Prediction of autonomic dysreflexia during urodynamics: A prospective cohort study
BMC Medicine Apr 20, 2018
Walter M, et al. - Authors inspected the predictors of autonomic dysreflexia in individuals with spinal cord injury during urodynamic investigation. They examined 300 patients with spinal cord injuries and complete datasets of continuous non-invasive cardiovascular monitoring, recorded during the same session repeat urodynamic investigation. Findings reported that autonomic dysreflexia was independently predicted by lesion level and presence of neurogenic detrusor overactivity in patients with neurogenic lower urinary tract dysfunction due to spinal cord injury. Owing to the health risks associated with autonomic dysreflexia, such as seizures, stroke, retinal bleeding, or even death, continuous cardiovascular monitoring during urodynamic investigation was suggested in all spinal cord-injured patients with stress on those with cervical lesions, and appropriate neurogenic detrusor overactivity treatment. This, in turn, would reduce the probability of potentially life-threatening complications.
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