Cardiovascular response during urodynamics in individuals with spinal cord injury

N Liu; M-W Zhou; F Biering-Sørensen; A V Krassioukov

doi:10.1038/sc.2016.110

Cardiovascular response during urodynamics in individuals with spinal cord injury

N Liu, M-W Zhou, F Biering-Sørensen, A V Krassioukov

Department of Clinical Medicine

5 Citations (Scopus)

Abstract

STUDY DESIGN: Retrospective chart review.

OBJECTIVES: To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.

SETTING: SCI outpatient clinic.

METHODS: A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.

RESULTS: A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.

CONCLUSION: Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury.

Original language	English
Journal	Spinal Cord
Volume	55
Issue number	3
Pages (from-to)	279-284
ISSN	1362-4393
DOIs	https://doi.org/10.1038/sc.2016.110
Publication status	Published - 1 Mar 2017

Keywords

Adult
Aged
Aged, 80 and over
Ambulatory Care Facilities
Autonomic Dysreflexia/epidemiology
Blood Pressure/physiology
Blood Pressure Determination
Cervical Vertebrae
Female
Heart Rate/physiology
Humans
Incidence
Male
Middle Aged
Outpatients
Retrospective Studies
Severity of Illness Index
Spinal Cord Injuries/complications
Thoracic Vertebrae
Urinary Bladder Diseases/epidemiology
Urodynamics/physiology
Young Adult

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Cite this

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title = "Cardiovascular response during urodynamics in individuals with spinal cord injury",

abstract = "STUDY DESIGN: Retrospective chart review.OBJECTIVES: To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.SETTING: SCI outpatient clinic.METHODS: A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.RESULTS: A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.CONCLUSION: Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury.",

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author = "N Liu and M-W Zhou and F Biering-S{\o}rensen and Krassioukov, {A V}",

year = "2017",

month = mar,

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doi = "10.1038/sc.2016.110",

language = "English",

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TY - JOUR

T1 - Cardiovascular response during urodynamics in individuals with spinal cord injury

AU - Liu, N

AU - Zhou, M-W

AU - Biering-Sørensen, F

AU - Krassioukov, A V

PY - 2017/3/1

Y1 - 2017/3/1

N2 - STUDY DESIGN: Retrospective chart review.OBJECTIVES: To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.SETTING: SCI outpatient clinic.METHODS: A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.RESULTS: A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.CONCLUSION: Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury.

AB - STUDY DESIGN: Retrospective chart review.OBJECTIVES: To establish the frequency and severity of autonomic dysreflexia (AD) during urodynamics among individuals with chronic spinal cord injury (SCI) and to investigate the possible effect of the number of years since SCI on the severity of AD.SETTING: SCI outpatient clinic.METHODS: A retrospective chart review was undertaken of individuals with SCI who were seen at an outpatient clinic and could potentially develop an episode of AD (T6 and above). Data regarding age, gender, urodynamic examination, lower urinary tract function, cardiovascular parameters and SCI were collected. In addition, information on signs and symptoms of AD were retrieved.RESULTS: A total of 76 individuals with SCI were examined with blood pressure (BP) monitoring. The majority had cervical SCI (79%). The mean age was 47.8±13.9 years. The median duration after SCI was 51.5 months. During urodynamics, a total of 48 (63.2%) individuals showed an increase in systolic BP>20 mm Hg, meeting the criteria for AD. Indicators for higher incidences of AD were cervical SCI, being >2 years after SCI, the presence of detrusor sphincter dyssynergia (DSD) and low bladder compliance. AD was more severe in individuals with complete (American Spinal Cord Association (ASIA) impairment scale (AIS) A) injuries, worse with greater time after SCI.CONCLUSION: Individuals with cervical SCI, DSD, poor bladder compliance or >2 years after SCI were associated with a higher possibility of developing AD during urodynamics. Furthermore, AD was more severe in complete (AIS A) individuals and was exacerbated with time after injury.

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KW - Aged

KW - Aged, 80 and over

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KW - Autonomic Dysreflexia/epidemiology

KW - Blood Pressure/physiology

KW - Blood Pressure Determination

KW - Cervical Vertebrae

KW - Female

KW - Heart Rate/physiology

KW - Humans

KW - Incidence

KW - Male

KW - Middle Aged

KW - Outpatients

KW - Retrospective Studies

KW - Severity of Illness Index

KW - Spinal Cord Injuries/complications

KW - Thoracic Vertebrae

KW - Urinary Bladder Diseases/epidemiology

KW - Urodynamics/physiology

KW - Young Adult

U2 - 10.1038/sc.2016.110

DO - 10.1038/sc.2016.110

M3 - Journal article

C2 - 27481090

SN - 1362-4393

VL - 55

SP - 279

EP - 284

JO - Spinal Cord

JF - Spinal Cord

IS - 3

ER -

Cardiovascular response during urodynamics in individuals with spinal cord injury

Abstract

Keywords

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