Mohammad Sohrab Hossain1,2, Md Shofiqul Islam1, Md Akhlasur Rahman1, Joanne V Glinsky2, Robert D Herbert3, Stanley Ducharme4, Lisa A Harvey5. 1. Centre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh. 2. John Walsh Centre for Rehabilitation Research, Sydney Medical School/Northern, University of Sydney, Sydney, Australia. 3. Neuroscience Research Australia (NeuRA), 139 Barker St, Randwick, NSW, 2031, Australia. 4. Boston Medical Center and Boston University School of Medicine, 725 Albany street, Boston, MA, 02118, USA. 5. John Walsh Centre for Rehabilitation Research, Sydney Medical School/Northern, University of Sydney, Sydney, Australia. l.harvey@usyd.edu.au.
Abstract
STUDY DESIGN: Cross-sectional analysis of a mixed retrospective and prospective inception cohort study. OBJECTIVES: To determine health status, quality of life and socioeconomic situation of people with spinal cord injuries (SCI) 6 years after discharge from a hospital in Bangladesh. SETTING: Bangladesh. METHODS: All patients alive 6 years after discharge from a hospital in Bangladesh were interviewed using the SF12 health survey, the SCI Secondary Conditions Scale, the Centre for Epidemiologic Studies Depression Scale (CESD), and the participation in society items of World Health Organisation Disability Assessment Schedule (WHODAS 2.0). Additional questions determined participants' socioeconomic and employment status. RESULTS: The cohort comprised 260 participants: 145 used wheelchairs for mobility and 115 were able to walk at discharge. The median (IQR) Mental and Physical Component scores for the SF12 were 54 (49-57) and 44 (40-51) points, respectively. The median scores for the SCI Secondary Conditions Scale, CESD and WHODAS 2.0 were 8 (4-13), 7 (4-13) and 12 (6-17) points, respectively. Fourteen percent of all participants and 23% of those who used wheelchairs had a pressure ulcer at the time of interview. Forty-four percent of participants were unemployed and 65% were living below the poverty line (median (IQR) income, USD 0 (0-91)) per month. CONCLUSION: Many people with SCI in Bangladesh are unemployed and living in poverty with a reduced quality of life and participation. Pressure ulcers are a common complication.
STUDY DESIGN: Cross-sectional analysis of a mixed retrospective and prospective inception cohort study. OBJECTIVES: To determine health status, quality of life and socioeconomic situation of people with spinal cord injuries (SCI) 6 years after discharge from a hospital in Bangladesh. SETTING: Bangladesh. METHODS: All patients alive 6 years after discharge from a hospital in Bangladesh were interviewed using the SF12 health survey, the SCI Secondary Conditions Scale, the Centre for Epidemiologic Studies Depression Scale (CESD), and the participation in society items of World Health Organisation Disability Assessment Schedule (WHODAS 2.0). Additional questions determined participants' socioeconomic and employment status. RESULTS: The cohort comprised 260 participants: 145 used wheelchairs for mobility and 115 were able to walk at discharge. The median (IQR) Mental and Physical Component scores for the SF12 were 54 (49-57) and 44 (40-51) points, respectively. The median scores for the SCI Secondary Conditions Scale, CESD and WHODAS 2.0 were 8 (4-13), 7 (4-13) and 12 (6-17) points, respectively. Fourteen percent of all participants and 23% of those who used wheelchairs had a pressure ulcer at the time of interview. Forty-four percent of participants were unemployed and 65% were living below the poverty line (median (IQR) income, USD 0 (0-91)) per month. CONCLUSION: Many people with SCI in Bangladesh are unemployed and living in poverty with a reduced quality of life and participation. Pressure ulcers are a common complication.
Authors: Karon F Cook; Michael A Kallen; Charles Bombardier; Alyssa M Bamer; Seung W Choi; Jiseon Kim; Rana Salem; Dagmar Amtmann Journal: Qual Life Res Date: 2016-07-14 Impact factor: 4.147
Authors: David Strauss; Michael DeVivo; Robert Shavelle; Jordan Brooks; David Paculdo Journal: Arch Phys Med Rehabil Date: 2008-03 Impact factor: 3.966
Authors: Hueiming Liu; Mohammad Sohrab Hossain; Md Shofiqul Islam; Md Akhlasur Rahman; Punam D Costa; Robert D Herbert; Stephen Jan; Ian D Cameron; Stephen Muldoon; Harvinder S Chhabra; Richard I Lindley; Fin Biering-Sorensen; Stanley Ducharme; Valerie Taylor; Lisa A Harvey Journal: Spinal Cord Date: 2020-06-15 Impact factor: 2.772