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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(5):607-613.
Rehospitalization in Community Dwelling Individuals with Spinal Cord Injury.
Koh, Eun Sil , Kim, Jung Yoon , Leigh, Ja Ho , Bang, Moon Suk , Shin, Hyung Ik
Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea. hyungik1@snu.ac.kr
지역사회 거주 척수 손상 환자의 재입원 실태 조사
고은실, 김정윤, 이자호, 방문석, 신형익
서울대학교 의과대학 재활의학교실
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. (J Korean Acad Rehab Med 2009; 33: 607-613)
Key Words: Spinal cord injury, Rehospitalization, Complication


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