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July 2017 CME Article No. 9: Costs and Length of S ...
July 2017 CME Article No. 9: Costs and Length of Stay for the Acute Care of Patients with Motor-Complete Spinal Cord Injury Following Cervical Trauma
Additional Information
Objective:
Acute spinal cord injury (SCI) centers aim to optimize outcome following SCI. However, there is no timeframe to transfer patients from regional to SCI centers in order to promote cost-efficiency of acute care. Our objective was to compare costs and length of stay (LOS) following early and late transfer to the SCI center.
Design:
A retrospective cohort study involving 116 individuals was conducted. Group 1 (n = 87) was managed in an SCI center promptly after the trauma, whereas group 2 (n = 29) was transferred to the SCI center only after surgery. Direct comparison and multivariate linear regression analyses were used to assess the relationship between costs, LOS, and timing to transfer to the SCI center.
Results:
Length of stay was significantly longer for group 2 (median, 93.0 days) as compared with group 1 (median, 40.0 days; P < 10−3), and average costs were also higher (median, Canadian $17,920.0 vs. $10,521.6; P = 0.004) for group 2, despite similar characteristics. Late transfer to the SCI center was the main predictive factor of longer LOS and increased costs.
Conclusions:
Early admission to the SCI center was associated with shorter LOS and lower costs for patients sustaining tetraplegia. Early referral to an SCI center before surgery could lower the financial burden for the health care system.
Learning Objectives:
Determine the optimal timing for transfer of individuals with cervical traumatic spinal cord injury in orde to decrease acute care resources utilization
Determine benefits of a complete perioperative management in a specialized spinal cord injury center
Identify factors that may influence resources utilization for acute care following moto-complete tetraplegia
Summary
Availability:
Retired
Cost:
FREE
Credit Offered:
No Credit Offered
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July 2017 CME Article No. 9: Costs and Length of Stay for the Acute Care of Patients with Motor-Complete Spinal Cord Injury Following Cervical Trauma Course List
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