Yue Cao1, David Murday2, Elizabeth H Corley2, Nicole D DiPiro1, James S Krause3. 1. College of Health Professions, Medical University of South Carolina, Charleston, SC. 2. Arnold School of Public Health, University of South Carolina, Columbia, SC. 3. College of Health Professions, Medical University of South Carolina, Charleston, SC. Electronic address: krause@musc.edu.
Abstract
OBJECTIVE: Our objective was to identify the number, length of stay, and charges of rehospitalizations during the subsequent 5 years after discharge from the initial hospitalization by using administrative billing records from a population-based cohort with spinal cord injury (SCI) in the southeastern United States. DESIGN: Analysis of administrative billing data. SETTING: State-based surveillance data analyzed by an academic medical center in the southeastern United States. PARTICIPANTS: A total of 1872 individuals (N=1872) from a state-based surveillance system in the southeastern United States whose onset was between January 1, 1998, and January 1, 2010. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The outcome measures were the number of rehospitalization episodes, length of stay, and total hospital charges for each episode of rehospitalization. RESULTS: Seventy percent of participants were rehospitalized during the first 5 years after initial discharge, and the highest rehospitalization rates were in the first year (54%), being relatively stable in years 2-5 (21%-22%). Adjusted to 2019 US dollars, the average total rehospitalization charges were $214,716 per person during the 5 years. Participants who could walk independently had fewer rehospitalizations, fewer rehospitalization days, and less rehospitalization charges than the nonambulatory participants. College education was also associated with less rehospitalization charges. CONCLUSIONS: Rehospitalization is a significant cost after SCI. Further longitudinal study on the population cohorts and billing data are needed to quantify these changes over time.
OBJECTIVE: Our objective was to identify the number, length of stay, and charges of rehospitalizations during the subsequent 5 years after discharge from the initial hospitalization by using administrative billing records from a population-based cohort with spinal cord injury (SCI) in the southeastern United States. DESIGN: Analysis of administrative billing data. SETTING: State-based surveillance data analyzed by an academic medical center in the southeastern United States. PARTICIPANTS: A total of 1872 individuals (N=1872) from a state-based surveillance system in the southeastern United States whose onset was between January 1, 1998, and January 1, 2010. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The outcome measures were the number of rehospitalization episodes, length of stay, and total hospital charges for each episode of rehospitalization. RESULTS: Seventy percent of participants were rehospitalized during the first 5 years after initial discharge, and the highest rehospitalization rates were in the first year (54%), being relatively stable in years 2-5 (21%-22%). Adjusted to 2019 US dollars, the average total rehospitalization charges were $214,716 per person during the 5 years. Participants who could walk independently had fewer rehospitalizations, fewer rehospitalization days, and less rehospitalization charges than the nonambulatory participants. College education was also associated with less rehospitalization charges. CONCLUSIONS: Rehospitalization is a significant cost after SCI. Further longitudinal study on the population cohorts and billing data are needed to quantify these changes over time.
Authors: Lee L Saunders; Alexander Clarke; Denise G Tate; Martin Forchheimer; James S Krause Journal: Arch Phys Med Rehabil Date: 2014-12-09 Impact factor: 3.966