Factors Associated With Renal and Urological Complications in Patients Suffering From Spinal Cord Injuries During Subsequent Years of Post-Injury

AUTHORS

Banafshe Dormanesh 1 , * , Mohammad Khak 2 , Vafa Rahimimovaghar 3

1 AJA University of Medical Sciences, Tehran, IR Iran

2 Tehran University of Medical Sciences, Tehran, IR Iran

3 Sina Trauma and Surgery Research Center (STSRC), Department of Neurosurgery, Tehran University of Medical Sciences, Tehran, IR Iran

How to Cite: Dormanesh B, Khak M, Rahimimovaghar V. Factors Associated With Renal and Urological Complications in Patients Suffering From Spinal Cord Injuries During Subsequent Years of Post-Injury, J Arch Mil Med. Online ahead of Print ; 1(1):28-34. doi: 10.5812/jamm.14933.

ARTICLE INFORMATION

Journal of Archives in Military Medicine: 1 (1); 28-34
Published Online: October 21, 2013
Article Type: Research Article
Received: September 17, 2013
Accepted: October 4, 2013
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Abstract

Background: Renal and urological complications are the main causes of mortality and morbidity associated with spinal cord injury (SCI). Besides clinical risk factors, there are environmental predisposing factors making a patient prone to develop any complications.

Objectives: The present study aimed to evaluate the risk factors of developing nephrolithiasis, urinary tract infection, hydronephrosis and renal failure, as the main renal and urological complications in the SCI patients.

Materials and Methods: The database of SCI patients of State Welfare Organization of Iran (SWOI) was used for data gathering. The data were collected between 2008 and 2010 by 222 separate teams consisting of 6 mobile rehabilitation team members. The independent risk factors of developing nephrolithiasis, urinary tract infection, hydronephrosis and renal failure were recognized by controlling the confounders after entering all biologically plausible variables in multivariate regression models.

Results: Complete information was available for 5901 (72.59%) of the patients. Urologic and renal complications were reported in 2358 (40%) of the patients among which 286 (4.8%) had chronic renal failure, 127 (2.2%) from hydronephrosis, 307 (5.2%) from nephrolithiasis and 2138 (36.2%) from urinary tract infection. Generally, renal and urological complications associated with old age, and more time since SCI; however, lumbar level of injury and living in rural area negatively correlated with renal and urological complications.

Conclusions: SCI patients with and without renal and urological complications are different regarding demographic and environmental factors; hence, it is necessary to determine the modifiable risk factors in patients' life-style to design preventive programs.

Keywords

Spinal Cord Injuries Kidney Diseases Urologic Diseases

© 2013, Journal of Archives in Military Medicine. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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