How many spinal cord injury patients can catheterize their own bladder? The epidemiology of upper extremity function as it affects bladder management

Spinal Cord
D V ZlatevC S Elliott

Abstract

Retrospective analysis. In patients with spinal cord injury, limitations in upper extremity (UE) motor function are cited as a reason for the lack of adherence to clean intermittent catheterization (CIC). By examining the UE function in spinal cord injury (SCI) patients, we aim to provide insight into why CIC 'dropout' occurs and determine a more appropriate target percentage for CIC in this patient population. United States centers participating in National Spinal Cord Injury Database (NSCID). We assessed discharge data from the 2006 to 2012 NSCID. Neurologic motor scores for C5 to C8 (involved in UE movement) were transformed into a binary variable consisting of the ability ('strong') or the inability ('weak') to achieve active motion against resistance. We generated an algorithm based on expert opinion and published literature to categorize a person's ability to perform CIC by the UE function alone. Of the 4481 patients evaluated, 77.3% were unable to volitionally void. Of this subset, 58.8% were categorized as able to catheterize, 12.9% as possibly able, 4.3% as only able with surgical assistance and 23.3% as unable. Among patients discharged with an indwelling catheter, 33.4% had adequate UE function for CIC. Among patient...Continue Reading

References

Feb 25, 2000·The Journal of Urology·K J Weld, R R Dmochowski
Jun 28, 2003·The Journal of Spinal Cord Medicine·Uri S Adler, Steven C Kirshblum
Aug 27, 2004·BJU International·Kilian WalshAnthony R Stone
May 19, 2010·The Journal of Urology·Anne P CameronJ Quentin Clemens
Jul 3, 2013·The Journal of Spinal Cord Medicine
Sep 23, 2014·The Journal of Spinal Cord Medicine·Hanne GregersenFin Biering-Sørensen

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Citations

Aug 15, 2018·Neurourology and Urodynamics·Andrew J SunChristopher S Elliott
Jan 13, 2018·The Journal of Spinal Cord Medicine·Sahibzada Nasir Mansoor, Farooq Azam Rathore
Oct 23, 2018·The Journal of Spinal Cord Medicine·Anas Jehad AlSalehAhmed Mushabbab AlHabter
Mar 27, 2019·Neurourology and Urodynamics·Iryna M CrescenzeUNKNOWN Neurogenic Bladder Research Group
Apr 4, 2018·International Neurourology Journal·Claire HentzenUNKNOWN GRAPPPA (Clinical research Group of perineal dysfunctions in older adults)
Jul 29, 2020·Spinal Cord Series and Cases·Erikael S NadeMarieke C J Dekker
Jan 16, 2021·Cells·Ganchimeg DavaaJung Keun Hyun
Aug 31, 2021·Topics in Spinal Cord Injury Rehabilitation·Kyla Nichole VelaerChristopher Elliott
Nov 19, 2021·The Journal of Spinal Cord Medicine·Christopher S ElliottKazuko Shem
Dec 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Eren O KurisAlan H Daniels

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