Acute respiratory tract infection visits of veterans with spinal cord injuries and disorders: Rates, trends, and risk factors

Bridget M. Smith*, Charlesnika T. Evans, Jibby E. Kurichi, Frances M. Weaver, Nayna Patel, Stephen P. Burns

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Background/Objectives: Respiratory complications are a major cause of illness and death in persons with spinal cord injuries and dysfunction (SCI&Ds). The objectives of this study were to examine rates of outpatient visits over 5 years for acute respiratory tract infections (ARIs), including pneumonia and influenza (P&I), lower respiratory tract infections (LRIs), and upper respiratory tract infections (URIs), in veterans with SCI&Ds and to determine whether individual characteristics were associated with the number of annual visits for each type of ARI. Methods: This was a longitudinal (fiscal years 1998-2002) study of ARI visits at the Veterans Health Administration (VA) in 18,693 veterans with SCI&Ds. To examine the associations between time, patient characteristics, and annual number of ARI visits, we used random effect negative binomial models. Results: Veterans with SCI&Ds had a total of 11, 113 ARI visits over the 5-year period. There was a slightly decreasing trend for LRI visits over time (P < 0.01) but no significant change for other ARIs over time. There were 30 to 35 pneumonia visits and 21 to 30 acute bronchitis visits per 1,000 SCI&D veterans per year. Older veterans were more likely than younger to have P&I visits and less likely to have URI visits (P < 0.01). Veterans with paraplegia had fewer P&I visits than subjects with tetraplegia (IRR=0.58; CI=0.51-0.67). Conclusions: Visit rates for ARIs are stable for veterans with SCI&Ds. Identifying risk factors associated with ARI visits is an important first step to improve prevention and treatment of ARIs and to improve the health of veterans with SCI&Ds.

Original languageEnglish (US)
Pages (from-to)355-361
Number of pages7
JournalJournal of Spinal Cord Medicine
Volume30
Issue number4
DOIs
StatePublished - Jan 1 2007

Keywords

  • Acute respiratory tract infection
  • Bronchitis
  • Influenza
  • Paraplegia
  • Pneumonia
  • Spinal cord injuries
  • Tetraplegia
  • Veterans

ASJC Scopus subject areas

  • Clinical Neurology

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