Multicenter study on predictors of rehabilitation outcome and home discharge in people with non-traumatic spinal cord injuries
Rattachement africain : it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Non-traumatic spinal cord injuries (NTSCI) represent an increasing public health concern, particularly in aging populations, yet there is limited literature on rehabilitation outcomes and key predictors of home discharge in this population. AIM: This study evaluates the impact of demographic and clinical characteristics on rehabilitation outcomes and home discharge rates in individuals with NTSCI. DESIGN: Prospective observational cohort study. SETTING: Thirty-one specialized SCI centers in 13 Italian regions. POPULATION: Individuals with NTSCI. METHODS: Demographic and clinical characteristics of 394 rehabilitation were recorded at admission (T1) and discharge (T2). The American Spinal Injury Association (ASIA) Scale and Spinal Cord Independence Measure (SCIM) were used to assess motor function and functional independence. Binary logistic regression was employed to develop a predictive model for home discharge, incorporating categorical and continuous variables. Two common metrics for this purpose are the Akaike Information Criterion (AIC) and the Bayesian Information Criterion (BIC). Predictive factors for home discharge were analyzed using logistic regression and ROC curves. RESULTS: 80% of participants were discharged home. Key predictors of home discharge included higher SCIM scores, younger age, and being married. The SCIM score at discharge was a stronger predictor of home discharge than at admission. Length of stay (LOS) was also a significant factor, with longer stays associated with better functional outcomes, particularly in individuals with severe impairments. CONCLUSIONS: SCIM scores at discharge, age, and marital status emerged as key predictors of home discharge, highlighting the importance of personalized rehabilitation strategies and structured discharge planning. Tailoring rehabilitation programs to maximize SCIM score improvements may enhance home discharge rates and long-term patient outcomes. CLINICAL REHABILITATION IMPACT: This study emphasizes the importance of continuous functional assessment using SCIM during rehabilitation, allowing clinicians to optimize treatment plans and improve home discharge likelihood. Additionally, considering demographic factors such as age and marital status in discharge planning may facilitate better reintegration into home environments. Longer rehabilitation stays for individuals with more severe injuries (ASIA A/B) can significantly enhance outcomes. By incorporating these predictors into everyday practice, rehabilitation clinics can better optimize patient care, increase home discharge rates, and improve overall quality of life post-rehabilitation.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Multicenter study on predictors of rehabilitation outcome and home discharge in people with non-traumatic spinal cord injuries
- Date Crossref
- 01/08/2025
- Éditeur
- Edizioni Minerva Medica
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
IRCCS Ospedale San Raffaele pays non établi dans la noticeÉtablissement de santé
-
University of Parma pays non établi dans la noticeUniversité ou école supérieure
-
University of Campania "Luigi Vanvitelli" pays non établi dans la noticeUniversité ou école supérieure
-
Regione Emilia-Romagna pays non établi dans la noticeOrganisme public
-
Provincia Autonoma di Trento pays non établi dans la noticeOrganisme public
-
Research Area in Neuromotor Rehabilitation and Rehabilitation Robotics pays non établi dans la noticeInstitution
-
Parma University Hospital Geriatrics and Rehabilitation Department pays non établi dans la noticeUniversité ou école supérieure
-
Luigi Vanvitelli University of Campania Department of Mental and Physical Health and Preventive Medicine pays non établi dans la noticeUniversité ou école supérieure
-
Department of Hospital Services pays non établi dans la noticeÉtablissement de santé
-
Azienda Provinciale Servizi Sanitari (APSS) pays non établi dans la noticeInstitution
-
Fondazione Serena Olivi ETS pays non établi dans la noticeInstitution
-
San Raffaele Institute of Sulmona pays non établi dans la noticeStructure de recherche
IRCCS Ospedale San Raffaele, University of Parma et University of Campania "Luigi Vanvitelli", avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.