J Korean Acad Rehabil Med.  2009 Oct;33(5):607-613.

Rehospitalization in Community Dwelling Individuals with Spinal Cord Injury

Affiliations
  • 1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea. hyungik1@snu.ac.kr

Abstract


OBJECTIVE
To describe the frequency and reasons for rehospitalization in patients with spinal cord injury (SCI) living in the community. METHOD: A total 388 patients with SCI living in community participated in the nationwide questionnaire-based study. A self-administered questionnaire was used.
RESULTS
Of the 459 patients originally enrolled, 388 completed questionnaires, yielding response rate of 84.5%. The reasons for rehospitalization were SCI related complications (71.7%), periodic health evaluation (44.7%), and other causes (28.3%). The most frequent SCI related complications for rehospitalization were urinary tract infections (45.2%), pressure sores (39.7%), fever (18.3%), pain (18.3%), and autonomic dysreflexia (7.6%). The number of rehospitalized cases due to SCI related complication including urinary tract infection was significantly higher in complete SCI. Rehospitalization due to pressures sore was more frequent in people with paraplegia, male and complete injuries.
CONCLUSION
In our study, 71.7% of patients with SCI experienced rehospitalization for SCI related complication after initial hospitalization. Urinary tract infection and pressure sores were the most common SCI related complications for rehospitalization.

Keyword

Spinal cord injury; Rehospitalization; Complication

MeSH Terms

Autonomic Dysreflexia
Fever
Hospitalization
Humans
Male
Paraplegia
Pressure Ulcer
Surveys and Questionnaires
Spinal Cord
Spinal Cord Injuries
Urinary Tract Infections
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