Bahena SY, Bernal MJN

Language: Spanish
References: 16
Page: 3-7
PDF size: 75.67 Kb.

ABSTRACT

Introduction. The quality of life of paraplegic patients is complex, given the interaction that takes place among various factors that include severity of the injury, the degree of independence, the available resources, the acceptance of the injury, and the health-promotion activities. A patient with a history of spinal cord injury is at risk of developing secondary conditions that impair quality of life. Objective. Determine the quality of life of patients seen at HTOLV with a diagnosis of traumatic paraplegia. Material and methods. Twenty-three paraplegic patients were assessed using the Functional Independence Measure (FIM) scale and the EuroQoL. Results. Mean age was 42.2 years; males were predominant and represented 78%. According to the FIM, mean independence was 88% (65 to 97%). The EuroQoL score was 0.4879 in a scale where 0 represents the worst status and 1 the best. The most frequent complications were: urinary tract infections, depression, pain, and pressure sores. Fifty-seven percent of patients remained married after the injury; 39% of patients were and have remained single, and 82.61% of patients receive a pension. Conclusions. The quality of life of paraplegic patients is below the mean quality of life of individuals without any disabilities.

REFERENCES

1. Cruz GO, López FG: Tratamiento quirúrgico de las luxofracturas de la columna cervical inferior. Rev Mex Neuroci 2004; 5(2): 104-11.

2. Dufoo OM, Carranco TGA, García LO, López PJJ: Empleo del colchón de agua como medio preventivo para la formación de úlceras de presión en lesionados raquimedulares. Rev Mex Ortop Traum 1998; 12(6): 502-5.

3. Rothman S, Apple DF: Columna vertebral. Rehabilitación de las lesiones de la médula espinal. Cuarta edición, México, Mc Graw-Hill, 2000: Vol. I-1177-97.

4. Hurtado PA: Incidencia y etiología de las lesiones vertebrales traumáticas en el Servicio de Cirugía de Columna del Hospital de Traumatología y Ortopedia Lomas Verdes. Tesis de postgrado, 2003: 09.

5. Zemper ED, Tate DG, Roller S, Forchheimer M: Assessment of a Holistic Wellness program for persons with spinal cord injury. Am J Phys Med Rehab 2003; 82: 957-68.

6. Yap EC, Tow A, Menon EB, Chan KF, Kong KH: Pain during in-patient rehabilitation after traumatic spinal cord injury. International Journal of Rehabilitation Research 2003; 26(2): 137-40.

7. Rudy TE, Lieber SJ: Psychosocial predictors of physical performance in disabled individuals with chronic pain. Clinical Journal of Pain 2003; 19(1): 18-30.

8. Mess SA, Kim S, Davison S, Heckler F: Implantable baclofen pump as an adjuvant in treatment of pressure sores. Annals of Plastic Surgery 2003; 51(5): 465-7.

9. Hicken BL, Putzke JD: Bladder management and quality of life after spinal cord injury. J Phys Med Rehabil 2001; 80(12): 916-22.

10. Aguilar BC: Integración de la terapia ocupacional en la fase aguda del lesionado medular. Colegio Nacional de Educación Profesional Técnica, Tesis profesional, 1994.

11. Durán AL, Gallegos CK: Hacia una base normativa mexicana en la medición de calidad de vida relacionada con la salud, mediante el Formato Corto 36. Salud Pública Méx 2004; 46: 306-15.

12. Bowling A: Measuring disease, a review of disease- specific quality of life measurement scales segunda edición, 2001: 6-13.

13. Cárdenas PLA: Tratamiento de las lesiones vertebrales traumáticas con compromiso neurológico en la zona de transición toracoabdominal con barras de Luque, sistema transpedicular, comparación funcional de la cifosis residual. Tesis de postgrado. 2005.

14. Uy-de Grott CA, Buijt I: Health related quality of life in patients with multiple myeloma undergoing a double transplantation. European Journal of Hematology 2005; 74(2): 136-43.

15. Frymoyer J, Cristopher S: The adult spine: principles and practice Segunda edición. EU, 1997: 931-45.

16. http://www.EuroQol.com