Secondary Health Complications and its Association with Sociodemographic Factors Among the Patients with Spinal Cord Injury Attending at Center for Rehabilitation of Paralysis, Bangladesh.

Abstract

Spinal Cord Injury (SCI) is one of the major cause of disability in developing country like Bangladesh. Secondary Health complications(SHCs) are the main factors of mortality in SCI patients. The socio-demographic factors have vital role in causing the Secondary Health complications. With an aim to trace the factors socio-demographic and predictive variable that are mainly responsible for SHCs of SCI patients a sample of 102 SCI patient were selected. The questionnaire was Spinal Cord Injury Secondary Complications Scale(SCI-SCS) with 16 questions with the added socio-demographic questions and was carried out to collect the data from respondents. All the patients attending at CRP within 1-month period with SCI were taken in to account as our samples. We used the SPSS v.16 to analyze the data. Binary logistic regression analysis was also done to find out the relationship between sociodemographic variables and SHCs. By analyzing the data, it has found that out of 102 patients 82.4% persons were male and 17.6% were female, and most of the participants were within 21-50 years of age 67.6%. 41.2% patients were tetraplegic whereas 58.8% were paraplegic, employment of participants in this study was 51%. Most common SCHs were bowel and bladder dysfunction (77.5%), pain (71.6%), pressure ulcer (58.8%), circulatory problem (39.2%) and UTI (33.3%). The significant association was found (p<0.05) between age, duration of injury, level of injury, age and education level of the patients with the SHCs. Finally, from the data analysis it has been noticed that being bowel-bladder dysfunction, pain and pressure ulcer most common SHCs male, middle age and tetraplegic were dominance in prevalence in SCI. The SHCs had association with some socio-demographic and predictive variables like gender, age, level of injury and education level, duration of injury and hospital stay.