TY - JOUR
T1 - Clinical Characteristics, Hospital Course, and Disposition of Patients with Nontraumatic Spinal Cord Injury in a Large Private Health Care System in the United States
AU - Lee, Se Won
AU - Werner, Bryan
AU - Holt, Jonathan
AU - Lohia, Akash
AU - Ayutyanont, Napatkamon
AU - York, Henry
N1 - Lee SW, Werner B, Holt J, Lohia A, Ayutyanont N, York H. Clinical characteristics, hospital course, and disposition of patients with nontraumatic spinal cord injury in a large private health care system in the United States [published online ahead of print, 2022 May 9]. J Spinal Cord Med. 2022;1-10. doi:10.1080/10790268.2022.2069533
PY - 2022/5/9
Y1 - 2022/5/9
N2 - OBJECTIVES: To evaluate the clinical characteristics, hospital courses, outcomes after hospitalization, and factors associated with outcomes in patients with nontraumatic spinal cord injuries (NTSCI). DESIGN: Retrospective analysis. SETTING: A large for-profit United States health care system. PARTICIPANTS: 2807 inpatients with NTSCI between 2014 and 2020 were identified using International Classification of Disease codes. MAIN OUTCOME MEASURE: Demographic, clinical characteristics, hospital course, and disposition data collected from electronic health record. RESULTS: The mean age was 57.91 ± 16.41 years with 69.83% being male. Incomplete cervical level injury was the most common injury type, spinal stenosis was the most common diagnostic etiology and central cord syndrome was the most common clinical syndrome. The average length of stay was 9.52 ± 15.8 days, with the subgroup of 1308 (46.6%) patients who were discharged home demonstrating a shorter length of stay (6.42 ± 10.24 days). Falls were the most common hospital-acquired complication ( CONCLUSIONS: NTSCI in this sample were predominantly incomplete cervical central SCIs. Increased CCI, ICU stay, and hospital-acquired pulmonary complications were associated with poorer outcomes after acute care hospitalization among patients with NTSCI.
AB - OBJECTIVES: To evaluate the clinical characteristics, hospital courses, outcomes after hospitalization, and factors associated with outcomes in patients with nontraumatic spinal cord injuries (NTSCI). DESIGN: Retrospective analysis. SETTING: A large for-profit United States health care system. PARTICIPANTS: 2807 inpatients with NTSCI between 2014 and 2020 were identified using International Classification of Disease codes. MAIN OUTCOME MEASURE: Demographic, clinical characteristics, hospital course, and disposition data collected from electronic health record. RESULTS: The mean age was 57.91 ± 16.41 years with 69.83% being male. Incomplete cervical level injury was the most common injury type, spinal stenosis was the most common diagnostic etiology and central cord syndrome was the most common clinical syndrome. The average length of stay was 9.52 ± 15.8 days, with the subgroup of 1308 (46.6%) patients who were discharged home demonstrating a shorter length of stay (6.42 ± 10.24 days). Falls were the most common hospital-acquired complication ( CONCLUSIONS: NTSCI in this sample were predominantly incomplete cervical central SCIs. Increased CCI, ICU stay, and hospital-acquired pulmonary complications were associated with poorer outcomes after acute care hospitalization among patients with NTSCI.
KW - Home discharge
KW - Hospital complications
KW - Nontraumatic spinal cord injury
KW - Outcomes after hospitalization
KW - Post-acute care
UR - https://scholarlycommons.hcahealthcare.com/pmr/11
UR - https://doi.org/10.1080/10790268.2022.2069533
M3 - Article
JO - Physical Medicine & Rehabilitation
JF - Physical Medicine & Rehabilitation
ER -