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Study design <p>Cohort study.</p> Objectives <p>To identify the relationships between health-related quality of life (HRQOL), healthcare utilization, participation, employment, and life satisfaction and longevity after SCI, as defined by surviving to 95% of predicted SCI life expectancy.</p> Setting <p>Medical University in the Southeastern USA.</p> Methods <p>Self-report assessment (SRA) data were collected from 1570 participants in 2003, and survival status was determined as of December 31, 2019. To assess the main outcome, we estimated SCI life expectancy, grouping participants into three groups: 1) those that reached 95% of their predicted life expectancy (RLE), 2) those who died before reaching that milestone (DBR), and 3) those alive, who had not yet reached full life expectancy.</p> Results <p>Those in group RLE reported more favorable outcomes on nearly all outcomes. Healthwise, they reported fewer days during the past month in poor physical health and poor mental health. They were more likely to be employed at data collection and have been employed since SCI onset. They had higher average scores on each of the three satisfaction domains: home life, vocational, and global satisfaction. They reported spending more hours per day out of bed and more times out of the home during the week.</p> Conclusions <p>The findings present support that living a successful life, by maintaining good health, regular participation in social activities, and engagement in employment are keys to longevity and reaching full life expectancy.</p>

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Factors related to reaching near full of predicted spinal cord injury life expectancy: A prospective cohort study

  • 期刊论文

  • 发表日期：

    2026年6月27日

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  • Yue Cao,
  • Nicole D. DiPiro,
  • Noelle M. Forcier,
  • James S. Krause

摘要

Study design

Cohort study.

Objectives

To identify the relationships between health-related quality of life (HRQOL), healthcare utilization, participation, employment, and life satisfaction and longevity after SCI, as defined by surviving to 95% of predicted SCI life expectancy.

Setting

Medical University in the Southeastern USA.

Methods

Self-report assessment (SRA) data were collected from 1570 participants in 2003, and survival status was determined as of December 31, 2019. To assess the main outcome, we estimated SCI life expectancy, grouping participants into three groups: 1) those that reached 95% of their predicted life expectancy (RLE), 2) those who died before reaching that milestone (DBR), and 3) those alive, who had not yet reached full life expectancy.

Results

Those in group RLE reported more favorable outcomes on nearly all outcomes. Healthwise, they reported fewer days during the past month in poor physical health and poor mental health. They were more likely to be employed at data collection and have been employed since SCI onset. They had higher average scores on each of the three satisfaction domains: home life, vocational, and global satisfaction. They reported spending more hours per day out of bed and more times out of the home during the week.

Conclusions

The findings present support that living a successful life, by maintaining good health, regular participation in social activities, and engagement in employment are keys to longevity and reaching full life expectancy.