{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T12:08:37Z","timestamp":1793189317420,"version":"4.5.0"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"abstract":"<jats:p>\n                    We assessed the extent to which initial injury severity, functional independence, and health-related quality of life (QoL) predict overall QoL in adults during their first year of recovery following a traumatic spinal cord injury (SCI). Data were collected from two level-I trauma centers and outpatient follow-up care as part of the longitudinal, prospective, and multicenter Transforming Research and Clinical Knowledge in SCI study. Participants included adults with traumatic SCI presenting acutely within 24-h of injury (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 115). Functional independence was measured using the Spinal Cord Independence Measure Version III, health-related QoL was measured using 11 short-form questionnaires from the QoL in Neurological Disorders (Neuro-QoL) measurement system, and overall QoL was measured using the International SCI QoL Basic Data Set. Injury severity and functional independence measures were not significant predictors of overall QoL. Ten of the 11 Neuro-QoL questionnaires were strongly associated with overall QoL (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2264 0.001\u20130.015). In a multivariable regression model, depression (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.002) and satisfaction with social roles\/activities (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; 0.001) maintained significance with overall QoL at 6\u201312 months post-SCI. Findings indicate that patient-reported mental and social well-being may be more important to overall QoL than injury severity, functional independence, or physical health-related QoL during the first year of recovery following traumatic SCI. This reveals the importance of incorporating mental and social health care plans during early SCI rehabilitation.\n                  <\/jats:p>","DOI":"10.1177\/08977151261433823","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T10:29:10Z","timestamp":1774693750000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Quality of Life and Function from Initial Injury to Follow-up in the First Year after Traumatic Spinal Cord Injury"],"prefix":"10.1177","author":[{"given":"Debra D.","family":"Hemmerle","sequence":"first","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."},{"name":"Weill Institute for Neurosciences, Brain and Spinal Injury Center, San Francisco, California, USA."},{"name":"Department of Community Health Systems, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Community Health Systems, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oi Saeng","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Community Health Systems, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Duong-Fernandez","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."},{"name":"Weill Institute for Neurosciences, Brain and Spinal Injury Center, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Russell","family":"Huie","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."},{"name":"Weill Institute for Neurosciences, Brain and Spinal Injury Center, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esmeralda","family":"Mendoza","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abel","family":"Torres-Espin","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia V.","family":"Keller","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. E.","family":"Hinson","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurology, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan Z.","family":"Pan","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineeta","family":"Singh","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Weill Institute for Neurosciences, Brain and Spinal Injury Center, San Francisco, California, USA."},{"name":"Department of Neurology, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7801-5796","authenticated-orcid":false,"given":"Nikos","family":"Kyritsis","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."},{"name":"Weill Institute for Neurosciences, Brain and Spinal Injury Center, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony M.","family":"DiGiorgio","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason F.","family":"Talbott","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Radiology and Biomedical Imaging, Zuckerberg San Francisco General Hospital, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Whetstone","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip R.","family":"Weinstein","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Hong","family":"Kuo","sequence":"additional","affiliation":[{"name":"Community Regional Medical Center, Fresno, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey T.","family":"Manley","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA."},{"name":"Weill Institute for Neurosciences, Brain and Spinal Injury Center, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline C.","family":"Bresnahan","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA."},{"name":"Department of Neurological Surgery, University of California San Francisco, San 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