title: [The new Spinal Cord Injuries Centre of the Hamburg Industrial Injuries Insurance Institutes Accident Hospital--report on its 1st year].
abstract: The former Spinal Cord Injuries Department within the Hamburg Accident Hospital of the Industrial Injuries Insurance Institutes has been expanded from 33 to 100 beds. 60 beds started operation on Febr. 1, 1981, another 20 on Aug. 1, 1981 and the remaining 20 beds on Jan. 1, 1982. The present report is based on admissions during the first twelve months of the Centre's operation, i.e. 136 recent cases and 98 re-admissions, 92% of which had come from Northern Germany. 35% of the recent cases had been admitted during the first 48 hours post-onset. 39% of the patients were tetraplegics, 57% had complete paralysis, 13% non-traumatic affections. 60% of the patients had associated injuries. 60% were covered by statutory sickness insurance. The average length of stay was 113 days for tetraplegic, and 112 days for paraplegic patients. In 60% the extent of paralysis remained unchanged. Of 10 deaths, three were due to pulmonary embolism. Decubitus ulcers had been the indication for re-admission in 36%, of whom only 20% were tetraplegics. Average stay for decubitus ulcers was three times as long as in other re-admission causes. The services rendered by the various professional departments as well as by medical consultants are reported in tabular form. The expansion responded to an urgent need, and has, among others, contributed to easing many avoidable social problems (such as long distances from home).
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005860:Germany, West; D006743:Hospital Bed Capacity, under 100; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D012047:Rehabilitation Centers / Q000706:statistics & numerical data; D013119:Spinal Cord Injuries / Q000453:epidemiology / Q000401:mortality / Q000534:rehabilitation*
vernacular_title: Das neue Querschnittgelähmten-Zentrum des Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg--Bericht über das erste Jahr der Tätigkeit.