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  4. Differences in personal characteristics and health outcomes between ambulatory and non-ambulatory adults with traumatic spinal cord injury

Differences in personal characteristics and health outcomes between ambulatory and non-ambulatory adults with traumatic spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2234726 · Published: January 1, 2024

Spinal Cord InjuryHealthcare

Simple Explanation

This study looks at how personal traits and health results differ between adults with long-term spinal cord injuries who can walk and those who cannot. The research involved following a group of adults with spinal cord injuries over time and linking their information to state records of hospital billing. The goal was to see if being able to walk is connected to different health issues and how often people go to the hospital.

Study Duration
2011-2018 (data collection)
Participants
1,051 adults with chronic (>1-year), traumatic SCI
Evidence Level
Prospective cohort study

Key Findings

  • 1
    Ambulatory adults had fewer ED visits, IP admissions through the ED, IP only admissions and spent fewer days in the hospital compared to non-ambulatory adults.
  • 2
    Ambulatory adults were more likely to be white, married, living in urban locations, and have higher incomes, but also reported higher rates of depression and chronic conditions.
  • 3
    Ambulatory adults reported needing less physical assistance and spent more time out of bed and out of the house, but also reported more days that pain interfered with their usual activities.

Research Summary

This study explored the differences in personal characteristics and hospital utilization between ambulatory and non-ambulatory adults with SCI, contributing to the understanding of heterogeneity within the SCI population. The findings indicated that ambulatory adults experienced less hospital utilization but reported higher rates of depression and chronic conditions compared to non-ambulatory adults. The study highlights the need for separate analyses based on ambulatory status in future research assessing long-term health outcomes, including hospital utilization, to better address the unique needs of each sub-population.

Practical Implications

Tailored Interventions

The findings highlight unmet needs within the ambulatory population, identifying potential targets for interventions to optimize health and well-being.

Informed Clinical Practice

Rehabilitation professionals can use these findings to better understand how ambulation relates to health and well-being, tailoring research and interventions for these groups.

Separate Analyses

Future studies should focus specifically on ambulatory or non-ambulatory populations to better identify predictors of utilization and address the unique needs of each group.

Study Limitations

  • 1
    The study used a combination of self-report and administrative billing data, which may be susceptible to reporting errors and recall bias.
  • 2
    The findings are representative of a select geographic region, limiting generalizability to other populations.
  • 3
    There still may be response biases in participation among those within the population-based system.

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