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Related Experiment Videos

Neurogenic bowel dysfunction score.

K Krogh1, P Christensen, S Sabroe

  • 1Surgical Research Unit, Department of Surgery L, Section THG, University Hospital of Aarhus, Aarhus, Denmark.

Spinal Cord
|December 14, 2005
PubMed
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A new score for neurogenic bowel dysfunction (NBD) was developed and validated in spinal cord injured (SCI) patients. This NBD score accurately reflects the impact of bowel issues on quality of life.

Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Clinical Assessment Tools

Background:

  • Neurogenic bowel dysfunction (NBD) significantly impacts the quality of life (QOL) for individuals with spinal cord injuries (SCI).
  • Existing assessment methods for NBD may not fully capture the symptom burden or its effect on daily living.
  • Development of a validated, symptom-based scoring system is crucial for objective NBD evaluation in SCI populations.

Purpose of the Study:

  • To develop and validate a novel symptom-based scoring system, the Neurogenic Bowel Dysfunction (NBD) score.
  • To assess the reproducibility and validity of the NBD score in a cohort of Danish SCI patients.
  • To establish the correlation between the NBD score and the perceived impact on quality of life.

Main Methods:

Related Experiment Videos

  • A cross-sectional questionnaire study involving 589 Danish spinal cord injured (SCI) patients.
  • Questionnaire items covered background parameters, fecal incontinence, constipation, obstructed defecation, and QOL impact.
  • Reproducibility and validity were tested, and logistic regression analyzed associations between symptoms and QOL impact to construct the NBD score.

    • Main Results:

    • A total of 424 SCI patients responded, with 10 items forming the final NBD score, including bowel movement frequency, incontinence, and related symptoms.
    • The NBD score demonstrated statistical significance in differentiating between patients reporting no, little, some, or major impact on QOL (P<0.001).
    • The developed NBD score showed acceptable reproducibility and validity, with items significantly associated with QOL impact.

    Conclusions:

    • A valid and reproducible symptom-based NBD score has been successfully constructed for use in spinal cord injured patients.
    • The NBD score is significantly correlated with the impact of neurogenic bowel dysfunction on patients' quality of life.
    • This validated NBD score can aid in the clinical assessment and management of bowel dysfunction in SCI populations.