دورية أكاديمية
Relationship of patient characteristics and inpatient rehabilitation services to 5-year outcomes following spinal cord injury: A follow up of the SCIRehab project.
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. |
References: | Am J Phys Med Rehabil. 2000 Mar-Apr;79(2):184-92. (PMID: 10744194) J Spinal Cord Med. 2009;32(3):336-42. (PMID: 19810635) Spinal Cord. 2012 Jan;50(1):72-7. (PMID: 21808257) Arch Phys Med Rehabil. 2011 Feb;92(2):207-13. (PMID: 21272716) JAMA. 1999 Nov 10;282(18):1737-44. (PMID: 10568646) Ann Intern Med. 2005 Feb 15;142(4):260-73. (PMID: 15710959) J Spinal Cord Med. 2012 Nov;35(6):484-502. (PMID: 23318033) J Spinal Cord Med. 2012 Nov;35(6):578-92. (PMID: 23318038) Patient Educ Couns. 2015 Oct;98(10):1248-54. (PMID: 26277283) Am J Crit Care. 2009 Mar;18(2):106-13; quiz 114. (PMID: 19255100) J Spinal Cord Med. 2009;32(3):283-97. (PMID: 19810630) J Spinal Cord Med. 2009;32(3):329-35. (PMID: 19810634) J Spinal Cord Med. 2009;32(3):270-82. (PMID: 19810629) Spinal Cord. 2009 Sep;47(9):651-61. (PMID: 19350047) J Spinal Cord Med. 2009;32(3):307-18. (PMID: 19810632) J Spinal Cord Med. 2012 Nov;35(6):527-46. (PMID: 23318035) J Spinal Cord Med. 2009;32(3):298-306. (PMID: 19810631) Arch Phys Med Rehabil. 2016 Oct;97(10):1706-1713.e1. (PMID: 27240429) J Spinal Cord Med. 2011;34(2):133-48. (PMID: 21675353) J Spinal Cord Med. 2012 Nov;35(6):565-77. (PMID: 23318037) J Nurs Adm. 2001 Jan;31(1):33-9. (PMID: 11198839) Med Care. 1991 Apr;29(4):305-17. (PMID: 1902275) J Spinal Cord Med. 2012 Nov;35(6):547-64. (PMID: 23318036) J Spinal Cord Med. 2009;32(3):251-9. (PMID: 19810627) J Spinal Cord Med. 2003 Spring;26 Suppl 1:S50-6. (PMID: 16296564) J Spinal Cord Med. 2009;32(3):319-28. (PMID: 19810633) J Spinal Cord Med. 2012 Nov;35(6):593-610. (PMID: 23318039) Arch Phys Med Rehabil. 2011 Mar;92(3):411-8. (PMID: 21353823) J Spinal Cord Med. 2009;32(3):260-9. (PMID: 19810628) J Spinal Cord Med. 2012 Nov;35(6):482-3. (PMID: 23318032) J Spinal Cord Med. 2012 Nov;35(6):611-23. (PMID: 23318040) J Spinal Cord Med. 2012 Nov;35(6):503-26. (PMID: 23318034) Med Care. 2010 Jun;48(6 Suppl):S17-22. (PMID: 20421825) |
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 |
تدمد: | 2045-7723 |
---|---|
DOI: | 10.1080/10790268.2021.1881875 |