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- W2334851613 abstract "INTRODUCTION:Spinal cord injury (SCI) caused by either traumatic or nontraumatic ( T SCI or NT SCI) is a major clinical and social problemand lead to permanent disability. SCI is a devastating condition thatrequires intensive and specialized clinical rehabilitation.Traumatic SCI occurs often at a young age, and life expectancyof persons with SCI has increased in recent decades, although it isstill lower than the life expectancy of the general population.Evidence of the benefits of medical rehabilitation is documentedtypically by the reduction in disability of persons receiving inpatientrehabilitation and by length of stay (LOS). Functional outcome, orgain in functional ability during rehabilitation, reflects theeffectiveness of clinical rehabilitation, and LOS is often used as ameasure of its efficiency.Patients with low motor Functional Independence Measure(FIMTM) scores on discharge are more dependent and aretherefore more likely to be discharged to a long-term care facility.Those with high motor FIM scores on discharge are likely toreturn to community living on discharge, even though there may be aneed for modification to the living environment to supportindependent living.Traumatic spinal cord lesion occurs primarily in young adultswith more than half being between 16 to 30 years of age. Menaccount for about 80% of cases.Managed care and improvements in medical and rehabilitativeexpertise are believed to account for declines in rehabilitationLOS.The Walking Index for Spinal Cord Injury (WISCI) scale willshow more incremental change than current scales, and thereforedemonstrate criterion validation for use in future clinical trials.The Functional Independence Measure (FIM) is the most widelyused valid and reliable measure of the severity of disability andrehabilitation outcome, including SCI.Keeping in view of all the above cited variables for LOS andimportance of the topic, this study of LOS in inpatient rehabilitationafter SCI in Qatar is conducted, where there was no pioneer study.My study supports the hypothesis of an association betweenlength of stay in rehabilitation, functional independence measuremotor, and length of stay in acute care, American spinal cord injuryassociation impairment scale and walking index for spinal cord injury.METHODS:A total of 54 patients with traumatic spinal cord injury,discharged from the inpatient rehabilitation unit (IPRU), RumaillahHospital of Hamad Medical Corporation, Doha, Qatar, during theperiod from January 2008 to July 2010, were included in thisprospective study.All descriptive data were collected from demographic data filesmaintained by Medical Records Department, Rumaillah Hospital of theHamad Medical Corporation. The demographic information on age,sex, marital status, nationality, and type of SCI has been included inthe study. The functional independence measure (FIM) was used formeasuring the functional status on admission and discharge.It analyzed 18 items and seven levels of performance in eating,grooming, bathing, upper and lower body dressing, toileting, bladderand bowel management, bed transfer, toilet transfer, showertransfer, locomotion, stairs, comprehension, expression, socialinteraction, problem solving, and memory. By summing the points foreach item, the possible total score ranges from 18 (lowest) to 126(highest level of independence).RESULTS:The study included 54 SCI patients with an age range of 20-60years. The distribution of qualitative characteristics is shown in Table3. Most of the patients (98%) were expatriates, and the type oflesion was paraplegia in 59% and tetraplgia in 41%.The majority of SCI patients on discharge were in the disabilityrange of disabled but independence in self-care (32%), followed byminor symptoms not affecting life style (24%) and moderateassistance for daily living (22%). The rest were in two other groupsof disability (14%), with up to maximal assistance, total assistance(4%) and well (4%) in daily living.Regarding the mobility category, most of the patients were inwheelchair propelled by themselves (37%), group of walks with aid(22%), and in the group of slow gait speed (19%). The others werein wheelchair propelled by others (9%) and walks with anotherperson to help (2%).No walking deficit was in only 11% of the SCI patients. Thisstudy showed SCI patients admitted in IPRU were in completeparaplegia (ASIA A) group as 56% (10) and complete tetraplegia44% (8).CONCLUSION:In relation to other findings, overall, our study showed that FIM admission was the best predictor of functional outcome in SCI inpatients, and also SCI patients of lower admission and discharge FIMs were related to extended LOS in both acute and IPRU However, we found that some higher FIMd and ASIA impairment group C were also with extended LOSr (Fig. 6, 7), but only 14% of the total SCI patients. The reason for this extended LOSr might be dependent upon socioeconomic factors.Our study identified the need for further prospective studies in large SCI populations in order to evaluate other predictors influencing LOS in rehabilitation units." @default.
- W2334851613 created "2016-06-24" @default.
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- W2334851613 date "2012-01-01" @default.
- W2334851613 modified "2023-10-14" @default.
- W2334851613 title "Predictors of the Length of Stay of Inpatients in Rehabilitation Setting After Traumatic Spinal Cord Injury" @default.
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- W2334851613 doi "https://doi.org/10.4172/scientificreports.141" @default.
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