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Background <p>Specialized acute and rehabilitation care for traumatic spinal cord injury aims to improve outcomes. This study assessed whether receiving specialized acute and rehabilitation care for incomplete traumatic spinal cord injury was associated with a lower risk of having one or more readmissions within one year post-discharge, compared with receiving care in partially specialized or non-specialized settings.</p> Methods <p>Administrative healthcare datasets from British Columbia were linked with the Rick Hansen Spinal Cord Injury Registry to identify individuals who sustained an incomplete traumatic spinal cord injury between 2001 and 2017. The association between the setting of care and the risk of unplanned readmissions was measured and the causes of those unplanned readmissions were described.</p> Results <p>A total of 1,733 patients were included. After adjusting for group differences, receiving non-specialized acute care (with or without non-specialized rehabilitation, <i>N</i> = 810) was statistically significantly associated with higher odds of one-year unplanned readmissions compared with receiving specialized care (including both acute and rehabilitation care, <i>N</i> = 421) (OR = 2.06; <i>p</i> &lt; 0.01). The odds of one-year unplanned readmissions were also higher among individuals who received partial specialized care (either only specialized acute care (OR = 1.59, <i>p</i> = 0.05, <i>N</i> = 411), or only specialized rehabilitation care (OR = 2.54, <i>p</i> = 0.02, <i>N</i> = 38)) compared with those who received both specialized acute and rehabilitation care. There were 536 unplanned readmissions identified during the 17-year study period. The most common cause of unplanned readmissions among patients who received specialized care was urinary tract infection, while the most common cause among patients who received non-specialized care was injury/complications of surgery (e.g. femur fractures, complications with internal orthopedic prosthetic devices, implants or grafts).</p> Conclusions <p>These findings emphasize the benefits of both acute and rehabilitation specialized care in reducing unplanned readmissions and provide information on the causes of readmissions following incomplete traumatic spinal cord injury.</p>

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Role of specialized care in reducing unplanned readmissions after incomplete traumatic spinal cord injury: a population based observational study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月9日

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  • Naama Rotem-Kohavi,
  • Jijie Xu,
  • Zeina Waheed,
  • Nader Fallah,
  • Michael Bond,
  • Jason M. Sutherland,
  • Tamir Ailon,
  • Raphaële Charest-Morin,
  • Charlotte Dandurand,
  • Nicolas Dea,
  • Nathan Evaniew,
  • Charles G. Fisher,
  • Scott Paquette,
  • John Street,
  • Andrea Townson,
  • Viet Vu,
  • Rhonda Willms,
  • Mei Chong,
  • Vanessa K. Noonan,
  • Brian K. Kwon,
  • Marcel F. Dvorak

摘要

Background

Specialized acute and rehabilitation care for traumatic spinal cord injury aims to improve outcomes. This study assessed whether receiving specialized acute and rehabilitation care for incomplete traumatic spinal cord injury was associated with a lower risk of having one or more readmissions within one year post-discharge, compared with receiving care in partially specialized or non-specialized settings.

Methods

Administrative healthcare datasets from British Columbia were linked with the Rick Hansen Spinal Cord Injury Registry to identify individuals who sustained an incomplete traumatic spinal cord injury between 2001 and 2017. The association between the setting of care and the risk of unplanned readmissions was measured and the causes of those unplanned readmissions were described.

Results

A total of 1,733 patients were included. After adjusting for group differences, receiving non-specialized acute care (with or without non-specialized rehabilitation, N = 810) was statistically significantly associated with higher odds of one-year unplanned readmissions compared with receiving specialized care (including both acute and rehabilitation care, N = 421) (OR = 2.06; p < 0.01). The odds of one-year unplanned readmissions were also higher among individuals who received partial specialized care (either only specialized acute care (OR = 1.59, p = 0.05, N = 411), or only specialized rehabilitation care (OR = 2.54, p = 0.02, N = 38)) compared with those who received both specialized acute and rehabilitation care. There were 536 unplanned readmissions identified during the 17-year study period. The most common cause of unplanned readmissions among patients who received specialized care was urinary tract infection, while the most common cause among patients who received non-specialized care was injury/complications of surgery (e.g. femur fractures, complications with internal orthopedic prosthetic devices, implants or grafts).

Conclusions

These findings emphasize the benefits of both acute and rehabilitation specialized care in reducing unplanned readmissions and provide information on the causes of readmissions following incomplete traumatic spinal cord injury.