Factors Influencing Incidence of Wheelchair Repairs and Consequences Among Individuals with Spinal Cord Injury.
Factors Influencing Incidence of Wheelchair Repairs and Consequences Among Individuals with Spinal Cord Injury.
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影响脊髓损伤患者的轮椅修理发生率和后果的因素。
DOI：
10.1016/j.apmr.2021.01.094
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发表时间：
2022-04
影响因子：
4.3
通讯作者：
Boninger ML
中科院分区：
文献类型：
--
作者：
Worobey LA;Heinemann AW;Anderson KD;Fyffe D;Dyson-Hudson TA;Berner T;Boninger ML
调查轮椅维修的频率和后果，查看与使用、部件、自付费用、影响用户的天数以及与维修需求或后果相关的因素之间的关系。调查,横断面。9个脊髓损伤模型系统中心，533名脊髓损伤轮椅使用者。N/A。过去6个月内轮椅维修的费用、发生率、后果及轮椅使用情况。310名参与者（56%）报告了修复，其中127名（42%）经历了至少一种不良后果，持续的中位数[IQR]为5[2,17.3]天。座椅系统、电子设备和轮胎的修理率最高。参与者通常被困在家里或被迫使用备用椅子。自付费用中位数为150美元[50,620]。根据移动类型和地形，活跃用户比不活跃的用户经历了更多的维修和后果。修复在黑人（比值比：2.42）或电动轮椅（PWC）使用者（比值比：1.84）中更常见，而后果在黑人（比值比：2.27）、PWC（比值比：2.08）或助力（比值比：2.76）使用者或有公共保险（比值比：1.70）中更常见。轮椅维修继续影响着超过50%的轮椅使用者，带来了巨大的经济和个人成本。高修理率限制了家庭内外的参与。对许多人来说，其后果持续了10到2周，可以通过备用椅子将其最小化。根据参与者和轮椅因素存在差异；维修和不良后果似乎打击了那些最脆弱、经济资源最少的人。对于一些人来说，费用可能是完成修复的障碍。高修理率这一持续存在的问题及其相关影响需要采取行动，例如提高标准、获得更快的服务和更好地培训轮椅使用者进行维修和保养。
Investigate frequency and consequences of wheelchair repairs, looking at the relationship to usage, components, out-of-pocket costs, number of days impacting the user, and factors associated with the need for repairs or consequences. Survey, cross-sectional. Nine spinal cord injury (SCI) Model Systems Centers. 533 wheelchair users with SCI. N/A. Cost and incidence of wheelchair repairs and consequences and wheelchair usage within the past 6 months. 310 participants (56%) reported repairs of which 127 (42%) experienced at least one adverse consequence lasting a median [IQR] of 5 [2,17.3] days. Repair rates were highest for the seating system, electronics, and the tires. Participants were most often stranded at home or forced to use a backup chair. Median out-of-pocket costs were $150 [50, 620]. Active users, based on type of mobility and terrain, experienced more repairs and consequences than less active users. Repairs were more common among those who were Black (odds ratio: 2.42) or power wheelchair (PWC) users (odds ratio:1.84) while consequences were more common among those who were Black (OR:2.27), PWC (OR:2.08) or power assist (OR:2.76) users, or those who had public insurance (OR:1.70). Wheelchair repairs continue to impact over 50% of wheelchair users with significant financial and personal cost. High repair rates limited participation inside and outside the home. Consequences lasted >2 weeks for many and may be minimized by a working backup chair. Disparities exist based on participant and wheelchair factors; repairs and adverse consequences appear to hit those most vulnerable with the least financial resources. Costs may be a barrier to repair completion for some individuals. This ongoing problem of high repair rates and their associated impact require action such as higher standards, access to quicker service and better training of user on wheelchair maintenance and repair.
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DOI：
10.1016/j.apmr.2003.06.023
发表时间：
2004-04-01
影响因子：
4.3
作者：
Rentschler, AJ;Cooper, RA;Algood, D
通讯作者：
Algood, D
影响因子：
2.2
作者：
Barker, R. N.;Kendall, M. D.;Kuipers, P.
通讯作者：
Kuipers, P.
影响因子：
7.9
作者：
Erosa, Norma A.;Berry, Jack W.;Fine, Philip R.
通讯作者：
Fine, Philip R.
DOI：
10.1016/s0003-9993(99)90287-3
发表时间：
1999-04-01
影响因子：
4.3
作者：
Cooper, RA;Boninger, ML;Rentschler, A
通讯作者：
Rentschler, A
DOI：
10.1682/jrrd.2007.12.0204
发表时间：
2008-01-01
影响因子：
--
作者：
Liu, Hsin-Yi;Cooper, Rory A.;Connor, Samuel
通讯作者：
Connor, Samuel