Predicting unplanned hospitalizations in persons with spinal cord injury.
A cross-sectional study of 2,305 persons enrolled in the National Spinal Cord Injury Statistical Center data set was conducted to identify risk factors for unplanned rehospitalizations during the most recent follow-up year. All injuries occurred between 1986 and 1992. Stepwise multiple logistic regression was used to assess the effect of each risk factor on the likelihood of rehospitalization. Overall, 26% of persons were hospitalized during the most recent follow-up year. Risk of rehospitalization declined 13% for each successive year postinjury (p < .05). Factors associated with increased likelihood of rehospitalization were lack of college education, indwelling urethral catheter, motor complete injuries, dependence in self-care, and dependence in ambulation. Because the overall model was only 60% sensitive and 63% specific, additional risk factors must be identified before the predictive model would be clinically useful.
Ivie
C S
CS
Department of Rehabilitation Medicine, University of Alabama at Birmingham.
DeVivo
M J
MJ
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002408:Catheters, Indwelling; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008124:Locomotion; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010359:Patient Readmission; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012307:Risk Factors; D013119:Spinal Cord Injuries / Q000150:complications*; D014546:Urinary Catheterization