PD36-04 AUTONOMIC DYSREFLEXIA: WHAT VARIABLES ARE ASSOCIATED WITH WORSENING SYMPTOMS IN SPINAL CORD INJURED PEOPLE?

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Neurogenic Voiding Dysfunction (PD36)1 Sep 2021PD36-04 AUTONOMIC DYSREFLEXIA: WHAT VARIABLES ARE ASSOCIATED WITH WORSENING SYMPTOMS IN SPINAL CORD INJURED PEOPLE? John Stoffel, Rita Shehirian, Sara Lenherr, Sean Elliott, Diana O'Dell, Jeremy Myers, and Blayne Welk StoffelJohn Stoffel More articles by this author , ShehirianRita Shehirian LenherrSara Lenherr ElliottSean Elliott O'DellDiana O'Dell MyersJeremy Myers WelkBlayne View All Author Informationhttps://doi.org/10.1097/JU.0000000000002040.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Autonomic dysreflexia (AD) can impact both the safety quality life spinal cord injured people (SCI). We investigated whether bladder, bowel or pain symptoms were associated with worsening AD symptoms. METHODS: The Bladder Spinal Cord Injury registry prospectively enrolled SCI in an observational study between 1/1/2016 – 6/30/2017. People self-reported demographic, clinical, injury information. Quality was assessed Bowel (NBD), Symptom Score (NBSS), SF-12 questionnaires. Chronic reported as a dichotomous (y/n) variable. severity from validated following (ADFSCI) instrument included domains exercise, sexual activity, bladder function, provoked unprovoked activities. Total ADFSCI score ranged 0 24. management defined surgical reconstruction (augment/diversion), indwelling catheter (suprapubic/urethral), any clean intermittent catheterization (CIC), voiding. Univariate analysis logistic regression model used determine associations variables score. RESULTS: 1470 people, which 843 (57%) had paraplegia 894 (60%) men. median age 45 years time 11 years. CIC 754 (51%), 271 (18%), surgery 195 (13%) voiding 259 (18%). On univariate analysis, higher scores among complete (3.91 vs 3.37, p = 0.02) cervical/thoracic injures (3.83 CT 1.53 LS, p<0.0001), chronic (3.89 2.86, p=0.0004), multiple UTI’s (4.39 2.66, p<0.0001). Rising correlated positively increasing NBD (r=0.243, <0.0001) negatively (r=-0.189, <0.0001). Patients catheters (5.25) reconstructive (4.48) than (3.00) (2.85) (p<0.0001). Multivariable showed that level injury, age, score, remained significantly rising CONCLUSIONS: There increased autonomic cohort including younger From urologic standpoint, augment/diversion managed more compared Source Funding: PCORI © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e596-e596 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...