Traumatismo Vertebro-Medular; Evolução Funcional |
title_short |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury |
title_full |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury |
title_fullStr |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury |
title_full_unstemmed |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury |
title_sort |
Age Influence on Functional Outcome of Patients With Sequelae of Traumatic Spinal Cord Injury |
author |
Santos, Joana Machado; Interna de Formação Específica de MFR do Hospital de Braga, Portugal |
author_facet |
Santos, Joana Machado; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Castro e Cunha, António; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Matias, Catarina; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Mira Coelho, Manuela; Assistente Hospitalar Graduada de MFR do Hospital de Braga, Portugal |
author_role |
author |
author2 |
Castro e Cunha, António; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Matias, Catarina; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Mira Coelho, Manuela; Assistente Hospitalar Graduada de MFR do Hospital de Braga, Portugal |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos, Joana Machado; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Castro e Cunha, António; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Matias, Catarina; Interna de Formação Específica de MFR do Hospital de Braga, Portugal Mira Coelho, Manuela; Assistente Hospitalar Graduada de MFR do Hospital de Braga, Portugal |
dc.subject.por.fl_str_mv |
Spinal Cord Injuries; Aging; Treatment Outcome Idoso; Traumatismo Vertebro-Medular; Evolução Funcional |
topic |
Spinal Cord Injuries; Aging; Treatment Outcome Idoso; Traumatismo Vertebro-Medular; Evolução Funcional |
description |
Objectives: To evaluate the relationship between age and functional outcome in patients with sequelae of Traumatic Spinal Cord Injury (TSCI).Material and Methods: Retrospective study, with a 88 patients sample that were admitted as inpatients in Physical Medicine and Rehabilitation (PMR) Department of Hospital de Braga, between the years 2007 and 2011, with sequelae of TSCI. Clinical files were consulted and two age groups (<65 and ≥ 65 years) were compared. The Functional Independence Measure (FIM) was used to quantify the functional outcome by calculating the variation between the values at admission and discharge, in 68 of the 88 patients. For gait evaluation were used Modified Functional Ambulation Classification (MFAC) and the Walking Index for Spinal Cord Injury II (WISCI-II).Results: There were 65(73,9%) patients with <65 years and 23(26,2%) were ≥ 65 years. The mean age was 50 years. Fall was the most prevalent cause of TSCI. Cervical injuries were more frequent, as well as incomplete lesions. The average hospital stay was 95 days. The mean MIF score was 66.32 points (<65 = 67.2, ≥ 65 = 63.38) at admission and 97.09 points (<65 = 100.89, ≥ 65 = 83.4) at discharge . The mean MIF variation was 30.19 points (<65 = 33.36, ≥ 65 = 19). The mean MFAC was 0.33 and 1.57 points, and the mean WISCI-II was 1,60 and 8,55 points, at admission and discharge, respectively. There was a statistically significant relationship between age at the time of the accident and the FIM variation.Conclusions: In this sample there was a predominance of males and age at the time of the accident less than 65 years. There was an influence of age on functional outcome in patients with TSCI during hospitalization in a PRM Department, and patients aged ≥ 65 years showed a lower functional outcome, highlighting the importance of age on functional recovery after TCSI. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-07-17T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25759/spmfr.129 oai:ojs.spmfrjournal.org:article/129 |
url |
https://doi.org/10.25759/spmfr.129 |
identifier_str_mv |
oai:ojs.spmfrjournal.org:article/129 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://spmfrjournal.org/index.php/spmfr/article/view/129 https://doi.org/10.25759/spmfr.129 https://spmfrjournal.org/index.php/spmfr/article/view/129/93 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Física e de Reabilitação |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Física e de Reabilitação |
dc.source.none.fl_str_mv |
Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 25, n. 1 (2014): Ano 22; 25-28 0872-9204 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130377270329344 |