Discharge disposition from model spinal cord injury care system rehabilitation programs

Short Title:
Discharge disposition from model spinal cord injury care system rehabilitation programs
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J36927.
Journal:
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
1999, vol. 80, issue 3, pp 785-790
Publication Website:
Abstract:
Case control study identifies and quantifies factors associated with discharge to a nursing home from a cohort of 16,633 consecutively discharged patients with spinal cord injuries between 1973 and 1996. Overall, 4.3% of patients were discharged to a nursing home. Factors that were significantly associated (p<.0001) with placement were age, race, employment status at injury, bladder management method at discharge, education level, marital status, Frankel grade, functional independence in performing activities of daily living, independent ambulation, geographic region, neurologic level of injury, ventilator dependency, and third-party sponsor of rehabilitation. A multivariate predictive model was developed from these factors and was both 78% sensitive and specific in identifying patients who were discharged to a nursing home. The discussion explores the recent increase in nursing home discharges and the effects of a change in case mix as well as the significance of individual factors and the validity of the predictive models.
Author(s):
DeVivo, M. J.
Author Address(es):
Participating Centers:

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