title: SCIRehab uses practice-based evidence methodology to associate patient and treatment characteristics with outcomes.
abstract: OBJECTIVE
  To describe the application of practice-based evidence (PBE) methodology to spinal cord injury (SCI) rehabilitation in the SCIRehab study, and to summarize associations of patient characteristics and treatment interventions to outcomes.
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  Six SCI rehabilitation centers.
  
  
  METHODS
  Patients with traumatic SCI (N=1376) admitted for first rehabilitation.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  FIM and residence at discharge, and FIM, residence, Craig Handicap Assessment and Reporting Technique, work/school status, Patient Health Questionnaire-9, Diener Satisfaction with Life Scale, rehospitalization, and presence of pressure ulcers at 1 year postinjury.
  
  
  RESULTS
  Patient demographic and injury characteristics explained significant variation in rehabilitation outcomes, particularly functional outcomes. Regression modeling also identified a large number of significant associations with outcomes when total time in each discipline was modeled and when models were developed for each discipline, examining time spent in the many specific interventions provided by each discipline.
  
  
  CONCLUSIONS
  The application of PBE methodology in the SCIRehab study provided extensive information about the process of inpatient SCI rehabilitation. While patient demographic and injury characteristics explain substantial variation in rehabilitation outcomes, particularly functional outcomes, significant relations also were found between the type and quantity of treatment interventions delivered by each rehabilitation discipline and a broad range of outcomes.
authors: Research Department, Craig Hospital, Englewood, CO 80113, USA. gale@craig-hospital.org
authors: Gale G
authors: GG
authors: Whiteneck
authors: Julie
authors: J
authors: Gassaway
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D055317:Evidence-Based Practice / Q000379:methods / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods / Q000458:organization & administration*; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D020127:Recovery of Function; D012959:Socioeconomic Factors; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D013997:Time Factors; D015599:Trauma Severity Indices; D014481:United States