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  4. Clinical characteristics, hospital course, and disposition of patients with nontraumatic spinal cord injury in a large private health care system in the United States

Clinical characteristics, hospital course, and disposition of patients with nontraumatic spinal cord injury in a large private health care system in the United States

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2022.2069533 · Published: January 1, 2023

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

This study examines patients with nontraumatic spinal cord injuries (NTSCI) to understand their characteristics and outcomes. The study found that NTSCI patients are often older and have other health issues that impact their recovery. The research aims to help improve the management and post-acute care planning for these patients.

Study Duration
2014 to 2020
Participants
2807 inpatients with NTSCI
Evidence Level
Retrospective analysis

Key Findings

  • 1
    Incomplete cervical level injury was the most common injury type, spinal stenosis was the most common diagnostic etiology and central cord syndrome was the most common clinical syndrome.
  • 2
    Increased CCI, ICU stay, and hospital-acquired pulmonary complications were associated with poorer outcomes after acute care hospitalization among patients with NTSCI.
  • 3
    Falls were the most common hospital-acquired complication

Research Summary

This study analyzed a large dataset of patients with nontraumatic spinal cord injuries (NTSCI) to understand their hospital course and outcomes. The most common injury was incomplete cervical SCI, with spinal stenosis being the main cause. Factors like increased age, comorbidities, ICU stay, and pulmonary complications were linked to poorer outcomes and non-home discharge.

Practical Implications

Improved post-acute care planning

Early rehabilitation intervention and planning for post-acute care should be a goal for NTSCI patients, especially those at risk of non-home discharge.

Targeted interventions to reduce complications

Efforts should focus on reducing hospital-acquired complications, particularly pulmonary complications, to improve discharge outcomes.

Pain management strategies

Implement pain management strategies to prevent the development of chronic pain following NTSCI.

Study Limitations

  • 1
    The study population was limited to hospitals within a private for-profit healthcare system
  • 2
    The study relied on a retrospective review of hospital discharge-based data
  • 3
    The database used for this study lacked baseline functional data and descriptions of the residences for patients

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