Jan Christensen1,2, Fin Biering-Sørensen3, Søren Schmidt Morgen4, Karen la Cour5. 1. Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. Fysjan@gmail.com. 2. REHPA, The Danish Knowledge Centre on Rehabilitation and Palliative Care, University of Southern Denmark, Nyborg, Denmark. Fysjan@gmail.com. 3. Department for Spinal Cord Injuries, Rigshospitalet, and Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. 4. Spine Unit, Department of Orthopaedic Surgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. 5. REHPA, The Danish Knowledge Centre on Rehabilitation and Palliative Care, University of Southern Denmark, Nyborg, Denmark.
Abstract
STUDY DESIGN: A retrospective review of medical records. OBJECTIVE: The objective of this study was to examine probability of survival after 90- and 180-days after surgery, to document the rehabilitation needs, patients discharge destination, and whether discharge destination, re-admission, and probability of survival among patients with metastatic spinal cord compression (MSCC) were associated with potential risk factors. SETTING: Copenhagen University Hospital, Rigshospitalet that serves a population of 2.8 million people from the Eastern part of Denmark, Faroe Islands, and Greenland. METHODS: Adult (≥18 years) patients with MSCC undergoing surgery in 2017-2018 were included. Descriptive statistics were used to investigate the probability of survival after 90- and 180-days, rehabilitation needs documented in the patient's medical record, and discharge destination. Univariate logistic regression analyses were used to examine the associations between a priory defined potential risk factors for mortality and readmission. RESULTS: Seventy-four medical records were included in final analysis. The probability of survival after 90- and 180-days post-surgery were 78% and 57%, respectively. Higher age was the only defined variable that was significantly associated with higher mortality. Ninety-three percent of the patient's medical records described rehabilitation potential, but only 44.6% of the patients were discharged with a rehabilitation plan. Seventy-three percent of the patients were discharged to their home. None had a specialized rehabilitation plan. CONCLUSION: Almost all patients diagnosed with MSCC have a rehabilitation potential described in their medical records. However, only half of these patients are discharged with a rehabilitation plan indicating an unmet potential for rehabilitation.
STUDY DESIGN: A retrospective review of medical records. OBJECTIVE: The objective of this study was to examine probability of survival after 90- and 180-days after surgery, to document the rehabilitation needs, patients discharge destination, and whether discharge destination, re-admission, and probability of survival among patients with metastatic spinal cord compression (MSCC) were associated with potential risk factors. SETTING: Copenhagen University Hospital, Rigshospitalet that serves a population of 2.8 million people from the Eastern part of Denmark, Faroe Islands, and Greenland. METHODS: Adult (≥18 years) patients with MSCC undergoing surgery in 2017-2018 were included. Descriptive statistics were used to investigate the probability of survival after 90- and 180-days, rehabilitation needs documented in the patient's medical record, and discharge destination. Univariate logistic regression analyses were used to examine the associations between a priory defined potential risk factors for mortality and readmission. RESULTS: Seventy-four medical records were included in final analysis. The probability of survival after 90- and 180-days post-surgery were 78% and 57%, respectively. Higher age was the only defined variable that was significantly associated with higher mortality. Ninety-three percent of the patient's medical records described rehabilitation potential, but only 44.6% of the patients were discharged with a rehabilitation plan. Seventy-three percent of the patients were discharged to their home. None had a specialized rehabilitation plan. CONCLUSION: Almost all patients diagnosed with MSCC have a rehabilitation potential described in their medical records. However, only half of these patients are discharged with a rehabilitation plan indicating an unmet potential for rehabilitation.
Authors: Miao Wang; Cody Eric Bünger; Haisheng Li; Chunsen Wu; Kristian Høy; Bent Niedermann; Peter Helmig; Yu Wang; Anders Bonde Jensen; Katrin Schättiger; Ebbe Stender Hansen Journal: Spine (Phila Pa 1976) Date: 2012-04-01 Impact factor: 3.468
Authors: Peter Wayne New; Inge Eriks-Hoogland; Giorgio Scivoletto; Ronald K Reeves; Andrea Townson; Ruth Marshall; Farooq A Rathore Journal: Top Spinal Cord Inj Rehabil Date: 2017
Authors: Vânia Tie Koga Ferreira; Almir Vieira Dibai-Filho; Alessandra Kelly de Oliveira; Cid André Fidelis de Paula Gomes; Elizabete Santos Melo; Ana Maria de Almeida Journal: J Phys Ther Sci Date: 2015-05-26
Authors: Roger von Moos; Jean-Jacques Body; Blair Egerdie; Alison Stopeck; Janet Brown; Lesley Fallowfield; Donald L Patrick; Charles Cleeland; Danail Damyanov; Felipe Salvador Palazzo; Gavin Marx; Ying Zhou; Ada Braun; Arun Balakumaran; Yi Qian Journal: Support Care Cancer Date: 2015-09-02 Impact factor: 3.603