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  4. Predictors of readmission to acute care during inpatient rehabilitation for non-traumatic spinal cord injury

Predictors of readmission to acute care during inpatient rehabilitation for non-traumatic spinal cord injury

The Journal of Spinal Cord Medicine, 2018 · DOI: 10.1080/10790268.2018.1426235 · Published: January 1, 2018

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

This study looks at why some patients with spinal cord injuries, caused by something other than trauma, end up back in the hospital after starting rehabilitation. The goal is to find factors that make readmission more likely, so doctors can better help these patients avoid complications. The study found that being paraplegic, having a higher body mass index, and lower motor function scores were linked to higher readmission rates.

Study Duration
2 Years
Participants
187 individuals with non-traumatic spinal cord injury
Evidence Level
Retrospective case-control study

Key Findings

  • 1
    Paraplegia was associated with a 3.2 times increase in the odds of readmission to acute care.
  • 2
    For every unit increase in FIM-Motor, there was a 5% reduction in the odds of RTAC.
  • 3
    Body mass index less than 30 decreased odds of RTAC by 61%.

Research Summary

This study investigated the frequency and reasons for readmissions to acute care (RTAC) during inpatient rehabilitation (IPR) after non-traumatic spinal cord injury (NT-SCI). The most common medical reasons for RTAC were infection (27%), neurological (27%), and noninfectious respiratory (16%). RTACs were associated with body mass index greater than 30, decreased FIM-Motor subscore on admission, and paraplegia.

Practical Implications

Targeted Interventions

Physiatrists should be more vigilant with NT-SCI patients who have paraplegia, high BMI, and low FIM-Motor scores.

Preventative Strategies

Develop preventative strategies and surveillance policies to reduce RTACs.

Improved Pre-Rehabilitation

Efforts to improve patient's functional status prior to IPR admission could prove beneficial.

Study Limitations

  • 1
    Retrospective nature of the study
  • 2
    Fairly small sample size
  • 3
    Generalizability limited to one academic teaching hospital

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