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  4. Evaluation of functional outcomes in traumatic spinal cord injury with rehabilitation-acquired urinary tract infections: A retrospective study

Evaluation of functional outcomes in traumatic spinal cord injury with rehabilitation-acquired urinary tract infections: A retrospective study

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1452389 · Published: July 1, 2019

Spinal Cord InjuryImmunologyRehabilitation

Simple Explanation

This study looks at how urinary tract infections (UTIs) impact recovery for people with traumatic spinal cord injuries (tSCI) during their initial rehabilitation in the hospital. It aims to see if getting a UTI while in rehab affects how well patients regain their physical abilities. The study found that patients who developed UTIs during their rehabilitation stay had lower motor skills on admission, discharge and their gains were not as significant. They also required longer stays in the hospital compared to those who did not get UTIs. The findings of this study suggest that UTIs can negatively affect functional recovery in people with tSCI during rehabilitation. Preventing UTIs or treating them quickly could help improve outcomes.

Study Duration
2007-2012
Participants
110 patients with traumatic Spinal Cord Injury (tSCI)
Evidence Level
Not specified

Key Findings

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    Patients with UTIs had significantly lower FIM motor scores on admission, discharge, and gain compared to those without a UTI.
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    The length of stay was nearly double in those with a UTI compared to those without.
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    Recurrence of UTI was associated with increased length of stay, but did not impact FIM motor gains.

Research Summary

This retrospective study evaluated the impact of rehabilitation-acquired urinary tract infections (UTIs) on functional outcomes, specifically Functional Independence Measure (FIM) gains, in patients with traumatic spinal cord injury (tSCI). The study found a statistically significant correlation between acquired UTIs and lower FIM motor scores on admission, gain, and discharge in tSCI rehabilitation patients. The results suggest that UTIs are an important negative variable when measuring functional outcomes in rehabilitation and that further prospective studies are warranted.

Practical Implications

Clinical Practice

Clinicians should be aware of the increased risk of UTIs in tSCI patients during acute rehabilitation and implement strategies to prevent and promptly treat these infections.

Rehabilitation Programs

Rehabilitation programs should consider the impact of UTIs on functional outcomes and adjust treatment plans accordingly, potentially including interventions to address UTI-related complications.

Future Research

Further prospective studies are needed to investigate the relationship between UTIs and rehabilitation outcomes in SCI, including identifying specific risk factors and effective prevention strategies.

Study Limitations

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