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BACKGROUND: Traumatic spinal cord injuries (TSCI) are associated with uncertainty regarding the prognosis of functional recovery. The aim of the present study was to evaluate the potential of early clinical variables to predict the degree of functional independence assessed by Spinal Cord Independence Measure III (SCIM-III) up to 1 year after injury.METHODS: Prospectively collected data from 143 SCI patients treated in Western Denmark during 2012-2019 were retrospectively analysed. Data analysis involved univariate methods and multivariable linear regression modelling total SCIM-III scores against age, gender, body mass index (BMI), comorbidity, American Spinal Injury Association (ASIA) Impairment Scale (AIS) grades A-B and C-D, ASIA Motor Score (AMS), timing of surgical treatment and occurrence of medical complications. Statistical significance was set at p RESULTS: Univariate analyses indicated that variables significantly associated with decreased functional independence included increased age (p = .023), increased BMI (p = .012), pre-existing comorbidity (p = .001), AIS grades A-B (p CONCLUSION: TSCI patients with greatest potential for functional recovery up to 1 year after injury seem to be patients that immediately after trauma present with few or no comorbidities, who sustain motor-incomplete injuries and undergo early decompressive surgery.

Manglende viden om madens kvalitet, måltidets rammer, funktionsevne og livskvalitet blandt ældre i eget hjem danner baggrund for denne afdækning. I rapporten undersøges ældres selvvurderede ernæringsstatus og madrelateret funktionsevne, samtidig med at de ældres tilfredshed med madens kvalitet, ønsker til madservice, meninger om måltidets rammer og madrelateret livskvalitet undersøges. 1041 spørgeskemaer besvaret af ældre 65+ år bosiddende i eget hjem i 6 danske kommuner ligger til grund for undersøgelsens resultater. Resultaterne viste stor tilfredshed med madens kvalitet og god funktionsevne i forhold til borddækning, anretning, opvarmning og indtagelse af måltidet. En stor andel af alle ældre fandt socialt selskab med familie og venner under måltidet attraktivt, og mange enlige ældre fandt det attraktivt at spise alene. Få ældre deltog i madfællesskaber, og for mange ældre lød begrundelsen: føler ikke behov for det. En relativ høj madrelateret livskvalitet for alle ældre blev angivet. Denne viden kan bruges til udarbejdelse af nye studier eller anbefalinger indenfor ældreområdet.

This article describes the core themes in modern rehabilitation and how it can be used in practice. The purpose of rehabilitation is an independent and meaningful life with the greatest possible functional ability. Rehabilitation goals will always be what matters most to the patient (not what health professionals think matters). The doctor's role includes clarification of biomedical issues, but also highlighting resources and barriers in relation to rehabilitation (including practical, economic and social barriers and resources).