Article

OBJECTIVE: To investigate risk factors associated with mortality among people
with traumatic spinal cord injury (TSCI) after discharge from acute care
hospitals in South Carolina and to compare their mortality experiences with the
general population. DESIGN: Retrospective cohort study. SETTING: Sixty-two acute
care, nonfederal hospitals. PARTICIPANTS: Persons (N=2685) with TSCI.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Death after TSCI from all
causes within 4288 days of observation after discharge from acute care
facilities. RESULTS: The crude annual mortality rate during the period was 33 per
1000 person-years. Number of comorbidities, admission into trauma centers,
advancing age, type of insurance, injury level and completeness, and being a man
were significantly associated (P<.05) with the risk of death after discharge from
acute care facilities. The overall mortality rate of our cohort is 3.6 times (95%
confidence interval, 3.3-3.9) higher than the general population. CONCLUSIONS:
The causes of postdischarge deaths are multifactorial, and more emphasis should
be placed on managing and monitoring chronic diseases throughout the recovery
process to improve the survivorship of people with TSCI.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS