지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 228 - 237 (10page)
이용수
초록· 키워드
오류제보하기
Objective To review trends in bladder emptying methods over a 20-year period in patients with spinal cord injury (SCI) by severity according to the American Spinal Injury Association impairment scale (AIS). Methods Medical records of patients with SCI from 1994 to 1998 (group 1) and from 2012 to 2016 (group 2) were retrospectively reviewed. We classified bladder emptying methods according to the International Spinal Cord dataset. We grouped patients with normal voiding, bladder reflex triggering, and bladder expression as those using voiding without catheter. Results A total of 667 patients were included in the analysis. The proportion of patients using voiding without catheter and intermittent catheterization decreased from 67.0% to 30.0% and increased from 26.8% to 54.8%, respectively. In patients with AIS-A and AIS-B, the proportion of patients with intermittent catheterization increased from 32.8% to 73.3%. In patients with AIS-D, the proportion of patients using voiding without catheter and intermittent catheterization decreased from 88.5% to 68.9% and increased from 11.5% to 26.8%, respectively. In group 2, among 111 patients with AIS-D using voiding without catheter at admission, 8 (7.2%) switched to intermittent catheterization at discharge due to decreased bladder volume, increased post-voiding residual urine, or incontinence. Conclusion Over the past 20 years, trends in bladder emptying methods in patients with SCI changed from voiding without catheter to intermittent catheterization in Korea. This was especially prominent in patients with AIS-A, AIS-B, and AIS-C. Even in patients with AIS-D, the use of intermittent catheterization at hospital discharge increased.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Ginsberg D / 2013 / The epidemiology and pathophysiology of neurogenic bladder / Am J Manag Care 19(10Suppl):s191~s196
Adriaansen JJ / 2017 / Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury / J Spinal Cord Med 40:43~53
Gohbara A / 2013 / Urinary tract management in patients with incomplete cervical cord injury during the recovery phase / Spinal Cord 51:310~313
Weld KJ / 2000 / Effect of bladder management on urological complications in spinal cord injured patients / J Urol 163:768~772
Pettersson-Hammerstad K / 2008 / Impaired renal function in newly spinal cord injured patients improves in the chronic state : effect of clean intermittent catheterization / J Urol 180:187~191
Adriaansen JJ / 2017 / Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury / J Spinal Cord Med 40:43~53
Gohbara A / 2013 / Urinary tract management in patients with incomplete cervical cord injury during the recovery phase / Spinal Cord 51:310~313
Weld KJ / 2000 / Effect of bladder management on urological complications in spinal cord injured patients / J Urol 163:768~772
Pettersson-Hammerstad K / 2008 / Impaired renal function in newly spinal cord injured patients improves in the chronic state : effect of clean intermittent catheterization / J Urol 180:187~191
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