Category: Spinal Cord Injury; Pediatric Rehabilitation
Objective : To investigate the effectiveness of implementing a Transanal Irrigation System (TAI) in individuals with neurogenic bowel related to SCD.
Retrospective analysis of clinical characteristics for all individuals that started using TAI from April 2014 to March 2019 because of ineffective neurogenic bowel regimen related to chronic SCD. Inclusion criteria were current use of TAI as their bowel regimen. One patient was excluded due to parents not having English as their first language. Review of pre and post clinical characteristics including regimen time, facilitating medications, evacuation frequency, accidents, stool retention and digital rectal evacuation need.
The outpatient setting of an SCD clinic.
Participants (or Animals, Specimens, Cadavers) : 9 children and 16 adults aged 9 to 36 years with SCD related neurogenic bowel.
Implementation of TAI usage.
Main Outcome Measure(s) :
Pre and Post clinical characteristics of bowel management as described through a survey.
In selected population, TAI improves clinical characteristics of the neurogenic bowel regimen in children and adults with SCD, specifically decreasing bowel regimen time and number of accidents and increasing predictability of evacuation.
Analysis shows clinical changes that impact quality of life of individuals with neurogenic bowel switching to TAI.
Charnan Koller– Registered Nurse, Kennedy Krieger Institute, Westminster, Maryland
Chanelle Johnson– Nurse Coordinator, Kennedy Krieger Institute, Lutherville, Maryland
Grethlyn Orr– RN, Kennedy Krieger Institute, Baltimore, Maryland
Tegeset Mackert– Nurse Coordinator, Kennedy Krieger Institute, Baltimore, Maryland
Janet Dean– Pediatric Nurse Practitioner, Kennedy Krieger Institute, Baltimore, Maryland
Cristina Sadowsky– Clinical Director International Center for Spinal Cord Injury, Kennedy Krieger Institute, Baltimore, Maryland