Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: To study the epidemiology of traumatic spinal cord injuries in Iceland, that have caused wheelchair-bound disability. To evaluate the frequency of medical complications in this group of patien...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2009
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Online Access: | http://hdl.handle.net/2336/49004 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/49004 2023-05-15T16:48:03+02:00 Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi Epidemiology and medical complications in patients with traumatic spinal cord injuries in Iceland Óskar Ragnarsson Guðmundur Geirsson 2009-02-12 http://hdl.handle.net/2336/49004 is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 1998, 84(7-8):541-51 0023-7213 http://hdl.handle.net/2336/49004 Læknablaðið Mænuskaði Spinal Cord Injuries Urinary Tract Epidemiology Article 2009 ftlandspitaliuni 2022-05-29T08:21:16Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: To study the epidemiology of traumatic spinal cord injuries in Iceland, that have caused wheelchair-bound disability. To evaluate the frequency of medical complications in this group of patients both during the acute- and rehabilitation-stage as well as after discharge. To study the present condition and problems related to the urinary tract 1-23 years after the injury. Material and methods: Medical records of all wheelchair-bound traumatic spinal cord injured individuals in Iceland in 1973-1996 were reviewed and the frequency of various medical complications recorded. Long-term complications were assessed by personal interviews. Urodynamic investigations were performed and the present kidney morphology and function studied by various radiological methods. Results: The annual incidence of studied spinal cord injuries was 8:1,000,000. During the acute- and rehabilitation-stage the following complications were encountered; 14 patients (29%) got pressure sores, eight (17%) deep vein thrombosis, six (12%) pneumonia and five (10%) pulmonary embolism. In the follow-up after discharge and mean follow-up time of 14 years, 19 (54%) have had pressure sores, 16 (46%) have had one to four urinary tract infections each year, nine (26%) more than four. Nineteen patients (56%) complained of urinary incontinance and 18 (52%) had a history of urinary tract stones. One patient had lost a kidney due to reflux. Pathological findings were found in one third of patients who came for upper urinary tract image studies. Maximal detrusor pressure over 60 cmHbO was recorded in 12 (44%) patients and bladder capacity under 200 ml in seven (26%). Of those with injury above Th-6, 14 (58%) had experienced symptoms of autonomous dysreflexia, most commonly due to urinary tract infection or distended urinary bladder. Complications were more common among those who use reflex-voiding rather than intermittent catheterisation. One-third of ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Mænuskaði Spinal Cord Injuries Urinary Tract Epidemiology |
spellingShingle |
Mænuskaði Spinal Cord Injuries Urinary Tract Epidemiology Óskar Ragnarsson Guðmundur Geirsson Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi |
topic_facet |
Mænuskaði Spinal Cord Injuries Urinary Tract Epidemiology |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: To study the epidemiology of traumatic spinal cord injuries in Iceland, that have caused wheelchair-bound disability. To evaluate the frequency of medical complications in this group of patients both during the acute- and rehabilitation-stage as well as after discharge. To study the present condition and problems related to the urinary tract 1-23 years after the injury. Material and methods: Medical records of all wheelchair-bound traumatic spinal cord injured individuals in Iceland in 1973-1996 were reviewed and the frequency of various medical complications recorded. Long-term complications were assessed by personal interviews. Urodynamic investigations were performed and the present kidney morphology and function studied by various radiological methods. Results: The annual incidence of studied spinal cord injuries was 8:1,000,000. During the acute- and rehabilitation-stage the following complications were encountered; 14 patients (29%) got pressure sores, eight (17%) deep vein thrombosis, six (12%) pneumonia and five (10%) pulmonary embolism. In the follow-up after discharge and mean follow-up time of 14 years, 19 (54%) have had pressure sores, 16 (46%) have had one to four urinary tract infections each year, nine (26%) more than four. Nineteen patients (56%) complained of urinary incontinance and 18 (52%) had a history of urinary tract stones. One patient had lost a kidney due to reflux. Pathological findings were found in one third of patients who came for upper urinary tract image studies. Maximal detrusor pressure over 60 cmHbO was recorded in 12 (44%) patients and bladder capacity under 200 ml in seven (26%). Of those with injury above Th-6, 14 (58%) had experienced symptoms of autonomous dysreflexia, most commonly due to urinary tract infection or distended urinary bladder. Complications were more common among those who use reflex-voiding rather than intermittent catheterisation. One-third of ... |
format |
Article in Journal/Newspaper |
author |
Óskar Ragnarsson Guðmundur Geirsson |
author_facet |
Óskar Ragnarsson Guðmundur Geirsson |
author_sort |
Óskar Ragnarsson |
title |
Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi |
title_short |
Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi |
title_full |
Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi |
title_fullStr |
Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi |
title_full_unstemmed |
Faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á Íslandi |
title_sort |
faraldsfræði og fylgikvillar hjá hjólastólabundnum mænusköðuðum einstaklingum á íslandi |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2009 |
url |
http://hdl.handle.net/2336/49004 |
long_lat |
ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Smella |
geographic_facet |
Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 1998, 84(7-8):541-51 0023-7213 http://hdl.handle.net/2336/49004 Læknablaðið |
_version_ |
1766038147356950528 |