Objectives: To investigate the frequency of and reasons for readmissions to acute care (RTAC) during inpatient rehabilitation (IPR) after non-traumatic spinal cord injury (NT-SCI). To develop a predictive model for RTAC using identified risk factors.
Design: Retrospective case-control.
Setting: Academic IPR hospital.
Participants: Individuals with NT-SCI admitted to an academic SCI rehabilitation unit from January 2014-December 2015.
Interventions: Not applicable.
Main Outcome Measures: Readmissions to acute care services from IPR.
Results: Thirty-seven participants (20%) experienced a RTAC for a total of 39 episodes. Thirty-five experienced 1 RTAC, while two had 2. The most common medical reasons for RTAC were infection (27%), neurological (27%), and noninfectious respiratory (16%). Multivariable logistic regression was used to develop a model to predict RTAC. Paraplegia was associated with 3.2 times increase in the odds of RTAC (P = 0.03). For every unit increase in FIM-Motor, there was a 5% reduction in the odds of RTAC (P = 0.03) Body mass index less than 30 decreased odds of RTAC by 61% (P = 0.004).
Conclusion: RTACs were associated with body mass index greater than 30, decreased FIM-Motor subscore on admission, and paraplegia. Physiatrists caring for the non-traumatic SCI patient need be more circumspect of individuals with these parameters to potentially prevent the problems necessitating acute care transfer.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055975 | PMC |
| http://dx.doi.org/10.1080/10790268.2018.1426235 | DOI Listing |
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