Category: Health Services Research; Spinal Cord Injury
Objective : To investigate the association between length of stay (LOS) at rehabilitation and FIM motor improvement between rehabilitation admission and discharge for people with traumatic spinal cord injury (SCI).
Design : Retrospective cohort study design.
Setting : 17 SCI Model Systems (SCIMS) Centers throughout the United States.
Participants (or Animals, Specimens, Cadavers) : A total of 3,587 people were selected from the National SCIMS Database from 2011 to 2018. These people were classified into four groups based on American Spinal Injury Association Impairment Scale (AIS): AIS D (n=1,052), C1-C4 AIS ABC (n=951), C5-C8 AIS ABC (n=463), and T1-S3 AIS ABC (n=1,121).
Interventions : Not applicable.
Main Outcome Measure(s) : The percent change of FIM motor score (excluding tub/ shower transfer item) between rehabilitation admission and discharge.
Results : Overall, the mean age of people with traumatic SCI was 44.3 years. These people were predominantly men (78.4%), non-Hispanic white (64.9%), and employed (66.2%). The median LOS for people with AIS D, C1-C4 AIS ABC, C5-C8 AIS ABC, and T1-S3 AIS ABC was 26, 59, 58, and 39 days, respectively. The positive relationship between LOS and FIM motor gain was noted for people with AIS D (coeff=1.92, 95% CI: 1.56 - 2.27, PC5-C8 AIS ABC injuries (coeff=0.55, 95% CI: 0.25 - 0.86, P
Conclusions : People with traumatic SCI are encouraged to stay longer at rehabilitation, which might significantly benefit their FIM improvement at discharge.
Yu-Hsiang Kao– Postdoctoral fellow, LSUHSC School of Public Health, New Orleans, Louisiana
Yu-Ying Chen– Professor, University of Alabama at Birmingham, Birmingham, Alabama
Anne Deutsch– Researcher, RTI International, Chicago, Illinois
Huacong Wen– Postdoctoral fellow, University of Alabama at Birmingham, Birmingham, Alabama
Tung-Sung Tseng– Associate Professor, LSUHSC, New Orleans, Louisiana