Observational studyEuropean journal of physical and rehabilitation medicine2024
Utilization and features of rehabilitation and health services for persons with spinal cord injury.
Observational study in European journal of physical and rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Effective and Efficient Rehabilitation. What Works Best for Persons With SCI During (Sub)Acute Phase of Rehabilitation?Archives of rehabilitation research and clinical translation · 2025Article
- Multicenter study on predictors of rehabilitation outcome and home discharge in people with non-traumatic spinal cord injuries.European journal of physical and rehabilitation medicine · 2025Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
backgroundThe increasing prevalence of individuals experiencing disabilities underscores the importance of rehabilitation. Nevertheless, healthcare systems are already facing financial constraints, which makes it imperative to strive for a more efficient delivery of services. The first step, however, is to understand how the provision of services behaves for patients with different characteristics.
aimTo determine the most frequently used healthcare services in the (sub)acute phase of rehabilitation of patients with spinal cord injury/disease (SCI/D) and the link with patient characteristics.
designObservational cohort study. POPULATION: This study analyzes the clinical data of patients discharged from a specialized SCI hospital and rehabilitation center in Switzerland.
methodsWe implemented a compound risk model to estimate the total amount of healthcare services used, defined by length of stay (LOS) and the units per day of health services (sub)acute phase of rehabilitation.
resultsThe study included 403 individuals with SCI/D. The analysis of the intensity and severity of healthcare services across different patient and injury characteristics revealed differences in the intensity of healthcare use and variations in the length of stay (LOS). Male patients with a low SCIM upon admission tended to use healthcare services more extensively than female patients. In terms of etiology, therapies were employed more intensively for patients with traumatic SCI (TSCI). In addition, the analysis revealed that variations in the intensity of healthcare services used were more significant than those adjusted for LOS. Ultimately, similar patient groups received comparable quantities of healthcare services at the end of treatment.
conclusionsThis population-based study provides information for a better understanding of the determinants of health service use during the (sub)acute rehabilitation phase of individuals with SCI/D. When analyzing LOS, intensity, and severity of services, it shows that the use of healthcare services significantly differs for the level of SCIM at admission, age groups, sex, and etiology. However, the variation among individual patients also suggests the presence of other influential modifiers that were not considered in this analysis. CLINICAL REHABILITATION IMPACT: The approach outlined enables a systematic follow-up of this data analysis by enriching the computed data with additional details about the patient, the patient's treatment, and outcomes.
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