Quality of Life and Activities of Daily Living among Patients with Complete Cervical Spinal Cord Injury and Surgical Treatment in Vietnam

Nguyen Le Bao Tien, Vo Van Thanh, Khuc Thi Hong Hanh, Pham Gia Anh, Le Thi Minh Huyen, Ngo Thanh Tu, Dang Thi Ngoc Mai and Phung Lam Toi
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Nguyen Le Bao Tien: Institute of Orthopaedics and Trauma Surgery, Viet Duc Hospital, Hanoi 100000, Vietnam
Vo Van Thanh: Institute of Orthopaedics and Trauma Surgery, Viet Duc Hospital, Hanoi 100000, Vietnam
Khuc Thi Hong Hanh: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Pham Gia Anh: Oncology Department, Viet Duc Hospital, Hanoi 100000, Vietnam
Le Thi Minh Huyen: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Ngo Thanh Tu: Institute of Orthopaedics and Trauma Surgery, Viet Duc Hospital, Hanoi 100000, Vietnam
Dang Thi Ngoc Mai: Center of clinical pharmacology, Hanoi Medical University, Hanoi 100000, Vietnam
Phung Lam Toi: Health Strategy and Policy Institute, Ministry of Health, Hanoi 100000, Vietnam

IJERPH, 2021, vol. 18, issue 18, 1-13

Abstract: Spinal cord injury (SCI) is defined as temporary or permanent changes in spinal cord function and reflex activity. The objective of this study is to evaluate health-related quality of life (HRQoL) and activities of daily living (ADL) among postoperative surgery patients with complete cervical SCI in Vietnam and to explore the factors associated with these indices. A cross-sectional study was conducted on 88 adults in Vietnam from June 2018 to June 2019. The EQ-5D-5L, ADL, and instrumental activities of daily living (IADL) were applied. Multivariate Tobit regression was adopted to determine factors that were associated with HRQOL, ADL, and IADL. Results: Participants who were in American Spinal Cord Injury Association (ASIA) scale group A (ASIA-A) had the lowest ADL, IADL index, and HRQOL score ( p < 0.001). HRQoL and ADL were affected by health insurance coverage, occupation, type of fracture, and IADL. Meanwhile, IADL was significantly associated with living areas and ASIA. Low HRQoL among patients suffering from SCI was observed. Attention should be given to outcomes related to a disability during clinical treatment and should be treated effectively in the recovery.

Keywords: quality of life; spinal cord injury; surgery; ADL; Vietnam (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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