دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Relationship of patient characteristics and inpatient rehabilitation services to 5-year outcomes following spinal cord injury: A follow up of the SCIRehab project.
المؤلفون: Monden KR; Craig Hospital, Englewood, Colorado, USA.; Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA., Hidden J; Shepherd Center, Atlanta, Georgia, USA., Eagye CB; Craig Hospital, Englewood, Colorado, USA., Hammond FM; Department of Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, Indiana, USA.; Rehabilitation Hospital of Indiana, Indianapolis, Indiana, USA., Kolakowsky-Hayner SA; Icahn School of Medicine at Mount Sinai, New York, USA., Whiteneck GG; Craig Hospital, Englewood, Colorado, USA.
المصدر: The journal of spinal cord medicine [J Spinal Cord Med] 2021 Nov; Vol. 44 (6), pp. 870-885. Date of Electronic Publication: 2021 Mar 11.
نوع المنشور: Journal Article; Observational Study; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Taylor & Francis Country of Publication: England NLM ID: 9504452 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2045-7723 (Electronic) Linking ISSN: 10790268 NLM ISO Abbreviation: J Spinal Cord Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Abingdon : Taylor & Francis
Original Publication: Jackson Heights, NY : American Paraplegia Society, [1995-
مواضيع طبية MeSH: Spinal Cord Injuries*/rehabilitation, Follow-Up Studies ; Humans ; Inpatients ; Length of Stay ; Rehabilitation Centers ; Treatment Outcome
مستخلص: Objective: To examine associations of patient characteristics and treatment quantity delivered during inpatient spinal cord injury (SCI) rehabilitation with outcomes at 5 years post-injury and compare them to the associations found at 1 year post-injury.
Design: Observational study using Practice-Based Evidence research methodology in which clinicians documented treatment details. Regression modeling was used to predict outcomes.
Setting: Five inpatient SCI rehabilitation centers in the US.
Participants: Participants were 792 SCIRehab participants who were > 12 years of age, gave informed consent, and completed both a 1-year and 5-year post-injury interview.
Outcome Measures: Outcome data were derived from Spinal Cord Injury Model Systems (SCIMS) follow-up interviews at 5 years post-injury and, similar to the 1-year SCIMS outcomes, included measures of physical independence, societal participation, life satisfaction, and depressive symptoms, as well as place of residence, school/work attendance, rehospitalization, and presence of pressure ulcers.
Results: Consistent with 1-year findings, patient characteristics continue to be strong predictors of outcomes 5-years post-injury, although several variables add to the prediction of some of the outcomes. More time in physical therapy and therapeutic recreation were positive predictors of 1-year outcomes, which held less true at 5 years. Greater time spent with psychology and social work/case management predicted greater depressive symptomatology 5-years post-injury. Greater clinician experience was a predictor at both 1- and 5 -years, although the related positive outcomes varied across years.
Conclusion: Various outcomes 5-years post-injury were primarily explained by pre-and post-injury characteristics, with little additional variance offered by the quantity of treatment received during inpatient rehabilitation.
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فهرسة مساهمة: Keywords: Practice-based evidence*; Rehabilitation*; Spinal cord injury*; Spinal cord injury model systems*
تواريخ الأحداث: Date Created: 20210311 Date Completed: 20220428 Latest Revision: 20240405
رمز التحديث: 20240405
مُعرف محوري في PubMed: PMC8725682
DOI: 10.1080/10790268.2021.1881875
PMID: 33705276
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-7723
DOI:10.1080/10790268.2021.1881875