Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. Evaluating associations between trauma-related characteristics and functional recovery in individuals with spinal cord injury

Evaluating associations between trauma-related characteristics and functional recovery in individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2112849 · Published: April 1, 2024

Spinal Cord InjuryTraumaRehabilitation

Simple Explanation

This study investigates factors affecting functional recovery during inpatient rehabilitation for people with spinal cord injuries (SCI). By linking trauma and SCI databases, researchers aimed to identify how trauma severity, pre-existing conditions, and medical complications impact recovery. The study linked records from trauma centers and SCI model systems in Pennsylvania to analyze data from 604 individuals with traumatic SCI. Functional recovery was measured as the percentage change in motor function during rehabilitation. The findings indicate that older age, greater injury severity, pre-existing diabetes, pulmonary complications during acute care, and longer rehabilitation stays are linked to poorer functional recovery in SCI patients.

Study Duration
2008 to 2018
Participants
735 individuals with traumatic SCI for record linkage, 604 for functional recovery analysis
Evidence Level
Retrospective cohort analysis

Key Findings

  • 1
    Older age is associated with lower functional recovery during inpatient rehabilitation for individuals with SCI.
  • 2
    Greater impairment, as defined by the SCI level combined with the American Spinal Injury Association (AIS) impairment scale, is associated with lower functional recovery.
  • 3
    The presence of diabetes mellitus and pulmonary complications during acute care are associated with lower functional recovery in individuals with SCI.

Research Summary

This study examined the associations between trauma-related characteristics and functional recovery in individuals with spinal cord injury (SCI) during inpatient rehabilitation by linking data from Pennsylvania Trauma Systems Outcomes Study and the National SCI Model Systems databases. The results showed that older age, greater impairment, presence of diabetes mellitus, pulmonary complications during acute care, and longer length of stay at an inpatient rehabilitation facility were associated with lower functional recovery. The findings suggest that trauma and acute care variables, in addition to patient characteristics, play a significant role in functional recovery during inpatient rehabilitation for individuals with SCI.

Practical Implications

Clinical Management

Improved management of diabetes mellitus and prevention of pulmonary complications may enhance functional recovery in SCI patients.

Benchmarking and Risk Adjustment

Knowledge of injury and acute care factors impacting functional outcome is crucial for setting benchmarks and risk-adjusting when comparing outcomes across different systems of care.

Database Linkage

The developed methodology for linking trauma and model systems databases can be used in future studies at national or state levels.

Study Limitations

  • 1
    The study uses data from SCI model systems, which may not represent the general SCI population.
  • 2
    The analysis is restricted to data from the state of Pennsylvania.
  • 3
    The study relies on FIM data, which is no longer required to be reported by IRFs and has been replaced by the CARE tool.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury