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  4. Relationship of patient characteristics and inpatient rehabilitation services to 5-year outcomes following spinal cord injury: A follow up of the SCIRehab project

Relationship of patient characteristics and inpatient rehabilitation services to 5-year outcomes following spinal cord injury: A follow up of the SCIRehab project

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2021.1881875 · Published: January 1, 2021

Spinal Cord InjuryRehabilitationResearch Methodology & Design

Simple Explanation

This study examined how patient characteristics and the amount of treatment during spinal cord injury (SCI) rehabilitation relate to outcomes five years after the injury. The study found that patient characteristics are strong predictors of outcomes at 5 years. More physical therapy and therapeutic recreation were positive at 1 year, less so at 5 years. Increased time with psychology and social work predicted greater depressive symptoms 5 years post-injury. Greater clinician experience was a positive predictor at both 1 and 5 years.

Study Duration
5 years
Participants
792 SCIRehab participants who were >12 years of age, gave informed consent, and completed both a 1-year and 5-year post-injury interview.
Evidence Level
Observational study using Practice-Based Evidence research methodology

Key Findings

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    Patient characteristics were strong predictors of outcomes 5-years post-injury, although several therapeutic variables added to the predictability of some of the outcomes.
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    More time spent with psychology and social work/case management predicted greater depressive symptomatology 5-years post-injury.
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    Greater time spent in physical therapy and therapeutic recreation were positive predictors of both 1- and 5-year outcomes.

Research Summary

The study evaluated associations between patient characteristics, inpatient rehabilitation treatment, and outcomes at 5-years post-injury for a cohort of SCIRehab patients. Patient characteristics continue to be strong predictors of outcomes 5-years post-injury, with therapeutic variables adding predictability to some outcomes. More time in physical therapy and therapeutic recreation were positive predictors of both 1- and 5-year outcomes, highlighting the importance of early learning and adaptation.

Practical Implications

Resource Utilization

Injury group may guide resource allocation, education, and targeted prevention.

Access to Services

Early access to physical therapy and therapeutic recreation is crucial for long-term outcomes.

Psychosocial Support

Address psychosocial needs early post-injury with targeted interventions for sustainable gains.

Study Limitations

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