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Titolo:
Vital capacity in tetraplegics twenty years and beyond
Autore:
Tow, AMPE; Graves, DE; Carter, RE;
Indirizzi:
Ang Mo Kio Community Hosp, Dept Rehabil Med, Tan Tock Seng Hosp, Singapore560766, Singapore Ang Mo Kio Community Hosp Singapore Singapore 560766 re560766, Singapore Baylor Coll Med, Inst Rehabil & Res, Dept Phys Med & Rehabil, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 Med & Rehabil, Houston, TX 77030 USA
Titolo Testata:
SPINAL CORD
fascicolo: 3, volume: 39, anno: 2001,
pagine: 139 - 144
SICI:
1362-4393(200103)39:3<139:VCITTY>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPINAL-CORD INJURY; RIB CAGE MOTION; PULMONARY-FUNCTION; RESPIRATORY MECHANICS; QUADRIPLEGIA; REHABILITATION; SMOKING; LEVEL; LUNG;
Keywords:
vital capacity; tetraplegia; spinal cord injury; respiratory; aging;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Tow, AMPE Ang Mo Kio Community Hosp, Dept Rehabil Med, Tan Tock Seng Hosp,17 Ang MoKio Ave 9, Singapore 560766, Singapore Ang Mo Kio Community Hosp 17 Ang Mo Kio Ave 9 Singapore Singapore 560766
Citazione:
A.M.P.E. Tow et al., "Vital capacity in tetraplegics twenty years and beyond", SPINAL CORD, 39(3), 2001, pp. 139-144

Abstract

Objectives: To observe the trends in vital capacity (VC) over time in tetraplegics 20 years and more after injury, the effects of age at injury, severity of injury and gender on this trend. Methods: The medical records of all spinal cord injured persons admitted to a regional spinal injury center from January 1960 to December 1996 were reviewed. Fifty-seven patients had documented post-rehabilitation VC (mean 1.3 +/- 1.1 years) and VC at 10 (mean 11.8 +/- 2.69) and 20 (20.60 +/- 2.67)years post injury and beyond. Results: The mean age at injury was 23.2 +/- 9.1 years. Severity of injurywhen classified according the system proposed by Coil et al were: Group 1. C1-4 Frankel A injury: 11.6%, Group 2: C5-8 Frankel A injury: 55.6%, Group3: C2-8 Frankel B and C: 29.8% and Group 4: C2-8 Frankel D: 3.5% respectively. The mean VC at initial, 10 and 20 years post injury was 2586 +/- 948, 2803 +/- 940 and 2525 +/- 818 cc respectively. Multivariate analysis of variance revealed that there was significant difference in VC over a 20 year period, (F(2,54) = 8.43, P < 0.05). The difference between VC at 10 years and VC at 20 years accounted for the 19.8% of the variance in VC over time (F(1,55) = 12.35, P < 0.05). Age at injury, gender and severity of injury didnot have a significant influence on the rate of decline in VC. Analysis ofa subset of 26 patients who were followed up more than 20 years post injury (range 22 to 34.5 years) revealed similar, with a greater drop in the VC from 10 years post injury (F(1,23) = 6.52, P < 0.05). In this subset of patients, the mean VC at initial injury was 2840.9 +/- 847.3 cc, at 10 years was 2549.6 +/- 750.3 cc, at 20 years was 2400.9 +/- 724.1 cc and beyond 20 years was 2194.2 +/- 738.7 cc. There was no significant difference in mean VC between non smokers and ex/current smokers at initial, 10 and 20 years post injury, using the independent t-test (P > 0.05). Conclusion: Vital capacity in tetraplegics declines significantly over theyears, with a greater decline occurring at more than 20 years post injury.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 11:46:45