Article

OBJECTIVE: To examine the relations between time to rehabilitation after spinal
cord injury (SCI) and rehabilitation outcomes at discharge and 1-year postinjury.
DESIGN: Retrospective cohort study. SETTING: Facilities designated as Spinal Cord
Injury Model Systems. PARTICIPANTS: Patients (N=3937) experiencing traumatic SCI
between 2000 and 2014, who were 18 years or older, and who were admitted to a
model system within 24 hours of injury. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURES: Rasch-transformed FIM motor score at discharge and 1-year
postinjury, discharge to a private residence, and the Craig Handicap Assessment
and Reporting Technique (CHART) Physical Independence and Mobility scores at
1-year postinjury. RESULTS: After accounting for health status, a 10% increase in
time to rehabilitation was associated with a 1.50 lower FIM motor score at
discharge (95% confidence interval [CI], -2.43 to -0.58; P=.001) and a 3.92 lower
CHART Physical Independence score at 1-year postinjury (95% CI, -7.66 to -0.19;
P=.04). Compared to the mean FIM motor score (37.5) and mean CHART Physical
Independence score (74.7), the above-mentioned values represent relative declines
of 4.0% and 5.3%, respectively. There was no association between time to
rehabilitation and discharge to a private residence, 1-year FIM motor score, or
the CHART mobility score. CONCLUSIONS: Earlier rehabilitation after traumatic SCI
may improve patients' functional status at discharge.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS