{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T08:57:10Z","timestamp":1768208230920,"version":"3.49.0"},"reference-count":60,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005191","name":"Craig H. Neilsen Foundation Postdoctoral Fellowship","doi-asserted-by":"publisher","award":["977598"],"award-info":[{"award-number":["977598"]}],"id":[{"id":"10.13039\/100005191","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005191","name":"Craig H. Neilsen Foundation Postdoctoral Fellowship","doi-asserted-by":"publisher","award":["RT-2022-2532"],"award-info":[{"award-number":["RT-2022-2532"]}],"id":[{"id":"10.13039\/100005191","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000245","name":"Michael Smith Foundation for Health Research (MSFHR) Incentive Award","doi-asserted-by":"publisher","award":["977598"],"award-info":[{"award-number":["977598"]}],"id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000245","name":"Michael Smith Foundation for Health Research (MSFHR) Incentive Award","doi-asserted-by":"publisher","award":["RT-2022-2532"],"award-info":[{"award-number":["RT-2022-2532"]}],"id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: People living with a spinal cord injury (PwSCI) present numerous complications at a systemic level that negatively impact their physical and mental health as well as their quality of life. The purpose of this study was to describe the clinical profile of PwSCI living in nursing homes (NHs), Complex Continuing Care Systems (CCCs), home care (HC), and inpatient mental health facilities (MHs) in nine Canadian provinces and territories. Methods: We analyzed data collected with the following assessment tools: Resident Assessment Instrument (RAI) Minimum Data Set (RAI-MDS 2.0), RAI\u2013MH, RAI-HC, Cognitive Performance Scale, Activities of Daily Living (ADL) Hierarchy Scale and impairments in instrumental ADLs (IADLs), Pain Scale, Changes in Health, End-Stage Disease, Signs, and Symptoms (CHESS) Scale, Depression Rating Scale, and Deafblind Severity Index (DBSI). We reported counts (n) and percentages (%) and performed Chi-square tests with a Bonferroni correction to determine the statistical significance of the differences in frequencies within and between care settings. Results: We identified 13,136 PwSCI, predominantly males and younger than comparison groups. PwSCI presented fewer comorbidities but reported higher pain than comparison groups. Almost all of the PwSCI in NHs (99.4%) and CCCs (98.9%) needed assistance to perform ADLs. Conclusions: The prevalence of comorbidities and impairments following SCI varies based on the clinical setting. The present clinical profile of PwSCI will inform interventions to improve health of PwSCI across the continuum of care.<\/jats:p>","DOI":"10.3390\/jcm14093060","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T05:17:12Z","timestamp":1745903832000},"page":"3060","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Characteristics of Adults Living with a Spinal Cord Injury Across the Continuum of Care: A Population-Based Cross-Sectional Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Matteo","family":"Ponzano","sequence":"first","affiliation":[{"name":"School of Health and Exercise Science, University of British Columbia, 1238 Discovery Ave, Kelowna, BC V1V 1V7, Canada"},{"name":"International Collaboration on Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, BC V5Z 1N1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Declercq","sequence":"additional","affiliation":[{"name":"LUCAS\u2013Centre for Research, KU Leuven, 3000 Leuven, Belgium"},{"name":"School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada"},{"name":"Center for Sociological Research, Faculty of Social Sciences, KU Leuven, 3000 Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2510-6300","authenticated-orcid":false,"given":"Melissa","family":"Ziraldo","sequence":"additional","affiliation":[{"name":"School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Hirdes","sequence":"additional","affiliation":[{"name":"School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1159\/000336014","article-title":"Incidence and prevalence of spinal cord injury in Canada: A national perspective","volume":"38","author":"Noonan","year":"2012","journal-title":"Neuroepidemiology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1179\/2045772314Y.0000000233","article-title":"The changing demographics of traumatic spinal cord injury: An 11-year study of 831 patients","volume":"38","author":"Thompson","year":"2015","journal-title":"J. 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