Quality of Life and Activities of Daily Living among Patients with Complete Cervical Spinal Cord Injury and Surgical Treatment in Vietnam
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting and Sampling Method
2.2. Measurement and Instruments
2.2.1. Demographic Characteristics
2.2.2. Injury-Related Characteristics
2.2.3. Health-Related Quality of Life (HRQoL)
2.2.4. Activities of Daily Living
2.3. Statistical Analysis
2.4. Ethical Approval
3. Results
3.1. Patients’ Characteristics
3.2. Health-Related Quality of Life, ADL, and IADL
3.3. Factors Associated with HRQOL, ADL, and IADL
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Number (N) | Proportion (%) |
---|---|---|
Age | Mean = 47.7 ± 14.6 | |
<30 | 11 | 12.5 |
30–44 | 25 | 28.4 |
45–59 | 31 | 35.2 |
60+ | 21 | 23.9 |
Gender | ||
Male | 77 | 87.5 |
Female | 11 | 12.5 |
Occupation/job | ||
White Collar | 12 | 13.6 |
Blue Collar | 9 | 10.2 |
Freelancer | 10 | 11.4 |
Student | 2 | 2.3 |
Retirement | 12 | 13.6 |
Unemployment | 43 | 48.9 |
Educational level | ||
Primary school or less | 16 | 18.2 |
Secondary school | 26 | 29.6 |
High school | 28 | 31.8 |
College or Higher education | 18 | 20.7 |
Marital status | ||
Single/widows/widowers | 9 | 10.2 |
Married | 79 | 89.8 |
Living area | ||
Urban | 15 | 17.1 |
Rural | 73 | 82.9 |
Health Insurance Coverage | ||
Insured | 70 | 79.6 |
Uninsured | 18 | 20.4 |
Cause of injuries | ||
Traffic | 45 | 51.1 |
Occupational | 17 | 19.3 |
Home and leisure | 26 | 29.6 |
Type of fracture | ||
Burst | 27 | 30.7 |
Compression | 28 | 31.8 |
Both burst and compression | 13 | 14.8 |
Neither burst nor compression | 20 | 22.7 |
ASIA | ||
A | 20 | 22.7 |
B | 21 | 23.9 |
C | 22 | 25.0 |
D | 25 | 28.4 |
Length of stay (days) | Mean = 12.91 ± 5.86 | |
Time from surgery to interview (months) | Mean = 18.5 ± 5.2 |
Characteristics | HRQoL | ADL | IADL |
---|---|---|---|
Age | |||
<30 | 0.65 ± 0.46 | 4.91 ± 2.07 | 6.45 ± 2.77 |
30–44 | 0.46 ± 0.42 | 3.64 ± 2.38 | 5.56 ± 2.74 |
45–59 | 0.50 ± 0.50 | 4.32 ± 2.45 | 5.90 ± 3.98 |
60+ | 0.46 ± 0.49 | 3.62 ± 2.52 | 5.00 ± 3.30 |
Gender | |||
Male | 0.50 ± 0.46 | 4.01 ± 2.40 | 5.56 ± 2.96 |
Female | 0.52 ± 0.51 | 4.18 ± 2.60 | 6.36 ± 2.94 |
Health Insurance Coverage | |||
Insured | 0.47 ± 0.47 | 3.96 ± 2.44 | 5.69 ± 2.94 |
Uninsured | 0.59 ± 0.44 | 4.33 ± 2.33 | 5.56 ± 3.09 |
Occupation before the accident | |||
White Collar | 0.74 ± 0.26 | 5.43 ± 5.55 | 7.19 ± 2.07 |
Blue Collar | 0.44 ± 0.51 | 3.50 ± 2.61 | 5.28 ± 3.13 |
Freelancer | 0.48 ± 0.42 | 4.15 ± 2.22 | 5.50 ± 2.76 |
Student | 0.97 ± 0.05 * | 6.00 ± 0.00 * | 8.00 ± 0.00 |
Retirement | 0.22 ± 0.60 | 2.75 ± 2.49 | 4.25 ± 3.62 |
Occupation after the accident | |||
White Collar | 0.84 ± 0.15 | 5.67 ± 1.15 | 7.58 ± 1.44 |
Blue Collar | 0.84 ± 0.26 | 5.56 ± 1.33 | 7.44 ± 1.67 |
Freelancer | 0.71 ± 0.39 | 5.50 ± 1.68 | 7.20 ± 1.62 |
Student | 0.97 ± 0.05 *** | 6.00 ± 0.00 *** | 8.00 ± 0.00 *** |
Retirement | 0.36 ± 0.54 | 3.83 ± 2.55 | 5.42 ± 3.37 |
Unemployment | 0.30 ± 0.44 *** | 2.88 ± 2.40 *** | 4.35 ± 3.02 *** |
Educational level | |||
Primary school or less | 0.39 ± 0.51 | 3.19 ± 2.64 | 5.06 ± 3.19 |
Secondary school | 0.53 ± 0.43 | 4.15 ± 2.31 | 5.69 ± 2.99 |
High school | 0.46 ± 0.47 | 4.18 ± 2.40 | 5.68 ± 2.97 |
College or Higher education | 0.61 ± 0.48 | 4.39 ± 2.38 | 6.11 ± 2.83 |
Marital status | |||
Single/widows/widowers | 0.59 ± 0.52 | 4.33 ± 2.24 | 5.56 ± 3.24 |
Married | 0.49 ± 0.46 | 4.00 ± 2.44 | 5.67 ± 2.94 |
Living area | |||
Urban | 0.63 ± 0.50 * | 4.27 ± 2.55 | 6.07 ± 2.91 |
Rural | 0.47 ± 0.46 | 3.99 ± 2.39 | 5.58 ± 2.98 |
Cause of injuries | |||
Traffic | 0.48 ± 0.45 | 3.98 ± 2.36 | 5.53 ± 2.98 |
Occupational | 0.49 ± 0.51 | 4.35 ± 2.42 | 6.06 ± 2.77 |
Home and leisure | 0.54 ± 0.47 | 3.92 ± 2.56 | 5.62 ± 3.11 |
Type of fracture | |||
Burst | 0.52 ± 0.47 | 4.26 ± 2.43 | 5.59 ± 3.34 |
Compression | 0.59 ± 0.40 * | 4.25 ± 2.32 | 5.96 ± 2.80 |
Both burst and compression | 0.15 ± 0.48 | 2.54 ± 2.50 | 4.38 ± 2.72 |
Neither burst nor compression | 0.57 ± 0.47 | 4.4 ± 2.26 | 6.15 ± 2.72 |
ASIA | |||
A | 0.05 ± 0.39 *** | 2.05 ± 0.44 *** | 3.20 ± 2.98 *** |
B | 0.38 ± 0.43 | 3.24 ± 2.36 | 4.71 ± 2.81 |
C | 0.68 ± 0.34 | 4.82 ± 1.87 | 6.59 ± 2.36 |
D | 0.79 ± 0.34 *** | 5.60 ± 1.29 *** | 7.60 ± 1.61 *** |
Characteristics | HRQol | ADL | IADL | |||
---|---|---|---|---|---|---|
aCoef. | 95%CI | aCoef. | 95%CI | aCoef. | 95%CI | |
Age | 0.003 * | 0.00; 0.07 | ||||
Female (vs. male) | −2.53 * | −4.47; −0.59 | ||||
Health Insurance (Yes vs. No) | −0.11 * | −0.21; −0.006 | −1.63 ** | −2.83; −0.43 | 0.91 | −0.07; 1.90 |
Occupation after the accident (vs. White Collar) | ||||||
Blue-collar | 0.006 | −0.17; 0.18 | −1.27 | −4.31; 1.75 | ||
Freelancer | −0.07 | −0.24; 0.09 | −1.61 | −4.61; 1.38 | ||
Student | 0.24 | −0.10; 0.59 | 2.60 | −575.9; 581.2 | ||
Retirement | −0.29 *** | −0.46; −0.12 | −2.74 * | −5.33; −0.15 | ||
Unemployment | −0.06 | −0.20; 0.08 | −4.78 ** | −7.72; −1.84 | ||
Educational level (vs. Primary school or less) | ||||||
Secondary school | −0.11 | −1.38; 1.17 | ||||
High school | 0.84 | −0.31; 2.00 | ||||
College or Higher education | −1.13 | −2.97; 0.69 | ||||
Marital status (vs. Single/widows/widowers) | 0.16 * | 0.01; 0.31 | ||||
Urban area (vs. rural area) | 0.10 | −0.02; 0.22 | 1.37 * | 0.04; 2.68 | ||
Causes of injuries (vs. home and leisure) | ||||||
Occupational | −0.03 | −0.15; 0.10 | 1.17 | −0.17; 2.53 | ||
Traffic | −0.10 * | −0.20; −0.0007 | 0.23 | −0.82; 1.29 | ||
Types of frature (vs. neither burst fracture nor compression fracture) | ||||||
Compression | 0.09 | −0.04; 0.22 | 2.03 ** | 0.64; 3.41 | −0.04 | −1.23; 1.15 |
Burst | 0.10 | −0.08; 0.22 | 1.46 * | 0.09; 2.83 | 0.16 | −0.95; 1.28 |
Burst and compression | −0.04 | −0.18; 0.10 | 0.58 | −0.84; 2.01 | 1.58 * | 0.22; 2.95 |
ASIA (vs. D) | ||||||
A | −0.25 ** | −0.41; −0.09 | −0.62 | −2.26; 1.02 | ||
B | −0.05 | −0.18; 0.08 | −1.48 * | −2.93; −0.02 | ||
C | 0.01 | −0.11; 0.12 | −1.39 | −2.89; 0.11 | ||
HRQoL a | 5.05 *** | 3.34; 6.77 | ||||
ADL a | 0.79 *** | 0.52; 1.07 | ||||
IADL b | 0.12 *** | 0.11; 0.14 | 1.08 *** | 0.89; 1.27 |
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Tien, N.L.B.; Thanh, V.V.; Hanh, K.T.H.; Anh, P.G.; Huyen, L.T.M.; Tu, N.T.; Mai, D.T.N.; Toi, P.L. Quality of Life and Activities of Daily Living among Patients with Complete Cervical Spinal Cord Injury and Surgical Treatment in Vietnam. Int. J. Environ. Res. Public Health 2021, 18, 9703. https://doi.org/10.3390/ijerph18189703
Tien NLB, Thanh VV, Hanh KTH, Anh PG, Huyen LTM, Tu NT, Mai DTN, Toi PL. Quality of Life and Activities of Daily Living among Patients with Complete Cervical Spinal Cord Injury and Surgical Treatment in Vietnam. International Journal of Environmental Research and Public Health. 2021; 18(18):9703. https://doi.org/10.3390/ijerph18189703
Chicago/Turabian StyleTien, Nguyen Le Bao, Vo Van Thanh, Khuc Thi Hong Hanh, Pham Gia Anh, Le Thi Minh Huyen, Ngo Thanh Tu, Dang Thi Ngoc Mai, and Phung Lam Toi. 2021. "Quality of Life and Activities of Daily Living among Patients with Complete Cervical Spinal Cord Injury and Surgical Treatment in Vietnam" International Journal of Environmental Research and Public Health 18, no. 18: 9703. https://doi.org/10.3390/ijerph18189703