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Rehospitalization during the first five years after the onset of traumatic spinal cord injury: A population-based study using administrative billing records

Arch Phys Med Rehabil, 2022 · DOI: 10.1016/j.apmr.2022.01.162 · Published: July 1, 2022

Spinal Cord InjuryHealthcare

Simple Explanation

This study examines how often and why people with spinal cord injuries (SCI) are re-hospitalized within five years after their initial injury. The research uses data from billing records to track hospital readmissions, length of stay, and associated costs. The study found that a significant number of SCI patients are re-hospitalized, incurring substantial costs, and that factors like walking ability and education level can affect these outcomes.

Study Duration
5 Years
Participants
1,872 individuals with traumatic SCI
Evidence Level
Not specified

Key Findings

  • 1
    70% of participants were rehospitalized within the first five years after initial discharge, with the highest rates occurring in the first year (54%).
  • 2
    The average total rehospitalization charges were $214,716 per person during the five years, adjusted to 2019 US dollars.
  • 3
    Participants who could walk independently had fewer rehospitalizations and lower charges compared to non-ambulatory participants; college education was also associated with lower charges.

Research Summary

This population-based study examined rehospitalization rates and costs for individuals with traumatic SCI in the Southeastern United States. Using administrative billing data, the study found high rates of rehospitalization within the first five years post-injury, with significant associated costs. Factors such as ambulatory status and education level were found to influence rehospitalization outcomes, highlighting potential areas for intervention.

Practical Implications

Targeted Interventions

Develop targeted interventions to reduce rehospitalization rates, focusing on individuals with limited mobility and lower educational attainment.

Cost-Effective Strategies

Implement cost-effective strategies to manage secondary health conditions and prevent complications that lead to rehospitalization.

Longitudinal Tracking

Establish longitudinal tracking systems to monitor rehospitalization patterns and identify factors associated with changes over time.

Study Limitations

  • 1
    Absence of detailed injury severity information (ASIA Impairment Scale).
  • 2
    Limited data on co-morbidities, which are important predictors for hospitalization outcomes.
  • 3
    Hospital charges are not equal to actual payments.

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