title: Adults with pediatric-onset spinal cord injuries: part 3: impact of medical complications.
abstract: OBJECTIVE
  To determine the impact of medical complications on adult outcomes of individuals with pediatric-onset spinal cord injury (SCI).
  
  
  METHODS
  Structured interview including standardized measures.
  
  
  METHODS
  Individuals who sustained SCI at age 18 years or younger and were 24 years of age or older at interview.
  
  
  METHODS
  A structured interview covering employment, independent living and driving, and marriage. Standardized measures include the Craig Handicap Assessment and Reporting Technique (CHART), the Short Form (SF-12), and the Satisfaction with Life Scale (SWLS).
  
  
  RESULTS
  Two hundred sixteen individuals were interviewed, with a mean age at injury of 14 years and a mean age at follow-up of 29 years. Of all the complications, pressure ulcers, severe urinary tract infection (UTI), and spasticity had the greatest impact on adult outcomes. Pressure ulcers were statistically related to all main outcomes. Severe UTI was statistically associated with all the outcomes except for marriage. Spasticity was associated with all the measured outcomes, except for marriage and life satisfaction. Life satisfaction was most significantly associated with severe UTI, pressure ulcers, pain, and respiratory complications.
  
  
  CONCLUSIONS
  Medical complications significantly affect adult outcomes of individuals with pediatric-onset SCI.
authors.affiliation: Shriners Hospitals for Children, Chicago, Illinois 60707, USA. lvogel@shrinenet.org
authors.forename: Lawrence C
authors.initials: LC
authors.lastname: Vogel
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Krajci
authors.forename: Caroline J
authors.initials: CJ
authors.lastname: Anderson
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D017668:Age of Onset; D001334:Automobile Driving / Q000523:psychology; D017281:Cost of Illness; D004651:Employment / Q000523:psychology; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D017533:Marital Status; D017063:Outcome Assessment, Health Care; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology*; D013119:Spinal Cord Injuries / Q000150:complications* / Q000523:psychology*; D013997:Time Factors