Article

OBJECTIVES: To (1) assess the factors associated with methods of bowel management
and bowel-related complications; and (2) determine the risk factors associated
with bowel complications and overall bowel dysfunction, using multivariate
modeling. DESIGN: Cross-sectional observational study. SETTING: A Spinal Cord
Injury Model System, with additional participants recruited from other sites.
PARTICIPANTS: Subjects (N=291) who incurred traumatic spinal cord injury (SCI)
with resultant neurogenic bowel who were >/=5 years postinjury at the time of
interview. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Constipation,
bowel incontinence, and neurogenic bowel dysfunction questionnaire scores. These
measures were all derived from the Bowel and Bladder Treatment Index. Data
analyses included descriptive and bivariate statistics as well as logistic and
linear regression modeling. RESULTS: Risk factors contributing to bowel
incontinence included overall bowel dysfunction as measured by the neurogenic
bowel dysfunction score, timing of bowel program, being married or having a
significant other, urinary incontinence, constipation, and use of diuretics.
Constipation was best predicted by age, race/ethnicity, using laxatives/oral
medications, incomplete tetraplegia, frequency of bowel movements, abdominal
pain, access to clinicians and caregivers, and history of bowel surgeries.
Neurogenic bowel dysfunction scores were predicted by neurologic classification;
use of laxatives, oral medications, or both; bowel incontinence; and frequency of
fiber intake. CONCLUSIONS: These results suggest a number of factors that should
be considered when treating neurogenic bowel complications and dysfunction in
persons with SCI.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS