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The burden of cardiovascular risk in individuals with spinal cord injury (SCI) and its association with rehabilitation outcomes – Results from the Swiss SCI Cohort
DOI: 10.5281/zenodo.8099354
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Title:
The burden of cardiovascular risk in individuals with spinal cord injury (SCI) and its association with rehabilitation outcomes – Results from the Swiss SCI Cohort
Author:
Raguindin, Peter Francis
;
Mueller, Gabi
;
Stoyanov, Jivko
;
Eriks-Hoogland, Inge
;
Jordan, Xavier
;
Stojic, Stevan
;
Hund-Georgiadis, Margret
;
Muka, Taulant
;
Stucki, Gerold
;
Glisic, Marija
Subjects:
cardiovascular disease
;
cardiovascular risk
;
functioning
;
lung volumes
;
obesity
;
Paraplegia
;
spirometry
;
Tetraplegia
Description:
Objectives: To determine the cardiovascular risk burden rehabilitation discharge, and explore the association between recovery during rehabilitation and CVD-risk profile. Methods: We included adults without CVD history admitted for rehabilitation. We evaluated rehabilitation outcomes on admission and discharge. CVD-risk was assessed by Framingham risk score (FRS), high-density lipoprotein (HDL), and fasting glucose level. Results: We analyzed data from 706 participants (69.55% men) with median age of 53.5 years. The median time-since-injury was 14 days and the admission length was 5.2 months. Majority had paraplegia (53.26%), and motor incomplete injury (53.68%). One-third of the cohort had high cardiovascular risk profile pre-discharge. At discharge, poorer anthropometric measures were associated with higher FRS and lower HDL levels. Individuals with higher forced vital capacity (>2.72 L) and peak expiratory flow (>3.4 L/min) had 0.16 mmol/L and 0.14 mmol/L higher HDL compared to those with lower respiratory function, respectively. Individuals with higher mobility score (>12.5) and functional independence score (>74) had 0.21 mmol/L and 0.18 mmol/L higher HDL compared to those with lower scores. Conclusion: There is high cardiometabolic syndrome burden and CVD-risk upon rehabilitation discharge. Higher respiratory function, mobility, and overall independence were associated with better CVD profile, although with study design limitations and short follow-up. Future studies should explore whether rehabilitation outcomes could be used to prioritize screening.
Publisher:
Zenodo
Creation Date:
2023-05
Language:
German
Identifier:
DOI: 10.5281/zenodo.8099354
Source:
LORY (Lucerne Open Repository)
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