Identification and Management of Cardiometabolic Risk after Spinal Cord Injury: Clinical Practice Guideline for Health Care Providers

Top Spinal Cord Inj Rehabil, 2018 · DOI: 10.1310/sci2404-379 · Published: January 1, 2018

Spinal Cord Injury Cardiovascular Science Research Methodology & Design

Simple Explanation

Cardiometabolic disease (CMD) is a serious but often unnoticed health problem that can affect people with spinal cord injuries (SCI). It can lead to heart issues and other complications if not addressed early. This guideline provides recommendations for identifying and managing CMD risks in individuals with SCI, considering their unique body composition and physiology. The guideline emphasizes early detection and aggressive prevention strategies, including regular monitoring and timely intervention, to improve health outcomes for individuals with SCI.

Study Duration

5 Years

Participants

Individuals with spinal cord injury

Evidence Level

Ranges from I to V, various study types

Key Findings

1
People with SCI have the same or greater risk for CMD as the non-disabled population.
2
Obesity is a major risk component for CMD after SCI and is often underestimated by BMI.
3
The prevalence of dyslipidemia is high among persons with SCI, with depressed levels of HDL-C being a consistent component.

Research Summary

The guideline aims to improve care for patients with SCI by providing recommendations for clinicians and policymakers based on available evidence and expert consensus. It focuses on identifying and managing cardiometabolic risk factors, considering the specific needs and challenges of individuals with SCI. The guideline addresses various aspects of CMD, including its definition, risk factors, diagnosis, and management strategies such as lifestyle interventions, pharmacotherapy, and surgery.

Practical Implications

Early Screening and Assessment

Implement routine screening for CMD risk factors in individuals with SCI, starting at discharge from rehabilitation and continuing annually.

Individualized Treatment Plans

Develop tailored treatment plans that consider the unique physiological characteristics and challenges of individuals with SCI.

Emphasis on Lifestyle Interventions

Prioritize lifestyle modifications, including diet and exercise, as the primary management strategy for CMD risk factors in individuals with SCI.

Identification and Management of Cardiometabolic Risk after Spinal Cord Injury: Clinical Practice Guideline for Health Care Providers

Simple Explanation

Key Findings

Research Summary

Practical Implications

Early Screening and Assessment

Individualized Treatment Plans

Emphasis on Lifestyle Interventions

Study Limitations

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Was this summary helpful?

Identification and Management of Cardiometabolic Risk after Spinal Cord Injury: Clinical Practice Guideline for Health Care Providers

Simple Explanation

Key Findings

Research Summary

Practical Implications

Early Screening and Assessment

Individualized Treatment Plans

Emphasis on Lifestyle Interventions

Study Limitations

Your Feedback

Was this summary helpful?