PMID- 34389812
OWN - NLM
STAT- MEDLINE
DCOM- 20220324
LR  - 20220324
IS  - 1476-5624 (Electronic)
IS  - 1362-4393 (Linking)
VI  - 60
IP  - 3
DP  - 2022 Mar
TI  - Rehabilitation length of stay and functional improvement among patients with 
      traumatic spinal cord injury.
PG  - 237-244
LID - 10.1038/s41393-021-00686-6 [doi]
AB  - STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Investigate the association 
      between rehabilitation length of stay (LOS) and motor FIM((R)) (mFIM) between 
      rehabilitation admission and discharge among patients with traumatic spinal cord 
      injury (SCI). SETTING: Seventeen SCI Model Systems (SCIMS) centers in the United 
      States. METHODS: A total of 3386 patients with traumatic SCI enrolled in the 
      SCIMS Database from 2011 to 2018. The main outcome measure was the mean change in 
      mFIM (12 items) between rehabilitation admission and discharge by twelve 
      neurological categories (C1-C4 American Spinal Injury Association impairment 
      scale (AIS) A-B, AIS C, AIS D, and C5-C8 AIS A-B, AIS C, AIS D, and T1-T10 AIS 
      A-B, AIS C, AIS D, and T11-S3 AIS A-B, C, D). Linear regression models were 
      applied to estimate changes across rehabilitation LOS groups (shortest LOS, 
      quarter2, quarter3, and longest LOS) after adjusting for covariables for each 
      neurological category. RESULTS: The mean age of study patients was 44.5 years. 
      Patients were predominantly men (78.5%), non-Hispanic white (64.8%), and had 
      private insurance (57.1%). The median LOS was 42 days across the entire sample. 
      Longer LOS was associated with a higher mFIM score compared to the shortest LOS 
      among patients with C1-C4 AIS D; C5-C8 AIS D; T1-T10 AIS A-B; and T11-S3 AIS A-B, 
      C, and D after adjusting for demographics and clinical characteristics. 
      CONCLUSION: Among patients with C1-C4 AIS D; C5-C8 AIS D; T1-T10 AIS A-B; and 
      T11-S3 AIS A-B, C, and D injuries, those with longer rehabilitation stays tended 
      to have more motor function improvement.
CI  - (c) 2021. The Author(s), under exclusive licence to International Spinal Cord 
      Society.
FAU - Kao, Yu-Hsiang
AU  - Kao YH
AD  - Behavioral and Community Health Sciences, School of Public Health, Louisiana 
      State University Health Sciences Center - New Orleans, New Orleans, LA, USA.
FAU - Chen, Yuying
AU  - Chen Y
AD  - Department of Physical Medicine & Rehabilitation, School of Medicine, University 
      of Alabama at Birmingham, Spain Rehabilitation Center, Birmingham, AL, USA.
FAU - Deutsch, Anne
AU  - Deutsch A
AUID- ORCID: 0000-0003-2290-7757
AD  - Shirley Ryan AbilityLab, Northwestern University and RTI International, Chicago, 
      IL, USA.
FAU - Wen, Huacong
AU  - Wen H
AUID- ORCID: 0000-0002-7343-2627
AD  - Department of Physical Medicine & Rehabilitation, School of Medicine, University 
      of Alabama at Birmingham, Spain Rehabilitation Center, Birmingham, AL, USA.
FAU - Tseng, Tung-Sung
AU  - Tseng TS
AUID- ORCID: 0000-0001-6266-9891
AD  - Behavioral and Community Health Sciences, School of Public Health, Louisiana 
      State University Health Sciences Center - New Orleans, New Orleans, LA, USA. 
      ttseng@lsuhsc.edu.
LA  - eng
GR  - MOST 106-2917-I-564-039/Ministry of Science and Technology, Taiwan (Ministry of 
      Science and Technology of Taiwan)/
GR  - 90DP0083/ACL/ACL HHS/United States
GR  - 90SI5022/ACL/ACL HHS/United States
GR  - 90DP0083/ACL/ACL HHS/United States
GR  - 90SI5022/ACL/ACL HHS/United States
PT  - Journal Article
DEP - 20210813
PL  - England
TA  - Spinal Cord
JT  - Spinal cord
JID - 9609749
SB  - IM
MH  - Adult
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Recovery of Function
MH  - Retrospective Studies
MH  - *Spinal Cord Injuries/complications
MH  - *Spinal Injuries/complications
MH  - Treatment Outcome
MH  - United States
EDAT- 2021/08/15 06:00
MHDA- 2022/03/25 06:00
CRDT- 2021/08/14 06:17
PHST- 2021/01/11 00:00 [received]
PHST- 2021/07/28 00:00 [accepted]
PHST- 2021/07/27 00:00 [revised]
PHST- 2021/08/15 06:00 [pubmed]
PHST- 2022/03/25 06:00 [medline]
PHST- 2021/08/14 06:17 [entrez]
AID - 10.1038/s41393-021-00686-6 [pii]
AID - 10.1038/s41393-021-00686-6 [doi]
PST - ppublish
SO  - Spinal Cord. 2022 Mar;60(3):237-244. doi: 10.1038/s41393-021-00686-6. Epub 2021 
      Aug 13.