International retrospective comparison of inpatient rehabilitation for patients with spinal cord dysfunction epidemiology and clinical outcomes

Peter Wayne New, Ronald K. Reeves, Éimear Smith, Andrea Townson, Inge Eriks-Hoogland, Anupam Gupta, Belci Maurizio, Giorgio Scivoletto, Marcel W. Post

Research output: Contribution to journalArticle

Abstract

Objective To describe and compare epidemiologic characteristics of patients with spinal cord dysfunction admitted to spinal rehabilitation units (SRUs) in 9 countries (Australia, Canada, Italy, India, Ireland, The Netherlands, Switzerland, United Kingdom, and United States). Design Retrospective multicenter open-cohort case series. Setting SRUs. Participants Patients (N=956) with initial onset of spinal cord dysfunction consecutively admitted between January 1, 2008, and December 31, 2010. Median age on admission was 59 years (interquartile range [IQR], 46-70), and 60.8% of patients were men. Interventions Not applicable. Main Outcome Measures Demographic characteristics (eg, age, sex), time frame over which clinical symptoms of spinal cord dysfunction developed, etiology, length of stay in hospital, level of lesion and American Spinal Injury Association Impairment Scale (AIS) grade, discharge destination, and inpatient mortality. Results The time frame of onset of spinal cord dysfunction symptoms was as follows: ≤1 day (28.5%); ≤1 week (13.8%); >1 week but ≤1 month (10.5%), and >1 month (47.2%). Most common etiologies were degenerative conditions (30.8%), malignant tumors (16.2%), ischemia (10.9%), benign tumors (8.7%), and bacterial infections (7.1%). Most patients (72.3%) had paraplegia. The AIS grade on SRU admission was grade A in 14%, grade B in 6.5%, grade C in 24%, grade D in 52.4%, grade E in 0.2%, and missing in 2.9%. AIS grade significantly improved by discharge (z=-10.1, P

Original languageEnglish
Pages (from-to)1080-1087
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number6
DOIs
Publication statusPublished - Jun 1 2015

Keywords

  • Delivery of health care
  • Epidemiology
  • Outcome and process assessment (health care)
  • Rehabilitation
  • Spinal cord diseases

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

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