Publications by authors named "I Manosha Wickremasinghe"

Article Synopsis
  • The Veterans Health Administration (VHA) has managed the Spinal Cord Injury and Disorder Registry (VHA SCIDR) since 1994, tracking cases of US Veterans with spinal cord injuries through various data acquisition methods.
  • The objective was to consolidate and harmonize three decades of historical data into an automated system while detailing the population characteristics of the identified Veterans.
  • From 1994 to 2022, the registry identified 52,407 Veterans with spinal cord injuries, predominantly male (96.95%) and mostly White (56.09%), with a significant portion being traumatic injuries (53.39%).
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Context/objective: Our objective was to describe early participation in Whole Health programs across the Veterans Health Administration (VHA) Spinal Cord Injuries and Disorders (SCI/D) System of Care.

Design: Retrospective analysis of VHA administrative data.

Setting: The VHA SCI/D System of Care.

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Since the 1990s, Veterans Health Administration (VHA) has maintained a registry of Veterans with Spinal Cord Injuries and Disorders (SCI/Ds) to guide clinical care, policy, and research. Historically, methods for collecting and recording data for the VHA SCI/D Registry (VSR) have required significant time, cost, and staffing to maintain, were susceptible to missing data, and caused delays in aggregation and reporting. Each subsequent data collection method was aimed at improving these issues over the last several decades.

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Background: Individuals with spinal cord injuries and disorders (SCI/D) require frequent interdisciplinary health care to address impairments in mobility, autonomic function, and secondary complications. Telehealth has the capacity to substantially transform health care delivery and improve care by increasing access and communication. However, relatively little is known about telehealth use in this specific population.

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Objectives: Describe an interdisciplinary spinal cord injury home care program (SCIHCP), sample demographics for the veteran participants, and initial impact of SCIHCP on health care utilization and mortality.

Design: Retrospective review.

Setting: SCIHCP of the Spinal Cord Injury Center, VA North Texas Health Care System (VANTHCS).

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