ArticleThe journal of spinal cord medicine2018
Predictors of readmission to acute care during inpatient rehabilitation for non-traumatic spinal cord injury.
Article in The journal of spinal cord medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Effect of Comprehensive Nursing on Traumatic Paraplegia Patients by Evaluation of Magnetic Resonance Imaging Features.Contrast media & molecular imaging · 2022Trial
- Frequency and Characteristics of Medical Complications in Rehabilitation Settings: A Scoping Review.Journal of rehabilitation medicine · 2022Article
- Acute Inpatient Rehabilitation Improves Function Independent of Comorbidities in Medically Complex Patients.Archives of rehabilitation research and clinical translation · 2022Article
- Retrospective study of functional outcomes and disability after non-ischaemic vascular causes of spinal cord dysfunction.The journal of spinal cord medicine · 2021Article
- Risk of Hospital Readmission among Older Patients Discharged from the Rehabilitation Unit in a Rural Community Hospital: A Retrospective Cohort Study.Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the frequency of and reasons for readmissions to acute care (RTAC) during inpatient rehabilitation (IPR) after non-traumatic spinal cord injury (NT-SCI). To develop a predictive model for RTAC using identified risk factors.
designRetrospective case-control.
settingAcademic IPR hospital.
participantsIndividuals with NT-SCI admitted to an academic SCI rehabilitation unit from January 2014-December 2015.
interventionsNot applicable.
main outcome measuresReadmissions to acute care services from IPR.
resultsThirty-seven participants (20%) experienced a RTAC for a total of 39 episodes. Thirty-five experienced 1 RTAC, while two had 2. The most common medical reasons for RTAC were infection (27%), neurological (27%), and noninfectious respiratory (16%). Multivariable logistic regression was used to develop a model to predict RTAC. Paraplegia was associated with 3.2 times increase in the odds of RTAC (P = 0.03). For every unit increase in FIM-Motor, there was a 5% reduction in the odds of RTAC (P = 0.03) Body mass index less than 30 decreased odds of RTAC by 61% (P = 0.004).
conclusionRTACs were associated with body mass index greater than 30, decreased FIM-Motor subscore on admission, and paraplegia. Physiatrists caring for the non-traumatic SCI patient need be more circumspect of individuals with these parameters to potentially prevent the problems necessitating acute care transfer.
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