Article

OBJECTIVES: To describe the application of practice-based evidence (PBE)
methodology to spinal cord injury (SCI) rehabilitation in the SCIRehab study, and
to summarize associations of patient characteristics and treatment interventions
to outcomes. DESIGN: Prospective observational study. SETTING: Six SCI
rehabilitation centers. PARTICIPANTS: Patients with traumatic SCI (N=1376)
admitted for first rehabilitation. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: FIM and residence at discharge, and FIM, residence, Craig Handicap
Assessment and Reporting Technique, work/school status, Patient Health
Questionnaire-9, Diener Satisfaction with Life Scale, rehospitalization, and
presence of pressure ulcers at 1 year postinjury. RESULTS: Patient demographic
and injury characteristics explained significant variation in rehabilitation
outcomes, particularly functional outcomes. Regression modeling also identified a
large number of significant associations with outcomes when total time in each
discipline was modeled and when models were developed for each discipline,
examining time spent in the many specific interventions provided by each
discipline. CONCLUSIONS: The application of PBE methodology in the SCIRehab study
provided extensive information about the process of inpatient SCI rehabilitation.
While patient demographic and injury characteristics explain substantial
variation in rehabilitation outcomes, particularly functional outcomes,
significant relations also were found between the type and quantity of treatment
interventions delivered by each rehabilitation discipline and a broad range of
outcomes.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS