Trends in the characteristics and outcomes of older patients with non-traumatic spinal cord injury treated in inpatient rehabilitation facilities: 2013-2018.
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| Názov: | Trends in the characteristics and outcomes of older patients with non-traumatic spinal cord injury treated in inpatient rehabilitation facilities: 2013-2018. |
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| Autori: | Deutsch A; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, Illinois, USA.; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.; Health Practice, RTI International, Waltham, Massachusetts, USA., Burns J; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, Illinois, USA., Potelle J; Health Practice, RTI International, Waltham, Massachusetts, USA., Kessler A; Health Practice, RTI International, Waltham, Massachusetts, USA.; Renee Crown Center for Spinal Cord Innovation, Shirley Ryan AbilityLab, Chicago, Illinois, USA. |
| Zdroj: | The journal of spinal cord medicine [J Spinal Cord Med] 2025 Sep; Vol. 48 (5), pp. 802-812. Date of Electronic Publication: 2024 Apr 08. |
| Spôsob vydávania: | Journal Article; Observational Study |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 9504452 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2045-7723 (Electronic) Linking ISSN: 10790268 NLM ISO Abbreviation: J Spinal Cord Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2016- : Abingdon : Taylor & Francis Original Publication: Jackson Heights, NY : American Paraplegia Society, [1995- |
| Výrazy zo slovníka MeSH: | Spinal Cord Injuries*/rehabilitation , Spinal Cord Injuries*/epidemiology , Rehabilitation Centers*/trends , Rehabilitation Centers*/statistics & numerical data, Humans ; Male ; Female ; Aged ; United States/epidemiology ; Medicare/statistics & numerical data ; Aged, 80 and over ; Length of Stay/statistics & numerical data ; Length of Stay/trends ; Inpatients/statistics & numerical data ; Patient Discharge/statistics & numerical data ; Self Care/trends |
| Abstrakt: | Objective: To describe the characteristics and outcomes of older (≥ 65 years of age) patients with a non-traumatic spinal cord injury (NTSCI) treated in inpatient rehabilitation facilities (IRFs) between 2013 and 2018. Design: Observational study. Setting: IRFs in the United States. Participants: 93,631 IRF Medicare stays for patients with NTSCI. Interventions: Not Applicable. Main Outcome Measures: Length of stay, self-care and mobility function, discharge destination. Results: Between 2013 and 2018, the number of older (≥ 65 years of age) Medicare patients with a NTSCI treated in IRFs increased about 22.1 percent, from 14,149 to 17,275. In addition to the increase, patients' sociodemographic characteristics shifted to have a slightly higher percentage of patients aged 65-74 years, a slightly higher percentage of males, and slightly fewer patients who identified as Hispanic. There was also a trend of more patients in the higher acuity case-mix groups and comorbidities tiers, but the median length of stay remained 12 days across all years. The percent of patients discharged home or to a community-based setting varied from 73.7 to 75.2 without a trend, although discharge self-care and mobility function increased slightly across the years. Conclusions: Between 2013 and 2018, the number of Medicare patients with NTSCI treated in IRFs increased by more than 22 percent. While patient complexity increased, the median length of stay remained 12 days across the years. Discharge self-care and mobility function increased slightly, and the percent of patients discharged home ranged from 73.7 to 75.2 across the years. |
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| Contributed Indexing: | Keywords: Age at onset; Aged; Functional status; Hospital; Rehabilitation; Spinal cord injury; Treatment outcome |
| Entry Date(s): | Date Created: 20240408 Date Completed: 20250806 Latest Revision: 20250809 |
| Update Code: | 20250809 |
| PubMed Central ID: | PMC12329829 |
| DOI: | 10.1080/10790268.2024.2335414 |
| PMID: | 38588027 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Objective: To describe the characteristics and outcomes of older (≥ 65 years of age) patients with a non-traumatic spinal cord injury (NTSCI) treated in inpatient rehabilitation facilities (IRFs) between 2013 and 2018.<br />Design: Observational study.<br />Setting: IRFs in the United States.<br />Participants: 93,631 IRF Medicare stays for patients with NTSCI.<br />Interventions: Not Applicable.<br />Main Outcome Measures: Length of stay, self-care and mobility function, discharge destination.<br />Results: Between 2013 and 2018, the number of older (≥ 65 years of age) Medicare patients with a NTSCI treated in IRFs increased about 22.1 percent, from 14,149 to 17,275. In addition to the increase, patients' sociodemographic characteristics shifted to have a slightly higher percentage of patients aged 65-74 years, a slightly higher percentage of males, and slightly fewer patients who identified as Hispanic. There was also a trend of more patients in the higher acuity case-mix groups and comorbidities tiers, but the median length of stay remained 12 days across all years. The percent of patients discharged home or to a community-based setting varied from 73.7 to 75.2 without a trend, although discharge self-care and mobility function increased slightly across the years.<br />Conclusions: Between 2013 and 2018, the number of Medicare patients with NTSCI treated in IRFs increased by more than 22 percent. While patient complexity increased, the median length of stay remained 12 days across the years. Discharge self-care and mobility function increased slightly, and the percent of patients discharged home ranged from 73.7 to 75.2 across the years. |
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| ISSN: | 2045-7723 |
| DOI: | 10.1080/10790268.2024.2335414 |