title: [Long-term follow-up in patients with spinal cord injury - prevention and comprehensive care].
abstract: Patients with spinal cord injuries suffer not only from sensory and motor deficits, but from failure of the autonomic nerve system which in consequence involves many organs and metabolic pathways. These deficits lead to a different approach to these patients and their medical, psychological and social problems. Three examples will illustrate the different approaches to typical medical problems of these patients. Regularly ambulatory long term follow up visits in specialized centres in close collaboration with general practitioners help to diminish complications and rehospitalisations. Facing the now ageing population with a spinal cord injury we need evidence based guidelines in follow up and preventive strategies for these patients. We updated these recommendations recently. The brochure is available on the webside oft he swiss society of paraplegia www.ssop.ch.
authors.affiliation: REHAB Basel, Zentrum für Querschnittsgelähmte und Hirnverletzte, Schweizerisches Paraplegikerzentrum Basel.
authors.forename: Regula
authors.initials: R
authors.lastname: Spreyermann
authors.affiliation: Schweizer Paraplegikerzentrum Nottwil.
authors.forename: Franz
authors.initials: F
authors.lastname: Michel
mesh_terms: D000465:Algorithms; D003131:Combined Modality Therapy; D003191:Comprehensive Health Care; D003244:Consciousness Disorders / Q000175:diagnosis / Q000209:etiology; D003299:Cooperative Behavior; D005500:Follow-Up Studies; D006801:Humans; D033183:Interdisciplinary Communication; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000150:complications / Q000534:rehabilitation*; D011782:Quadriplegia / Q000150:complications / Q000534:rehabilitation*; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology; D013119:Spinal Cord Injuries / Q000150:complications / Q000517:prevention & control / Q000534:rehabilitation*
keywords: Langzeitbetreuung; Nachsorge; Paraplegie; Vorsorge; comprehensive care; long-term follow-up; paraplégie; prevention; prévention; soins à long terme; spinal cord injury; suivi