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Behavioral Factors and Unintentional Injuries After Spinal Cord Injury.

Yue Cao1, Nicole DiPiro1, Chao Li1

  • 1College of Health Professions, Medical University of South Carolina, Charleston, South Carolina.

Archives of Physical Medicine and Rehabilitation
|October 14, 2019
PubMed
Summary
This summary is machine-generated.

Unintentional injuries are common in individuals with spinal cord injury (SCI). Risk behaviors like medication misuse and binge drinking significantly increase injury odds, highlighting the need for interventions.

Keywords:
BehaviorRehabilitationSpinal cord injuriesWounds and injuries

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Area of Science:

  • Neurology
  • Public Health
  • Rehabilitation Medicine

Background:

  • Unintentional injuries pose a significant risk to individuals with spinal cord injury (SCI).
  • Understanding the relationship between behavioral factors and injury risk is crucial for developing targeted prevention strategies.
  • Previous research has not fully elucidated the specific behavioral correlates of unintentional injuries in this population.

Purpose of the Study:

  • To investigate the associations between various behavioral factors and the occurrence of unintentional injuries among adults with traumatic spinal cord injury (SCI).
  • To identify specific risk behaviors that contribute to unintentional injuries in the SCI population.

Main Methods:

  • A cross-sectional study was conducted with 4670 participants with traumatic SCI (duration ≥ 1 year, age ≥ 18, residual impairment).
  • Data were collected via self-report assessments covering behavioral variables, SCI characteristics, and demographics.
  • The primary outcome measure was the incidence of unintentional injuries within the past 12 months.

Main Results:

  • Twenty-three percent of participants reported at least one medically attended unintentional injury in the past year.
  • Prescription medication use (for pain, depression), nonmedical medication use, off-label prescription drug use, and binge drinking were significantly associated with increased odds of unintentional injury.
  • Ambulation was linked to higher odds of fall-related injuries but lower odds of non-fall-related injuries. Participants from population-based systems had a higher risk of falls than those from specialty hospitals.

Conclusions:

  • Unintentional injuries are prevalent in individuals with spinal cord injury (SCI).
  • Multiple risk behaviors, including substance misuse and specific medication use patterns, are independently associated with a higher likelihood of unintentional injuries.
  • Future intervention studies should focus on addressing these modifiable behavioral risk factors to reduce injury incidence in the SCI population.