Objective: To determine what effect gunshot-caused spinal cord injury (SCI)
has on self-reported quality of life (QOL) and on the frequency of pain su
fficient to interfere with day-to-day activities.
Design: Follow-up, case-control design.
Setting: Analysis of data obtained from the (US) National Spinal Cord Injur
y Statistical Center from 18 funded Spinal Cord Injury Model Systems.
Participants: Individuals with traumatic onset SCI (n = 1901). From these,
111 persons with gunshot-caused SCI were matched to persons with nongunshot
SCI.
Main Outcome Measures: Satisfaction with Life Scale (SWLS), the Craig Handi
cap Assessment and Reporting Technique (CHART), Medical Outcomes Study Shor
t-Form Health Survey (SF-12), and an individual pain item from the SF-12.
Results: No between-group differences were found on any of the QOL outcome
measures. In contrast, those with SCI caused by gunshot reported that pain
more frequently interfered with day-to-day activities than the matched comp
arison group.
Conclusions: SCI caused by gunshot appears largely unrelated to QOL, after
controlling for demographic and medical characteristics associated with thi
s group. Gunshot as a mechanism of SCI may place individuals at an increase
d risk of subsequent development of pain that interferes with activities of
daily living.