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  4. The Effect of Physiatry Involvement for Patients With Acute Traumatic Spinal Cord Injury at a Level 1 Trauma Center

The Effect of Physiatry Involvement for Patients With Acute Traumatic Spinal Cord Injury at a Level 1 Trauma Center

Top Spinal Cord Inj Rehabil, 2022 · DOI: 10.46292/sci21-00050 · Published: December 1, 2022

Spinal Cord InjuryTraumaRehabilitation

Simple Explanation

This study investigates the impact of physiatry involvement on patients with acute traumatic spinal cord injuries (ATSCI) at a level 1 trauma center. Patients who were evaluated by physiatry were matched with those who were not, controlling for various factors like demographics and injury severity. The study found that physiatry involvement was associated with increased odds of discharge to inpatient rehabilitation and improved survival rates.

Study Duration
2 Years
Participants
102 patients with acute traumatic spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Physiatry involvement was associated with increased odds of discharge to inpatient rehabilitation.
  • 2
    There was a significant survival benefit seen with physiatry involvement at 30 days.
  • 3
    Patients in the physiatry group had a significantly longer hospital length of stay.

Research Summary

This retrospective study explores the impact of physiatry on acute traumatic spinal cord injury (ATSCI) outcomes at a level 1 trauma center using propensity score matching (PSM). The study found that physiatry involvement was associated with improved survival rates and greater odds of discharge to rehabilitation. The authors conclude that incorporating physiatry into the management of patients with ATSCI optimizes patient outcomes.

Practical Implications

Improved Patient Outcomes

Early integration of physiatry into the clinical care team for patients with ATSCI may lead to better survival rates and increased likelihood of discharge to inpatient rehabilitation.

Optimized Trauma Care

Incorporating physiatry can enhance the comprehensive management of ATSCI patients within trauma centers.

Resource Allocation

The findings support the allocation of resources to ensure physiatry services are readily available for ATSCI patients in trauma centers.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Potential for unmeasured confounders despite PSM
  • 3
    Data limitations from using a trauma registry

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