Health-related quality of life and related characteristics of persons with spinal cord injury in Nigeria
Background: Spinal cord injury (SCI) is impairment of the spinal cord resulting in numerous health problems that considerably affect the quality of life (QOL) of the patients. Moreover, a number of sociodemographic and clinical characteristics may influence the persons’ health-related quality of life (HRQOL). However, there is limited information on the HRQOL and related characteristics among affected persons living in Nigeria. This study explores the HRQOL and related characteristics of persons with SCI in Kano, Northwestern Nigeria.
Methods: A prospective cross-sectional survey of 41 subjects with SCI and 40 age and gender matched healthy subjects was conducted from January to December 2016. Subjects' sociodemographic and clinical characteristics and HRQOL (using the SF-36 questionnaire) were collected and analyzed.
Results: The majority of the subjects were men in both the SCI (85.4%) and healthy (82.5%) groups. The mean injury duration was 28.4 ± 20.2 months. Road traffic accident (46.3%) was the leading cause of injury with paraplegia (70.7%) being the most frequent level of injury. A greater number of the subjects (43.9%) had a complete impairment. Subjects with SCI had significantly lower HRQOL in the domains of general health, physical functioning, bodily pain, social functioning, role-emotional, and mental health compared to healthy controls. Gender, level of injury, and severity of injury were commonly found to be related to lower HRQOL scores.
Conclusion: Persons with SCI from Kano, Northwestern Nigeria have lower HRQOL across various domains compared to healthy controls. Common factors related to lower HRQOL scores were gender, level of injury, and severity of injury. There is a need for optimal rehabilitation for persons with SCI in Kano, Northwestern Nigeria.
2. Pickelsimer E, Shiroma EJ, Wilson DA. Statewide investigation of medically attended adverse health conditions of persons with spinal cord injury. J Spinal Cord Med 2010; 33(3): 221-31.
3. Obalum DC, Giwa SO, Adekoya-Cole TO, Enweluzo GO. Profile of spinal injuries in Lagos, Nigeria. Spinal Cord 2009; 47(2): 134-7.
4. Angel S. Vulnerable, but strong: The spinal cord-injured patient during rehabilitation. Int J Qual Stud Health Well-being 2010; 5(3): 10.3402/qhw.v5i3.5145.
5. Kivisild A, Sabre L, Tomberg T, Ruus T, Korv J, Asser T, et al. Health-related quality of life in patients with traumatic spinal cord injury in Estonia. Spinal Cord 2014; 52(7): 570-5.
6. Dahlberg A, Kotila M, Leppanen P, Kautiainen H, Alaranta H. Prevalence of spinal cord injury in Helsinki. Spinal Cord 2005; 43(1): 47-50.
7. Haran MJ, Lee BB, King MT, Marial O, Stockler MR. Health status rated with the Medical Outcomes Study 36-Item Short-Form Health Survey after spinal cord injury. Arch Phys Med Rehabil 2005; 86(12): 2290-5.
8. Arango-Lasprilla JC, Nicholls E, Olivera SL, Perdomo JL, Arango JA. Health-related quality of life in individuals with spinal cord injury in Colombia, South America. NeuroRehabilitation 2010; 27(4): 313-9.
9. Lidal IB, Veenstra M, Hjeltnes N, Biering-Sorensen F. Health-related quality of life in persons with long-standing spinal cord injury. Spinal Cord 2008; 46(11): 710-5.
10. Leduc BE, Lepage Y. Health-related quality of life after spinal cord injury. Disabil Rehabil 2002; 24(4): 196-202.
11. Kreuter M, Siosteen A, Erkholm B, Bystrom U, Brown DJ. Health and quality of life of persons with spinal cord lesion in Australia and Sweden. Spinal Cord 2005; 43(2): 123-9.
12. Westgren N, Levi R. Quality of life and traumatic spinal cord injury. Arch Phys Med Rehabil 1998; 79(11): 1433-9.
13. Jain NB, Sullivan M, Kazis LE, Tun CG, Garshick E. Factors associated with health-related quality of life in chronic spinal cord injury. Am J Phys Med Rehabil 2007; 86(5): 387-96.
14. Lin KH, Chuang CC, Kao MJ, Lien IN, Tsauo JY. Quality of life of spinal cord injured patients in Taiwan: A subgroup study. Spinal Cord 1997; 35(12): 841-9.
15. Sabour H, Soltani Z, Latifi S, Norouzi-Javidan A, Arman F, Emami-Razavi SH, et al. Injury-related characteristics and quality-of-life among Iranian individuals with spinal cord injury. Iran J Neurol 2015; 14(3): 136-41.
16. Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (revised 2011). J Spinal Cord Med 2011; 34(6): 535-46.
17. Ware JE, Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-83.
18. Solagberu BA. Spinal cord injuries in Ilorin, Nigeria. West Afr J Med 2002; 21(3): 230-2.
19. Udosen A, Ikpeme A, Ngim N. A Prospective study of spinal cord injury in the University of Calabar Teaching Hospital, Calabar, Nigeria: A preliminary report. The Internet Journal of Orthopedic Surgery 2007; 5(1): 1-6.
20. Rahimi-Movaghar V, Sayyah MK, Akbari H, Khorramirouz R, Rasouli MR, Moradi-Lakeh M, et al. Epidemiology of traumatic spinal cord injury in developing countries: A systematic review. Neuroepidemiology 2013; 41(2): 65-85.
21. Umaru H, Ahidjo A. Pattern of spinal cord injury in Maiduguri, North Eastern Nigeria. Niger J Med 2005; 14(3): 276-8.
22. Joseph C, Delcarme A, Vlok I, Wahman K, Phillips J, Nilsson WL. Incidence and aetiology of traumatic spinal cord injury in Cape Town, South Africa: A prospective, population-based study. Spinal Cord 2015; 53(9): 692-6.
23. Oh SJ, Ku JH, Jeon HG, Shin HI, Paik NJ, Yoo T. Health-related quality of life of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury. Urology 2005; 65(2): 306-10.
24. Ebrahimzadeh MH, Soltani-Moghaddas SH, Birjandinejad A, Omidi-Kashani F, Bozorgnia S. Quality of life among veterans with chronic spinal cord injury and related variables. Arch Trauma Res 2014; 3(2): e17917.
25. Hu Y, Mak JN, Wong YW, Leong JC, Luk KD. Quality of life of traumatic spinal cord injured patients in Hong Kong. J Rehabil Med 2008; 40(2): 126-31.
26. Holicky R, Charlifue S. Ageing with spinal cord injury: the impact of spousal support. Disabil Rehabil 1999; 21(5-6): 250-7.
27. Barker RN, Kendall MD, Amsters DI, Pershouse KJ, Haines TP, Kuipers P. The relationship between quality of life and disability across the lifespan for people with spinal cord injury. Spinal Cord 2009; 47(2): 149-55.
28. Tavakoli SA, Kavian M, Bakhsh SC, Ghajarzadeh M, Hamedan MS, Ghazwin MY, et al. Is level of injury a determinant of quality of life among individuals with spinal cord injury? A tertiary rehabilitation center report. Oman Med J 2016; 31(2): 112-6.