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논문KCI 등재

지역사회 거주 척수 손상 환자의 재입원 실태 조사

Rehospitalization in Community Dwelling Individuals with Spinal Cord Injury

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참고문헌

주제분류재활의학

초록

Abstract

Objective: To describe the frequency and reasons for rehospitalization in patients with spinal cord injury (SCI) living in the community. Method: A total 388 patients with SCI living in community participated in the nationwide questionnaire-based study. A self-administered questionnaire was used. Results: Of the 459 patients originally enrolled, 388 completed questionnaires, yielding response rate of 84.5%. The reasons for rehospitalization were SCI related complications (71.7%), periodic health evaluation (44.7%), and other causes (28.3%). The most frequent SCI related complications for rehospitalization were urinary tract infections (45.2%), pressure sores (39.7%), fever (18.3%), pain (18.3%), and autonomic dysreflexia (7.6%). The number of rehospitalized cases due to SCI related complication including urinary tract infection was significantly higher in complete SCI. Rehospitalization due to pressures sore was more frequent in people with paraplegia, male and complete injuries. Conclusion: In our study, 71.7% of patients with SCI experienced rehospitalization for SCI related complication after initial hospitalization. Urinary tract infection and pressure sores were the most common SCI related complications for rehospitalization.

참고문헌 (13)

  1. Cardenas DD, "Etiology and incidence of rehospitalization after traumatic spinal cord injury: a multicenter analysis", Arch Phys Med Rehabil, 85, pp.1757~1763 (2004)
  2. Zook CJ, "High-cost users of medical care", N Engl J Med, 302, pp.996~1002 (1980)
  3. Meyers AR, "Predictors of medical care utilization by independently living adults with spinal cord injuries", Arch Phys Med Rehabil, 70, pp.471~476 (1989)
  4. Paker N, "Reasons for rehospitalization in patients with spinal cord injury: 5 years' experience", Int J Rehabil Res, 29, pp.71~76 (2006)
  5. Pagliacci MC, "Hospital care of postacute spinal cord lesion patients in Italy: analysis of readmissions into the GISEM study", Am J Phys Med Rehabil, 87, pp.619~626 (2008)
  6. Savic G, "Hospital readmissions in people with chronic spinal cord injury", Spinal Cord, 38, pp.371~377 (2000)
  7. Middleton JW, "Patterns of morbidity and rehospitalisation following spinal cord injury", Spinal Cord, 42, pp.359~367 (2004)
  8. Pagliacci MC, "A ulticentre follow-up of clinical aspects of traumatic spinal cord injury", Spinal Cord, 45, pp.404~410 (2007)
  9. Rah UW, "A survey on spinal cord injury persons in Suwon city", J Korean Acad Rehab Med, 24, pp.42~51 (2000)
  10. Dryden DM, "Utilization of health services following spinal cord injury: a 6-year follow-up study", Spinal Cord, 42, pp.513~525 (2004)
  11. McKinley WO, "Long-term medical complications after traumatic spinal cord injury: a regional model systems analysis", Arch Phys Med Rehabil, 80, pp.1402~1410 (1999)
  12. Park CI, "Epidemiologic study on complications in spinal cord injury patients", J Korean Acad Rehab Med, 24, pp.1086~1095 (2000)
  13. Davidoff G, "Rehospitalization after initial rehabilitation for acute spinal cord injury: incidence and risk factors", Arch Phys Med Rehabil, 71, pp.121~124 (1990)

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