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. Functional status predicts acute care readmission in the traumatic spinal cord injury population

Functional status predicts acute care readmission in the traumatic spinal cord injury population

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1453436 · Published: January 1, 2019

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

Acute care readmission is an important marker of healthcare quality, especially for traumatic spinal cord injury (SCI) patients who are vulnerable to preventable conditions early after injury. The study aimed to determine if functional status is a better predictor of readmission in SCI patients compared to medical comorbidities. The findings suggest that models incorporating functional status outperform those relying on medical comorbidities in predicting readmission risk for this population.

Study Duration
2002 to 2012
Participants
68,395 traumatic spinal cord injury patients
Evidence Level
Retrospective cross-sectional analysis

Key Findings

  • 1
    The Functional Model (demographics and functional status) outperformed Demographic-Comorbidity models at 3 days and two of three at 30 days.
  • 2
    The Functional-Plus models (adding comorbidities to the Functional Model) exhibited negligible improvements in model performance compared to the Functional models.
  • 3
    Functional status on admission to inpatient rehabilitation predicts the risk of acute care readmission, with good model calibration, at 3 and 30 days from IRF admission.

Research Summary

This study examined the role of functional status versus medical comorbidities in predicting readmission in the SCI population, hypothesizing that functional status-based models would be more predictive. The results indicated that models incorporating demographics and functional status alone demonstrated better discriminative ability than models based on demographics and comorbidities. The study concludes that functional status is an effective predictor of readmission after traumatic SCI, supporting its inclusion in future readmission penalty frameworks.

Practical Implications

Clinical Implications

Preventing avoidable hospital readmissions is of critical importance in improving both the patient experience and clinical outcomes.

Policy Implications

Development of accurate risk prediction models becomes increasingly relevant, especially with the current regulatory environment of penalties for readmissions.

Resource Allocation

Improving prediction of rehospitalization to better allocate limited resources.

Study Limitations

  • 1
    The retrospective, observational method prevents drawing a causal relationship between functional status and readmission.
  • 2
    Comorbidity data was limited to a maximum of ten ICD-9-CM codes per patient.
  • 3
    The study was unable to distinguish between planned and unplanned readmissions.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury