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. Healthcare utilization following spinal cord injury: Objective findings from a regional hospital registry

Healthcare utilization following spinal cord injury: Objective findings from a regional hospital registry

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1505330 · Published: January 1, 2019

Spinal Cord InjuryHealthcareTrauma

Simple Explanation

This study looks at how often people with spinal cord injuries (SCI) use healthcare services after they are first injured. It uses data from a large hospital system to track their hospital visits and emergency room visits in the year after their injury. The study found that a large number of people with SCI had to go back to the hospital or emergency room in the year after their initial injury. The most common reasons for these visits were problems like pressure ulcers, infections, and bowel or bladder issues. Understanding why people with SCI need to use healthcare services so often can help doctors and hospitals create programs to prevent these problems and improve the quality of life for people with SCI.

Study Duration
January 2003 through June 2014
Participants
591 patients with traumatic SCI
Evidence Level
Not specified

Key Findings

  • 1
    58% of SCI patients had additional inpatient or emergency healthcare utilization within the first year after their initial hospitalization.
  • 2
    The most frequent diagnosis codes for inpatient hospitalization readmission in individuals with tetraplegia were chronic ulcer of the skin (47%), disorders of fluid electrolyte and acid–base balance (43%), functional digestive disorders not elsewhere classified (39%), and essential hypertension (38%).
  • 3
    The most frequent diagnosis codes for emergency visits among individuals with tetraplegia were nondependent abuse of drugs (38%), of which 63% were tobacco use disorder and essential hypertension (30%).

Research Summary

This study examined healthcare utilization among individuals with SCI using data from a Level I trauma center and a regional hospital registry. The study found that a significant proportion of individuals with SCI experience additional inpatient or emergency healthcare utilization in the first year post-injury, with common reasons including pressure ulcers, fluid and electrolyte imbalances, and bowel/bladder issues. The findings highlight the need for targeted interventions and improved access to outpatient services to reduce healthcare utilization and improve outcomes for individuals with SCI.

Practical Implications

Preventive Strategies

Target preventive strategies to reduce costly and potentially avoidable healthcare utilization after acute SCI.

High-Risk Patient Identification

Identify high-risk patients for targeted interventions.

Improved Access to Outpatient Services

Improve access to outpatient services to prevent inpatient re-hospitalization.

Study Limitations

  • 1
    Data for people served at the trauma center but who lived outside the catchment area was unavailable, so trends for a subgroup of the sample cannot be analysed.
  • 2
    We were unable to stratify patients based on their injury severity due to a lack of AIS scores.
  • 3
    The DFWHC database collects administrative hospital claims data, so it is difficult to identify if utilization is planned or unplanned or if the primary reason for hospital visit was related to the SCI or another premorbid condition.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury