Longevity After Injury Project
On Wednesday, July23rd , Dr. James Krause, Director of SCI Outcomes Research Group, Medical University of South Carolina, presented on “Secondary Health Conditions and SCI: What Have We Learned Over the Past Five Years". Please check our Grand Rounds webpage to view the video and Powerpoint slides.
Our Health Outcome Research for Underserved People with SCI Project has created a factsheet with information pertaining to African Americans with SCI. The factsheet illustrates the relationship between preventative behaviors and secondary health conditions. It also mentions risk behaviors and chronic diseases common among African Americans with SCI. Please visit the Health Outcome Research for Underserved People with SCI webpage underneath "Funded Projects" on the left side of this page.
Drs. Cao and Saunders attended the 2014 American Spinal Injury Association annual meeting in San Antonio, TX. Dr. Cao presented information on ‘Environmental Barriers and Subjective Health among People with Chronic SCI’ as well as ‘Emergency Room Visits and Related Hospitalizations among Those with Chronic SCI.’ Dr. Saunders presented on ‘Chronic Disease Prevalence among Persons with Traumatic SCI.’ Additionally, a poster was presented on ‘Stability of Vocational Interests Across Three Times of Measurement after Recent SCI.’ All presentations and the poster were well received. Abstracts will be published in Topics in SCI Rehabilitation www.scijournal.com.
Our research team was invited to present at the annual conference of National Association of Rehabilitation Research and Training Centers (NARRTC) in Alexandria, VA on April 24-25, 2014. Dr. James Krause delivered a presentation entitled “Chronic disease prevalence in a cohort of persons with spinal cord injury”. This study assessed lifetime self-reported prevalence of seven chronic health conditions among a cohort of adults with chronic SCI, and examined the relationship of those conditions with injury severity and years post-injury. Dr. Krause also presented “Stability of Vocational Interests after Recent Spinal Cord Injury”, which investigated stability of vocational interests among persons with SCI across three times of measurement among people with traumatic SCI, and found their vocational interests were likely to change more than indicated in earlier studies.
Dr. John (Jack) McArdle was at MUSC to consult with the research team on March 20-21 regarding statistical analyses for multiple studies. Dr. McArdle is a Senior Professor in the Department of Psychology at the University of Southern California. He specializes in the development of methods for analyzing longitudinal data, including factor analysis, growth curve analysis, and dynamic modeling, as well as methods to handle non-random attrition and incomplete data. He has served as a consultant with the research team since 2005.
Due to Disability Awareness Day on July 16, Longevity After Injury Project has provided relevant research bytes:
Of participants (72% male, M age = 49.6 years, M = 16.1 years since SCI), 49.2% had never smoked, 28.2% were former smokers, and 22.6% were current smokers. Of current smokers, 39.2% attempted quitting in the past year and 77.2% had ever tried to quit. Only 29.9% of those who ever tried to quit sought professional help. Ambulatory persons, regardless of injury level, were 2.32 times more likely to be current smokers than nonambulatory persons with a high-level cervical injury. Lower socioeconomic status, binge drinking, and misuse of pain medication all predicted current smoking. (Saunders, Krause, Carpenter, & Saladin; 2013)
Examining assistive devices used for ambulation, 66% of the population used at least one device. In the logistic model, wheelchair and cane usage were significantly related to the outcomes after controlling for age, gender, and race. Wheelchair usage 50% of the time or less was significantly related to pain intensity (odds ratio (OR) 2.05, 95% confidence interval (CI) = 1.39–3.03), pain interference (OR 2.11, 95% CI = 1.43–3.12), and fatigue (OR 1.99, 95% CI = 1.12–1.43). Additionally, unilateral cane use was significantly related to the outcomes; pain intensity (OR 1.86, 95% CI = 1.35–2.56), pain interference (OR 2.11, 95% CI = 1.52–2.93), and fatigue (OR 2.49, 95% CI = 1.52–4.08). (Saunders, Krause, DiPiro, Kraft, & Brotherton 2013)
The information posted on the MUSC: Longevity after Injury Project website is intended for educational purposes and should not be construed as medical advice. --Further Details--