Article

OBJECTIVE: To compare hospitalizations caused by spina bifida-sensitive
conditions, ambulatory care-sensitive conditions in adults with spina bifida and
in the general population, our aim was to provide information about whether
preventive health efforts already underway in the hospitalized general population
are adequate for preventive care in spina bifida and congenital spine anomalies.
DESIGN: Retrospective secondary data analysis. PATIENTS (OR PARTICIPANTS):
Records of hospitalized individuals who were 18 years of age and older. METHODS:
Comparison between individuals hospitalized with spina bifida and the general
population using data from the California State Inpatient Database from the
Healthcare Cost and Utilization Project for 2004 of adults. MAIN OUTCOME
MEASUREMENTS: Prevalence of spina bifida-sensitive conditions and ambulatory
care-sensitive conditions as reason for hospitalization and 30-day readmission.
RESULTS: As compared with the general population, persons with spina bifida who
were hospitalized in 2004 had a significantly greater number of hospitalizations,
number of hospitalizations associated with both spina bifida-sensitive conditions
and ambulatory care-sensitive conditions, and number of 30-day readmissions.
Stratification by age shows that the admissions for spina bifida sensitive
conditions were greater in persons with spina bifida than in the general
population for all age groups. In contrast, only in the youngest age group did
those with spina bifida experience greater hospitalizations for ambulatory
care-sensitive conditions. CONCLUSIONS: This study provides further evidence that
persons with spina bifida have hospitalizations that are beyond what the general
population experiences. These conditions may be potentially preventable with
appropriate ambulatory care. This group also had a greater risk for readmission
within 30 days of discharge from their last hospitalization. More research is
needed on the efficacy of programs aimed at prevention of these conditions.
CI - Copyright (c) 2011 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS