Hospital care of postacute spinal cord lesion patients in Italy: analysis of readmissions into the GISEM study.
OBJECTIVE
To define the clinical characteristics of hospital readmissions of subjects with spinal cord lesion.


METHODS
Prospective, multicenter, 2-yr survey in 32 spinal cord lesion centers in Italy. Readmitted traumatic or nontraumatic spinal cord lesion patients were included. Main outcome measures were number of readmissions, their causes, complications on admission, and length of stay.


RESULTS
Out of 2070 total admissions of patients with spinal cord lesion, 1056 (51.0%) were readmissions. The median period between the onset of disease and readmission was 3.4 yrs. A program of functional gain was the main cause of readmission (33%). A pressure sore was reported in 20.6% of cases on readmission. Readmission for a program of functional gain was correlated to nontraumatic and incomplete lesions. Readmission necessary for clinical complications was correlated to traumatic spinal cord lesion and completeness of the lesion. A longer length of stay correlated with cause of readmission, admission to rehabilitation centers, and nontraumatic origin.


CONCLUSIONS
Readmissions account for more than half of total admissions to centers for spinal cord lesion in Italy. The main burden is represented by a program of functional gain, pressure sores, and urological complications.
Pagliacci
M Cristina
MC
Unità Spinale Unipolare, Azienda Ospedaliera di Perugia, Perugia, Italy.
Celani
M Grazia
MG
Spizzichino
Lorenzo
L
Zampolini
Mauro
M
Franceschini
Marco
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000150:complications / Q000453:epidemiology / Q000534:rehabilitation; D010359:Patient Readmission / Q000706:statistics & numerical data*; D003668:Pressure Ulcer / Q000209:etiology; D011446:Prospective Studies; D011782:Quadriplegia / Q000150:complications / Q000453:epidemiology / Q000534:rehabilitation; D013119:Spinal Cord Injuries / Q000150:complications / Q000453:epidemiology* / Q000534:rehabilitation; D014570:Urologic Diseases / Q000209:etiology