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  1. Book ; Online ; E-Book: Urodynamic testing after spinal cord injury

    Wyndaele, Jean-Jacques / Kovindha, Apichana

    a practical guide

    2017  

    Author's details Jean-Jacques Wyndaele, Apichana Kovindha editor
    Language English
    Size 1 Online-Ressource (x, 108 Seiten), Illustrationen
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT019432005
    ISBN 978-3-319-54900-2 ; 9783319548999 ; 3-319-54900-6 ; 3319548999
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: People with Spinal Cord Injury in Thailand.

    Kovindha, Apichana

    American journal of physical medicine & rehabilitation

    2017  Volume 96, Issue 2 Suppl 1, Page(s) S120–S123

    MeSH term(s) Adult ; Cost of Illness ; Cross-Sectional Studies ; Delivery of Health Care/trends ; Female ; Health Care Surveys ; Humans ; Incidence ; Male ; Middle Aged ; Spinal Cord Injuries/epidemiology ; Spinal Cord Injuries/rehabilitation ; Thailand/epidemiology ; Young Adult
    Language English
    Publishing date 2017-01-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 219390-5
    ISSN 1537-7385 ; 0002-9491 ; 0894-9115
    ISSN (online) 1537-7385
    ISSN 0002-9491 ; 0894-9115
    DOI 10.1097/PHM.0000000000000585
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  3. Article ; Online: Do individuals from an SCI-specialized rehabilitation facility have fewer secondary health conditions than those from a non-SCI-specialized rehabilitation facility? Analysis of the InSCI database from a middle-income country.

    Pattanakuhar, Sintip / Kammuang-Lue, Pratchayapon / Komaratat, Napasakorn / Chotiyarnwong, Chayaporn / Kovindha, Apichana / Gemperli, Armin

    The journal of spinal cord medicine

    2024  , Page(s) 1–10

    Abstract: Objectives: To determine whether attending an SCI-specialized rehabilitation facility (SSRF) is independently associated with having fewer secondary health conditions (SHCs) in middle-income country contexts.: Study design: Cross-sectional ... ...

    Abstract Objectives: To determine whether attending an SCI-specialized rehabilitation facility (SSRF) is independently associated with having fewer secondary health conditions (SHCs) in middle-income country contexts.
    Study design: Cross-sectional observational study.
    Setting: Four rehabilitation facilities in Thailand (one SSRF and three non-SSRF).
    Methods: Data from a Thai arm of the International Spinal Cord Injury Community Survey (InSCI) were analyzed. SHCs occurring within the last three months were evaluated using the Spinal Cord Injury Secondary Condition Scale. A causal diagram was applied to create a multivariable regression model to determine the independent effect of attending in the SSRF on having SHC as a single condition and as a sum score.
    Results: Three hundred and thirteen individuals with chronic SCI were included in this study. Two hundred and nineteen participants (70%) were recruited from the SSRF. Being recruited from the SSRF was an independent negative correlating factor of the SHC sum score with an unstandardized coefficient of -1.12 (95% CI: -2.00-0.24). Being recruited from the SSRF was also an independent negative correlating factor of having bladder dysfunction, sexual dysfunction, and pressure ulcer SHC with an odds ratio of 0.32 (95% CI: 0.16-0.59), 0.43 (95% CI: 0.22-0.84), and 0.46 (95% CI: 0.24-0.89), respectively.
    Conclusion: Attending an SSRF was significantly associated with having fewer SHCs, specifically, bladder dysfunctions, sexual dysfunctions, and pressure ulcers. These results suggest the importance of having SSRF in middle-income countries for delivering effective care to people with SCI and standardized education to health care providers.
    Language English
    Publishing date 2024-01-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1223949-5
    ISSN 2045-7723 ; 1079-0268
    ISSN (online) 2045-7723
    ISSN 1079-0268
    DOI 10.1080/10790268.2023.2289690
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  4. Article ; Online: Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause.

    Pattanakuhar, Sintip / Kovindha, Apichana

    Spinal cord series and cases

    2020  Volume 6, Issue 1, Page(s) 53

    Abstract: Introduction: It is difficult to diagnose an acute abdomen condition in people with spinal cord injury due to abnormal sensation below the injured level and multiple co-morbidities. These issues can mislead the exact diagnosis and delay proper treatment. ...

    Abstract Introduction: It is difficult to diagnose an acute abdomen condition in people with spinal cord injury due to abnormal sensation below the injured level and multiple co-morbidities. These issues can mislead the exact diagnosis and delay proper treatment.
    Case presentation: A 57-year-old male with C4 AIS C tetraplegia developed nausea and vomiting, abdominal distension and feeding intolerance. Serum electrolytes indicated severe hyponatremia. A provisional diagnosis of pseudo-gut obstruction was made. After the failure of 48 h of conservative treatment with a nasogastric and rectal tube, abdominal CT was performed and revealed sigmoid volvulus.
    Conclusions: Due to the inconclusive clinical features and lack of subjective complaints, early use of CT scan or MRI is preferable in people with SCI who are suspected of an emergency intra-abdominal condition.
    MeSH term(s) Acute Disease/therapy ; Colon, Sigmoid/diagnostic imaging ; Colon, Sigmoid/pathology ; Humans ; Intestinal Volvulus/diagnosis ; Intestinal Volvulus/pathology ; Male ; Middle Aged ; Quadriplegia/pathology ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2020-06-29
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 2058-6124
    ISSN (online) 2058-6124
    DOI 10.1038/s41394-020-0305-6
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  5. Article ; Online: The association between health service systems and pressure injury problems of individuals with chronic spinal cord injury in Malaysia, Indonesia, and Thailand: a cross-sectional study.

    Kammuang-Lue, Pratchayapon / Pattanakuhar, Sintip / Engkasan, Julia Patrick / Wahyuni, Luh K / Fauzi, Aishah Ahmad / Chotiyarnwong, Chayaporn / Kovindha, Apichana

    American journal of physical medicine & rehabilitation

    2024  

    Abstract: Objectives: To determine whether a health service system is an independent influencing factor of having pressure injury (PI) problems in individuals with chronic spinal cord injury (SCI) living in three countries.: Design: A cross-sectional study.: ...

    Abstract Objectives: To determine whether a health service system is an independent influencing factor of having pressure injury (PI) problems in individuals with chronic spinal cord injury (SCI) living in three countries.
    Design: A cross-sectional study.
    Methods: Data from the International Spinal Cord Injury Community Survey (InSCI) were analyzed. The PI problems were assessed using the Spinal Cord Injury Secondary Condition Scales (dichotomized to "having problem" and "not having problem". Health service systems were categorized as an inpatient-oriented SCI specialized system and a primary care-oriented system. A directed acyclic graph was applied to create a multivariable logistic regression model to determine the independent influencing factors of PI problems.
    Results: Of 790 included participants, 277 (35%) had PI problems. Being recruited from countries with inpatient-oriented SCI specialized systems (Model 1) and visiting rehabilitation medicine/SCI physicians at least once a year (Model 2) is an independent negative correlating factor of PI problems (odds ratio = 0.569 [95%CI: 0.374-0.866] and 0.591 [95%CI: 0.405-0.864], respectively).
    Conclusion: SCI-specialized health service systems might be a protective factor of PI problems in middle-income country contexts. This result suggests the importance of having SCI-specialized services in middle-income countries to reduce the prevalence of PI problems.
    Language English
    Publishing date 2024-01-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 219390-5
    ISSN 1537-7385 ; 0002-9491 ; 0894-9115
    ISSN (online) 1537-7385
    ISSN 0002-9491 ; 0894-9115
    DOI 10.1097/PHM.0000000000002437
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Toward a framework for developing an ICF-based documentation system in spinal cord injury-specific rehabilitation based on routine clinical practice: a case study approach.

    Pongpipatpaiboon, Kannit / Selb, Melissa / Kovindha, Apichana / Prodinger, Birgit

    Spinal cord series and cases

    2020  Volume 6, Issue 1, Page(s) 33

    Abstract: Study design: Case study.: Objective: To present a framework for developing an International Classification of Functioning, Disability and Health (ICF)-based documentation system in spinal cord injury (SCI)-specific rehabilitation.: Setting: Data ... ...

    Abstract Study design: Case study.
    Objective: To present a framework for developing an International Classification of Functioning, Disability and Health (ICF)-based documentation system in spinal cord injury (SCI)-specific rehabilitation.
    Setting: Data collection took place at Maharaj Hospital, Thailand. The preparatory studies and analysis were performed at Swiss Paraplegic Research, Switzerland.
    Methods: Data collected from interviews and health records of four SCI cases across the continuum of care (acute, post-acute, early and late long term) were linked to ICF categories using established ICF linking rules. The resulting categories were compared with selected ICF sets (ICF Generic-30, ICF core sets for SCI and multiple sclerosis) to determine the extent of coverage. Furthermore, the context of applicable services was described systematically.
    Results: Less than half of the ICF categories in the defined ICF sets were covered by clinical assessment tools. Low correspondence was found predominantly in acute and late long-term phase. Least well covered were categories of activities and participations and environmental factors. The correspondence of categories increased when considering the additional ICF categories identified from patient interviews. The description of rehabilitation services provided in each case classified according to the dimensions of service provider, funding, and service delivery.
    Conclusions: There is a need to promote the systematic and standardized assessment of functioning among health professionals working in the field of SCI in developing countries. This study describes basic steps toward developing a standardized ICF-based system for assessing and reporting functioning outcomes in SCI rehabilitation and across the continuum of care.
    MeSH term(s) Adult ; Clinical Coding/standards ; Disability Evaluation ; Female ; Humans ; Male ; Middle Aged ; Severity of Illness Index ; Spinal Cord Injuries/diagnosis ; Spinal Cord Injuries/rehabilitation
    Language English
    Publishing date 2020-05-05
    Publishing country England
    Document type Journal Article
    ISSN 2058-6124
    ISSN (online) 2058-6124
    DOI 10.1038/s41394-020-0283-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Patient With Acute Cervical Cord Injury and COVID-19: A First Case Report.

    Pattanakuhar, Sintip / Tangvinit, Chatchai / Kovindha, Apichana

    American journal of physical medicine & rehabilitation

    2020  Volume 99, Issue 8, Page(s) 674–676

    Abstract: During the pandemic of coronavirus disease 2019, it is possible for rehabilitation physicians and personnel to take care of patients with concurrent spinal cord injury and coronavirus disease 2019. Here, we describe a case of acute cervical spinal cord ... ...

    Abstract During the pandemic of coronavirus disease 2019, it is possible for rehabilitation physicians and personnel to take care of patients with concurrent spinal cord injury and coronavirus disease 2019. Here, we describe a case of acute cervical spinal cord injury resulting in complete tetraplegia C5 American Spinal Injury Association Impairment Scale A with unrecognized, severe acute respiratory syndrome coronavirus 2 infection. This resulted in large-scale quarantines of related surgical and rehabilitation staff, and the unexpected death of the patient despite receiving the treatments according to the standard guideline. Rehabilitation personnel who take care of acute spinal cord injury patients with coronavirus disease 2019 should consider the effect of spinal cord injury on the course of coronavirus disease 2019, the effect of coronavirus disease 2019 and its treatments on the course of spinal cord injury, and risks of severe acute respiratory syndrome coronavirus 2 transmission between patients and rehabilitation staff, to continue providing safe and effective rehabilitation programs.
    MeSH term(s) Accidents, Traffic ; Adult ; COVID-19 ; Combined Modality Therapy ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Coronavirus Infections/therapy ; Disease Progression ; Fatal Outcome ; Humans ; Infection Control/methods ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Male ; Neck Injuries/complications ; Neck Injuries/diagnostic imaging ; Neck Injuries/therapy ; Pandemics ; Patient Isolation/methods ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/therapy ; Quadriplegia/complications ; Quadriplegia/diagnosis ; Quadriplegia/therapy ; Risk Assessment ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/diagnostic imaging ; Spinal Cord Injuries/therapy
    Keywords covid19
    Language English
    Publishing date 2020-06-02
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 219390-5
    ISSN 1537-7385 ; 0002-9491 ; 0894-9115
    ISSN (online) 1537-7385
    ISSN 0002-9491 ; 0894-9115
    DOI 10.1097/PHM.0000000000001485
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  8. Article ; Online: Impacts of Bladder Managements and Urinary Complications on Quality of Life: Cross-sectional Perspectives of Persons With Spinal Cord Injury Living in Malaysia, Indonesia, and Thailand.

    Pattanakuhar, Sintip / Ahmedy, Fatimah / Setiono, Steven / Engkasan, Julia Patrick / Strøm, Vegard / Kovindha, Apichana

    American journal of physical medicine & rehabilitation

    2022  Volume 102, Issue 3, Page(s) 214–221

    Abstract: Background: The impact of bladder care and urinary complications on quality of life in persons with spinal cord injury who have neurogenic lower urinary tract dysfunction has not been elucidated, especially in those living in low-resource countries.: ... ...

    Abstract Background: The impact of bladder care and urinary complications on quality of life in persons with spinal cord injury who have neurogenic lower urinary tract dysfunction has not been elucidated, especially in those living in low-resource countries.
    Methods: This multinational cross-sectional survey was conducted in rehabilitation facilities in Malaysia, Indonesia, and Thailand. Community-dwelling adults with traumatic or nontraumatic spinal cord injury participating in the International Spinal Cord Injury Community Survey from 2017 to 2018 were enrolled. Data regarding bladder management/care, presence of bladder dysfunction, urinary tract infection, and quality of life score were extracted from the International Spinal Cord Injury Community Survey questionnaire. The impact of bladder care and urinary complications on quality of life was determined using univariable and multivariable regression analysis.
    Results: Questionnaires from 770 adults were recruited for analysis. After adjusting for all demographic and spinal cord injury-related data, secondary conditions, as well as activity and participation factors, urinary tract infection was an independent negative predictive factor of quality of life score ( P = 0.007, unstandardized coefficients = -4.563, multivariable linear regression analysis, enter method).
    Conclusions: Among bladder care and urinary complication factors, urinary tract infection is the only factor negatively impacting quality of life. These results address the importance of proper bladder management and urinary tract infection prevention in persons with spinal cord injury to improve their quality of life.
    MeSH term(s) Adult ; Humans ; Urinary Bladder ; Quality of Life ; Cross-Sectional Studies ; Urinary Bladder, Neurogenic/therapy ; Urinary Bladder, Neurogenic/complications ; Indonesia/epidemiology ; Malaysia/epidemiology ; Thailand ; Urinary Tract Infections/epidemiology ; Urinary Tract Infections/etiology ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/rehabilitation
    Language English
    Publishing date 2022-06-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 219390-5
    ISSN 1537-7385 ; 0002-9491 ; 0894-9115
    ISSN (online) 1537-7385
    ISSN 0002-9491 ; 0894-9115
    DOI 10.1097/PHM.0000000000002066
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Prevalence and influencing factors of spinal cord injury-related osteoporosis and fragility fractures in Thai people with chronic spinal cord injury: A cross-sectional, observational study.

    Mahitthiharn, Kanyanat / Kovindha, Apichana / Kaewchur, Tawikar / Morse, Leslie R / Pattanakuhar, Sintip

    The journal of spinal cord medicine

    2022  Volume 46, Issue 3, Page(s) 458–465

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Humans ; Female ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/epidemiology ; Cross-Sectional Studies ; Prevalence ; Southeast Asian People ; Thailand/epidemiology ; Osteoporosis/etiology ; Osteoporosis/complications ; Fractures, Bone ; Bone Density ; Absorptiometry, Photon ; Risk Factors ; Risk Assessment ; Spinal Fractures/complications
    Language English
    Publishing date 2022-04-04
    Publishing country England
    Document type Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1223949-5
    ISSN 2045-7723 ; 1079-0268
    ISSN (online) 2045-7723
    ISSN 1079-0268
    DOI 10.1080/10790268.2022.2054763
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  10. Article ; Online: Health care and rehabilitation services utilization, benefits and satisfaction: a community survey of individuals with spinal cord injury in Thailand.

    Pattanakuhar, Sintip / Kammuang-Lue, Pratchayapon / Komaratat, Napasakorn / Chotiyarnwong, Chayaporn / Mahachai, Rungarun / Kovindha, Apichana

    Spinal cord

    2022  Volume 60, Issue 8, Page(s) 739–745

    Abstract: Study design: Cross-sectional study.: Objectives: This study aimed to explore and report on health care and rehabilitation service utilization, rehabilitation service benefits, and levels of satisfaction of individuals with spinal cord injury (SCI) ... ...

    Abstract Study design: Cross-sectional study.
    Objectives: This study aimed to explore and report on health care and rehabilitation service utilization, rehabilitation service benefits, and levels of satisfaction of individuals with spinal cord injury (SCI) living in communities in Thailand.
    Setting: Four rehabilitation facilities in Thailand, two university hospitals (Maharaj Nakorn Chiang Mai Hospital in Chiang Mai Province and Siriraj Hospital in Bangkok), one large provincial hospital (Ratchaburi Hospital in Ratchaburi Province), and one national rehabilitation institute (Sirindhorn National Medical Rehabilitation Institute in Nonthaburi Province).
    Methods: This study was part of the International Spinal Cord Injury Community Survey (InSCI). Individuals with SCI completed a set of questionnaires, then data related to their health care and rehabilitation services were extracted and analyzed.
    Results: Of the 320 participants, most were male (71%), and the majority were living with paraplegia (73%). In cases of mild illnesses where hospitalization was not required, 46% went to a nearby health service hospital. In cases of serious illnesses where hospitalization was required, 39% went to a higher-level hospital. The majority (80%) were satisfied with their experience with health care services. The three top preferred products and services in descending order were wheelchairs and cushions, increased disability pension, medication and medical equipment including bladder relaxants, urinary catheters and urine bags.
    Conclusions: Individuals with SCI living in communities in Thailand preferred treatment at a nearby district hospital for mild illnesses with one-third transferring to a higher-level hospital for serious illnesses. The majority were satisfied with the health care services and rehabilitation services.
    MeSH term(s) Cross-Sectional Studies ; Delivery of Health Care ; Facilities and Services Utilization ; Female ; Humans ; Male ; Spinal Cord Injuries/epidemiology ; Spinal Cord Injuries/rehabilitation ; Surveys and Questionnaires ; Thailand/epidemiology
    Language English
    Publishing date 2022-02-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1316161-1
    ISSN 1476-5624 ; 1362-4393
    ISSN (online) 1476-5624
    ISSN 1362-4393
    DOI 10.1038/s41393-022-00777-y
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