Predicting unplanned hospitalizations in persons with spinal cord injury

Short Title:
Predicting unplanned hospitalizations in persons with spinal cord injury
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J28995.
Journal:
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
1994, vol. 75, issue 11, pp 1182-1188
Publication Website:
Abstract:
Study investigating risk factors for unplanned hospitalizations in persons with spinal cord injury (SCI). The study sample consisted of 2,305 persons enrolled in the National Spinal Cord Injury Statistical Center data set. All subjects were injured between 1986 and 1992 and completed inpatient rehabilitation in a model regional SCI care system. Stepwise multiple logistic regression was used to assess the effect of each risk factor on the likelihood of unplanned rehospitalization during the most recent follow up year. Overall, 26% of the persons were rehospitalized. Risk of rehospitalization declined 13% for each successive year postinjury. Factors associated with increased likelihood of rehospitalization were lack of college education, indwelling urethral catheter, motor complete injuries, dependence in self care, and dependence in ambulation. However, the overall model was only 60% sensitive and 63% specific. The authors conclude that additional risk factors must be identified before the predictive model would be clinically useful.
Author(s):
Ivie, C. S.; DeVivo, M. J.
Author Address(es):
Participating Centers:

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