Skip header and navigation

Refine By

5 records – page 1 of 1.

Increased cardiovascular disease risk in Swedish persons with paraplegia: The Stockholm spinal cord injury study.

https://arctichealth.org/en/permalink/ahliterature96693
Source
J Rehabil Med. 2010 May;42(5):489-92
Publication Type
Article
Date
May-2010
Author
Kerstin Wahman
Mark S Nash
John E Lewis
Ake Seiger
Richard Levi
Author Affiliation
Department of Neurobiology, Care Sciences and Society (NVS), Division of neurorehabilitation, Karolinska Institutet, 139 89 Stockholm, Sweden. kerstin.wahman@rehabstation.se
Source
J Rehabil Med. 2010 May;42(5):489-92
Date
May-2010
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aging
Cardiovascular Diseases - epidemiology - etiology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Paraplegia - complications - etiology
Prevalence
Risk factors
Spinal Cord Injuries - complications
Sweden - epidemiology
Young Adult
Abstract
OBJECTIVE: Comparison of prevalence of cardiovascular disease risks in persons with chronic traumatic paraplegia with those in the general population. DESIGN: Cross-sectional comparative study. SUBJECTS: A total of 135 individuals, age range 18-79 years, with chronic (> or = 1 year) traumatic paraplegia. METHODS: The prevalences of diabetes mellitus, dyslipidaemia, hypertension, overweight, and smoking, were assessed in the study population and were compared with an age- and gender-matched sample of the general population in the region under study. History of myocardial infarction and medication for dyslipidaemia, hypertension, and diabetes mellitus were also recorded. chi2 tests were used to compare the paraplegic cohort with the general population sample. RESULTS: Significantly more persons with paraplegia reported a history of myocardial infarction (5.9%) than those in the comparison group (0.7%). The prevalences of diabetes mellitus (5.9%), dyslipidaemia (11.1%), and hypertension (14.1%) were also significantly higher in the paraplegic group, as were drug treatment for these disorders. CONCLUSION: Persons with paraplegia report increased prevalences of diabetes mellitus, hypertension, and dyslipidaemia, in particular, compared with the general population. Population-based screening and therapeutic counter-measures for these conditions may therefore be particularly indicated for this patient group.
PubMed ID
20544162 View in PubMed
Less detail

Pain in a Swedish spinal cord injury population.

https://arctichealth.org/en/permalink/ahliterature30735
Source
Clin Rehabil. 2003 Sep;17(6):685-90
Publication Type
Article
Date
Sep-2003
Author
Cecilia Norrbrink Budh
Iréne Lund
Per Ertzgaard
Anders Holtz
Claes Hultling
Richard Levi
Lars Werhagen
Thomas Lundeberg
Author Affiliation
Spinalis SCI unit, Karolinska Hospital and Faculty of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. cecilia.budh@spinalis.se
Source
Clin Rehabil. 2003 Sep;17(6):685-90
Date
Sep-2003
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Child
Female
Humans
Injury Severity Score
Male
Middle Aged
Pain - classification - epidemiology - etiology
Pain Measurement
Prevalence
Questionnaires
Registries
Research Support, Non-U.S. Gov't
Spinal Cord Injuries - classification - complications
Sweden - epidemiology
Abstract
OBJECTIVE: To describe pain and associated variables in a prevalence group of persons with a sustained spinal cord injury (SCI) in the Swedish capital and its surroundings. SETTING: Spinalis SCI Unit (outpatient clinic), Stockholm, Sweden. DESIGN: Assessment over a 12-month period in a yearly health control. SUBJECTS: Four hundred and fifty-six SCI patients. RESULTS: Two hundred and ninety-one out of 456 SCI patients (63.7%) suffered from pain, and in 45.7% of these it was classified as being neurogenic. Aching pain was the most used descriptor (38.5%). The onset of pain was commonly within three months (73.5%). In 70.4% of patients pain occurred below the level of the lesion. Most patients identified pain as coming from one (55.0%) or two (28.2%) body regions. Rating of the general pain intensity on a visual analogue scale (VAS) was 46 out of 100 and rating of the worst pain intensity was 78 out of 100. Ninety-four out of 276 patients (32.3%) considered that their quality of life was significantly affected by pain. CONCLUSION: Pain was most common in patients with incomplete lesions (ASIA impairment grade D) and there was a correlation between pain and higher mean age at injury and between pain and female gender.
PubMed ID
12971714 View in PubMed
Less detail

Prevalence of risk factors for cardiovascular disease stratified by body mass index categories in patients with wheelchair-dependent paraplegia after spinal cord injury.

https://arctichealth.org/en/permalink/ahliterature124764
Source
J Rehabil Med. 2012 May;44(5):440-3
Publication Type
Article
Date
May-2012
Author
Peter Flank
Kerstin Wahman
Richard Levi
Martin Fahlström
Author Affiliation
Department of Physical Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, Umeå, Sweden. peter.flank@home.se
Source
J Rehabil Med. 2012 May;44(5):440-3
Date
May-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Body mass index
Cardiovascular Diseases - epidemiology - pathology - prevention & control
Cross-Sectional Studies
Diabetes Mellitus - epidemiology - prevention & control
Dyslipidemias - epidemiology - pathology
Female
Humans
Hypertension - epidemiology - prevention & control
Male
Middle Aged
Obesity - epidemiology - prevention & control
Paraplegia - epidemiology - etiology - pathology
Prevalence
Risk assessment
Risk factors
Spinal Cord Injuries - complications - pathology
Statistics as Topic
Sweden - epidemiology
Wheelchairs
Wounds and Injuries - complications
Young Adult
Abstract
To assess risk factors for cardiovascular disease at different body mass index values in persons with wheelchair-dependent paraplegia after spinal cord injuries.
Cross-sectional study.
A total of 135 individuals, age range 18-79 years, with chronic (=?1 year) post-traumatic paraplegia.
Body mass index was stratified into 6 categorical groups. Cardiovascular disease risk factors for hypertension, diabetes mellitus and a serum lipid profile were analysed and reported by body mass index category.
More than 80% of the examined participants had at least one cardiovascular disease risk factor irrespective of body mass index level. Hypertension was highly prevalent, especially in men. Dyslipidaemia was common at all body mass index categories in both men and women.
Higher body mass index values tended to associate with more hypertension and diabetes mellitus, whereas dyslipidaemia was prevalent across all body mass index categories. Studies that intervene to reduce weight and or percentage body fat should be performed to determine the effect on reducing modifiable cardiovascular disease risk factors.
Notes
Erratum In: J Rehabil Med. 2012 Jul;44(8):708
PubMed ID
22549653 View in PubMed
Less detail

Self-reported health problems and prioritized goals in community-dwelling individuals with spinal cord injury in Sweden.

https://arctichealth.org/en/permalink/ahliterature296523
Source
J Rehabil Med. 2018 Nov 07; 50(10):872-878
Publication Type
Journal Article
Date
Nov-07-2018
Author
Anestis Divanoglou
Marika Augutis
Thórarinn Sveinsson
Claes Hultling
Richard Levi
Author Affiliation
Department of Physical Therapy, School of Health Sciences, University of Iceland, IS-101 Reykjavik, Iceland. anestis.divanoglou@gmail.com.
Source
J Rehabil Med. 2018 Nov 07; 50(10):872-878
Date
Nov-07-2018
Language
English
Publication Type
Journal Article
Keywords
Adult
Cross-Sectional Studies
Female
Goals
Humans
Independent Living - psychology
Male
Middle Aged
Self Report
Spinal Cord Injuries - complications
Surveys and Questionnaires
Sweden
Abstract
To explore self-reported health problems and functional goals in community-dwelling individuals with spinal cord injury in Sweden.
Cross-sectional descriptive study that used a survey designed by an experienced peer mentor with spinal cord injury.
Community-dwelling individuals with spinal cord injury from Sweden.
The survey was distributed online by the community peer-based organization RG Active Rehabilitation.
A total of 203 individuals (55% males, 90% acquired spinal cord injury) from all regions in Sweden completed the survey. Of these, 33% reported living with >?2 unbearable physical or psychological problems. While some problems (e.g. problems related to bladder and balance) were consistently ranked to be common across all years since injury and type of spinal cord injury, distribution of some other unbearable problems (e.g. type of pain, excessive weight) varied between subgroups. Years since injury, level of acquired spinal cord injury and sex, but not age-group or type of spinal cord injury, explained some of the variation in the goals.
The high proportion of reported "unbearable" problems point to the stronger need for systematic, comprehensive, life-long, multi-disciplinary follow-up for people with spinal cord injury. The high rate of goals related to improving strength and fitness across all participants independently of their characteristics highlight the important role of community organizations that offer such lifetime services.
PubMed ID
30225513 View in PubMed
Less detail

Societal services after traumatic spinal cord injury in Sweden.

https://arctichealth.org/en/permalink/ahliterature184942
Source
J Rehabil Med. 2003 May;35(3):121-6
Publication Type
Article
Date
May-2003
Author
Camilla Nordgren
Richard Levi
Gunnar Ljunggren
Ake Seiger
Author Affiliation
Neurotec Department, Karolinska Institutet, Stockholm, Sweden. camilla.nordgren@certec.lth.se
Source
J Rehabil Med. 2003 May;35(3):121-6
Date
May-2003
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Female
Humans
Male
Middle Aged
Patient satisfaction
Public Assistance - utilization
Social Security
Social Work
Spinal Cord Injuries - rehabilitation
Sweden
Abstract
Societal services after traumatic spinal cord injury in Sweden were investigated, including self-rated levels of satisfaction with the application process and resource allocation.
Survey of an incidence population.
Thirty-four persons of a total regional incidence population (n = 48) with traumatic spinal cord injury.
Structured interviews using a standardized questionnaire.
About 25 separate services were identified being available for persons with traumatic spinal cord injury. The average number of applications per person was 5 (range 0-11). The most common service was "transportation service". Of the applications, 17% were partially or totally rejected. Most subjects received information about available services from a social worker. For 13 available services at least 1 subject claimed ignorance about its existence.
In Sweden, significant resources are allocated for allowing independence and financial compensation for individuals with traumatic spinal cord injury. However, this support system sometimes also results in frustration and disappointment. Insufficient information and co-ordination are reported as weaknesses. The persons' efforts to acquire knowledge of how the system works take time which could be better used for rehabilitation and full integration into the community.
PubMed ID
12809194 View in PubMed
Less detail