The uniform data system for medical rehabilitation: report of patients with traumatic spinal cord injury discharged from rehabilitation programs in 2002-2010.
The uniform data system for medical rehabilitation: report of patients with traumatic spinal cord injury discharged from rehabilitation programs in 2002-2010.
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DOI：
10.1097/phm.0b013e31824ad2fd
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发表时间：
2012-04
影响因子：
3
通讯作者：
Ottenbacher KJ
中科院分区：
文献类型：
--
作者：
Granger CV;Karmarkar AM;Graham JE;Deutsch A;Niewczyk P;Divita MA;Ottenbacher KJ
提供创伤性脊髓损伤后接受住院康复治疗的大型国家样本患者的基准信息。分析2002年1月至2010年12月期间美国891家住院医疗康复机构向医疗康复统一数据系统（UDSmr）提供的创伤性脊髓损伤数据的二级数据。分析的变量包括人口统计学信息（年龄、性别、婚姻状况、种族/民族、院前生活环境、出院环境）、住院信息（住院时间、计划中断、付款人、发病日期、康复损伤组、用于入院诊断的ICD-9代码、合并症）和功能状态（入院和出院时的ICD ®仪器[“ZH”]评分、治疗效率、治疗增益）。最终样本包括47，153名创伤性脊髓损伤患者。总体平均住院时间= 26.2（±23.2）天：年平均值范围为2002年的29.7（±25.4）天至2009年的22.9（±18.9）天。在8年的研究期间，总的入院和出院评分也有所下降：入院从60.5（± 17.4）降至55.9（±16.3）;出院从86.1（±23.8）降至82.4（±23.4）。康复效率（每天增重）随时间推移保持相对稳定（每天1.6 ±1.7分）。所有患者出院到社区的百分比范围为每年75.8%至71.5%。轮椅使用者的康复时间长于能够行走的人（34.6 ±217.4 vs. 17.4 ±14.1天），并且功能改善较少（21.6 ±15.8 vs. 29.6 ±16.3分）。2002-2010年创伤性脊髓损伤患者的国家数据表明，住院时间有所下降，但功能独立性的效率稳定或略有增加。超过70%的患者在住院康复后一直出院到社区。
Provide benchmarking information from a large national sample of patients receiving inpatient rehabilitation following a traumatic spinal cord injury. Analysis of secondary data from 891 inpatient medical rehabilitation facilities in the United States that contributed traumatic spinal cord injury data to the Uniform Data System for Medical Rehabilitation (UDSmr) during the period January 2002 through December 2010. Variables analyzed included demographic information (age, sex, marital status, race/ethnicity, pre-hospital living setting, discharge setting), hospitalization information (length of stay, program interruptions, payer, onset date, rehabilitation impairment group, ICD-9 codes for admitting diagnosis, comorbidities), and functional status (FIM® instrument [“FIM”] ratings at admission and discharge, FIM efficiency, FIM gain). The final sample included 47,153 patients with traumatic spinal cord injury. Overall mean length of stay = 26.2 (±23.2) days: yearly means ranged from 29.7 (±25.4) in 2002 to 22.9 (±18.9) in 2009. FIM total admission and discharge ratings also declined over the 8-year study period: admission decreased from 60.5 (± 17.4) to 55.9 (±16.3); discharge decreased from 86.1 (±23.8) to 82.4 (±23.4). Rehabilitation efficiency (FIM gain per day) remained relatively stable over time (1.6 ±1.7 points per day). The percentage of all patients discharged to the community ranged from 75.8% to 71.5% per year. Wheelchair users stayed in rehabilitation longer than persons who could walk (34.6 ±217.4 vs. 17.4 ±14.1 days) and also experienced less functional improvement (21.6 ±15.8 vs. 29.6 ±16.3 FIM points). National data from persons with traumatic spinal cord injury in 2002-2010 indicate that lengths of stay declined, but efficiency in functional independence was stable to slightly increased. Over seventy percent of patients were consistently discharged to community settings following inpatient rehabilitation.