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  1. Inpatient hospital utilization among veterans with traumatic spinal cord injury.

    Article - En anglais

    Objective 

    To describe the pattern of inpatient hospital utilization, up to 15 years after injury, among a cohort of veterans with service-connected traumatic spinal cord injury (SCI).

    Patients 

    A cohort of 1,250 male veterans, with traumatic SCI occurring between 1970 and 1986, who visited the VA within 1 year of injury, was assembled from VA administrative files ; diagnosis was verified by examining hospital discharge summaries.

    Design 

    Computerized record linkage among Department of Veterans Affairs (VA) administrative files was used to determine patterns of inpatient hospital utilization.

    Main Outcome Measure 

    Pattern of inpatient admissions and length of stay (LOS).

    Results 

    Patients were typically white males injured in their mid-twenties.

    The initial VA hospitalization began approximately 6 weeks after injury and lasted 4 to 7 months, depending on injury level and completeness.

    Subsequent hospitalizations usually lasted approximately 10 days, but 22% of stays exceeded I month.

    Most hospitalizations took place in specialized SCI Centers.

    Comparing the 1980s with the 1970s, patients in the 1980s entered VA facilities sooner after injury, were more likely to visit SCI Centers, and had shorter initial stays.

    Rates for the incidence of rehospitalization decreased rapidly in years 2-5 after injury and declined less rapidly thereafter.

    Occupancy rates and proportion rehospitalized followed similar patterns. (...)

    Mots-clés Pascal : Traumatisme, Moelle épinière, Vieillard, Homme, Epidémiologie, Hospitalisation, Multiple, Etiologie, Durée, Hôpital, Rééducation, Résultat, Système nerveux pathologie, Système nerveux central pathologie, Moelle épinière pathologie, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Trauma, Spinal cord, Elderly, Human, Epidemiology, Hospitalization, Multiple, Etiology, Duration, Hospital, Reeducation, Result, Nervous system diseases, Central nervous system disease, Spinal cord disease, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0484220

    Code Inist : 002B26I. Création : 10/04/1997.