The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2112849 · Published: April 1, 2024
This study investigates factors affecting functional recovery during inpatient rehabilitation for people with spinal cord injuries (SCI). By linking trauma and SCI databases, researchers aimed to identify how trauma severity, pre-existing conditions, and medical complications impact recovery. The study linked records from trauma centers and SCI model systems in Pennsylvania to analyze data from 604 individuals with traumatic SCI. Functional recovery was measured as the percentage change in motor function during rehabilitation. The findings indicate that older age, greater injury severity, pre-existing diabetes, pulmonary complications during acute care, and longer rehabilitation stays are linked to poorer functional recovery in SCI patients.
Improved management of diabetes mellitus and prevention of pulmonary complications may enhance functional recovery in SCI patients.
Knowledge of injury and acute care factors impacting functional outcome is crucial for setting benchmarks and risk-adjusting when comparing outcomes across different systems of care.
The developed methodology for linking trauma and model systems databases can be used in future studies at national or state levels.