title: Prediction of severe neurogenic bowel dysfunction in persons with spinal cord injury.
abstract: METHODS
  Cross-sectional study.
  
  
  OBJECTIVE
  To analyze the predictors of severe neurogenic bowel dysfunction (NBD) in persons with spinal cord injury (SCI).
  
  
  METHODS
  The Kaohsiung Medical University Hospital, Taiwan.
  
  
  METHODS
  Two questionnaires-the NBD score and the Beck Depression Inventory second edition-were sent to 232 persons with SCI by mail. The demographic factors and injury-related factors were recorded to evaluate any relationships with severe NBD. The associations between the severity of NBD and psychological condition were also measured.
  
  
  RESULTS
  In all, 39.4% of the respondents suffered from severe NBD. Multiple logistic regression analysis showed that those with a cervical injury (odds ratios (OR)=10.5, 95% confidence interval (CI) 1.6-67.7) or a thoracic injury (OR=7.1, 95% CI 1.2-40.3) had a higher risk of severe NBD than those with a lumbar injury. Persons with American Spinal Injury Association (ASIA) A had a 12.8-fold higher risk of severe NBD than persons with ASIA D (OR=12.8, 95% CI 3.3-50.1). Longer duration of injury (> or =10 years) was another risk factor of severe NBD. Moderate-to-severe depression was associated with reduced bowel function.
  
  
  CONCLUSIONS
  This study showed that high level of cord lesion, completeness of cord injury and longer duration of injury (> or =10 years) could predict the severity of NBD in patients with SCI.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: C-W
authors.initials: CW
authors.lastname: Liu
authors.forename: C-C
authors.initials: CC
authors.lastname: Huang
authors.forename: C-H
authors.initials: CH
authors.lastname: Chen
authors.forename: Y-H
authors.initials: YH
authors.lastname: Yang
authors.forename: T-W
authors.initials: TW
authors.lastname: Chen
authors.forename: M-H
authors.initials: MH
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D055496:Neurogenic Bowel / Q000175:diagnosis* / Q000209:etiology* / Q000523:psychology; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013119:Spinal Cord Injuries / Q000150:complications* / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult