PMID- 23527772
OWN - NLM
STAT- MEDLINE
DCOM- 20130521
LR  - 20191210
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 94
IP  - 4 Suppl
DP  - 2013 Apr
TI  - Relation between inpatient and postdischarge services and outcomes 1 year 
      postinjury in people with traumatic spinal cord injury.
PG  - S165-74
LID - S0003-9993(13)00048-8 [pii]
LID - 10.1016/j.apmr.2013.01.012 [doi]
AB  - OBJECTIVE: To examine the association between inpatient and postdischarge 
      rehabilitation services and function, life satisfaction, and community 
      participation 1 year after spinal cord injury (SCI). DESIGN: Prospective, 
      observational. SETTING: Six rehabilitation facilities. PARTICIPANTS: Patients 
      with SCI (N=1376). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Satisfaction with 
      Life Scale (SWLS), Craig Handicap Assessment and Reporting Technique (CHART), 
      motor FIM (mFIM), and return to work/school at 1 year post-SCI. RESULTS: 
      Demographic and injury characteristics explained 49% of the variance in mFIM and 
      9% to 25% of the variance in SWLS and CHART social integration, mobility, and 
      occupation scores. Inpatient rehabilitation services explained an additional 2% 
      of the variance for mFIM and 1% to 3% of the variance for SWLS and CHART scores. 
      More time in inpatient physical therapy (PT) was associated with higher mFIM 
      scores; more time in inpatient therapeutic recreation (TR) and social work and 
      more postdischarge nursing (NSG) were associated with lower mFIM scores. More 
      inpatient PT and TR and more postdischarge PT were associated with higher 
      mobility scores; more inpatient psychology (PSY) was associated with lower 
      mobility scores. More postdischarge TR was associated with higher SWLS; more 
      postdischarge PSY services was associated with lower SWLS. Inpatient TR was 
      positively associated with social integration scores; postdischarge PSY was 
      negatively associated with social integration scores. More postdischarge 
      vocational counseling was associated with higher occupation scores. Differences 
      between centers did not explain additional variability in the outcomes studied. 
      CONCLUSIONS: Inpatient and postdischarge rehabilitation services are weakly 
      associated with life satisfaction and societal participation 1 year after SCI. 
      Further study of the type and intensity of postdischarge services, and the 
      association with outcomes, is needed to ascertain the most effective use of 
      therapy services after SCI.
CI  - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Backus, Deborah
AU  - Backus D
AD  - Crawford Research Institute, Shepherd Center, Atlanta, GA 30309, USA. 
      Deborah_backus@shepherd.org
FAU - Gassaway, Julie
AU  - Gassaway J
FAU - Smout, Randall J
AU  - Smout RJ
FAU - Hsieh, Ching-Hui
AU  - Hsieh CH
FAU - Heinemann, Allen W
AU  - Heinemann AW
FAU - DeJong, Gerben
AU  - DeJong G
FAU - Horn, Susan D
AU  - Horn SD
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Inpatients/*statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - Outpatients/*statistics & numerical data
MH  - Prospective Studies
MH  - Quality of Life
MH  - Recovery of Function
MH  - Sex Factors
MH  - Social Participation
MH  - Socioeconomic Factors
MH  - Spinal Cord Injuries/*rehabilitation
MH  - United States
EDAT- 2013/04/03 06:00
MHDA- 2013/05/23 06:00
CRDT- 2013/03/27 06:00
PHST- 2012/09/18 00:00 [received]
PHST- 2012/12/27 00:00 [revised]
PHST- 2013/01/07 00:00 [accepted]
PHST- 2013/03/27 06:00 [entrez]
PHST- 2013/04/03 06:00 [pubmed]
PHST- 2013/05/23 06:00 [medline]
AID - S0003-9993(13)00048-8 [pii]
AID - 10.1016/j.apmr.2013.01.012 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2013 Apr;94(4 Suppl):S165-74. doi: 
      10.1016/j.apmr.2013.01.012.