Emergency department visits, related hospitalizations, and reasons for utilization of the emergency department after SCI

Project Type
Independent
Principal Investigator Name
James S. Krause, PhD
Principal Investigator Email
Start Date:
10/1/2016
End Date:
9/30/2021
Participating Centers:
Target Population(s):
Project Website:
Abstract:
A great deal of what we know about the challenges that people face after SCI comes from the Spinal Cord Injury Model Systems (SCIMS) Form II longitudinal data collection efforts. One aspect of healthcare after SCI that represents an important component of utilization, but which is not captured through the Form II data, is Emergency Department visits. A study (in Canada) that addressed the question of emergency department visits indicated that compared to the general population, visits to the emergency department by persons with SCI are disproportionately higher.8,9 In order to optimally meet the needs of persons with SCI, it is first necessary to understand the conditions and circumstances under which people with SCI make use of hospital Emergency Departments. The purpose of this study is to address a key gap in the literature by identifying the prevalence and predictors of Emergency Department Visits (EDV), Emergency Department-related Hospitalizations (EDH), and the reasons for EDV, by administering questions taken directly from the NHIS during the Form II data collection. Data collected from the Form I and II will be used to identify the relationship of key variables with ED outcomes. Objective 1: Identify the prevalence of EDV, EDH and reasons for using the ED, and how they vary as a function of SCI level and AIS, sex, race, age, and years post-injury. Objective 2: Compare the prevalence of EDV, EDH, and reasons for using the ED matched with those of individuals in the general population from the same geographic region, controlling for demographic characteristics. Objective 3: Identify psychological, socioenvironmental, behavioral, and health factors related to EDV and EDH, controlling for demographic and injury factors. Objective 4: Compare the prevalence of EDV and EDH among the Shepherd participants with those of a population-based cohort from South Carolina.