Article

OBJECTIVE: To examine hospital admission records from a large cohort of persons
with spina bifida (SB) with a variety of insurers to provide descriptive detail
about adult hospital use for persons with SB and associated disorders in terms of
primary diagnosis for hospitalization, age, sex, payer source, lengths of stay,
and total charges. DESIGN: Retrospective secondary data analysis from the
Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization
Project for 2004 and 2005 of hospitalizations for adults with SB or associated
spinal cord anomalies. SETTING: Records from U.S. inpatient hospital admissions.
PARTICIPANTS: Persons with SB age 18 years and older. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Diagnoses associated with hospitalizations and
death. RESULTS: The most common primary diagnosis for hospitalization was urinary
tract infection, followed by complications from devices/grafts/implants and skin
wounds. Sepsis accounted for the most deaths. Approximately one third of
hospitalizations were for primary diagnoses of potentially preventable
conditions. Hospitalizations associated with a primary diagnosis of a potentially
preventable condition occurred most often in those less than 51 years of age and
in rural or urban nonteaching hospitals. CONCLUSIONS: Reducing the number of
secondary medical conditions with proactive and preventative approaches to health
care could reduce the morbidity, mortality, and cost for health care for this
group.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS