Neoplastic versus traumatic spinal cord injury: An outcome comparison after inpatient rehabilitation
Objective: To compare outcomes of patients with neoplastic spinal cord compression (SCC) to outcomes of patients with traumatic spinal cord injury (SCI) after inpatient rehabilitation. Design: A comparison between patients with a diagnosis of neoplastic SCC admitted to an SCI rehabilitation unit and...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 1999-10, Vol.80 (10), p.1253-1257 |
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| creator | McKinley, William O. Huang, Mark E. Brunsvold, Kristin T. |
| description | Objective: To compare outcomes of patients with neoplastic spinal cord compression (SCC) to outcomes of patients with traumatic spinal cord injury (SCI) after inpatient rehabilitation.
Design: A comparison between patients with a diagnosis of neoplastic SCC admitted to an SCI rehabilitation unit and patients with a diagnosis of traumatic SCI admitted to the regional Model Spinal Cord Injury Centers over a 5-year period, controlling for age, neurologic level of injury, and American Spinal Injury Association impairment classification.
Setting: Tertiary university medical centers.
Patients: Twenty-nine patients with neoplastic SCC and 29 patients with SCI of traumatic etiology who met standard rehabilitation admission criteria.
Main Outcome Measures: Acute and rehabilitation hospital length of stay (LOS), Functional Independence Measure (FIM) scores, FIM change, FIM efficiency, and discharge rates to home.
Results: Patients with neoplastic SCC had a significantly (
p < .01) shorter rehabilitation LOS than those with traumatic SCI (25.17 vs 57.46 days). No statistical significance was found in acute care LOS. Motor FIM scores on admission were higher in the neoplastic group, but discharge FIM scores and FIM change were significantly lower. Both groups had similar FIM efficiencies and community discharges.
Conclusions: Patients with neoplastic SCC can achieve rates of functional gain comparable to those of their counterparts with traumatic SCI. While patients with traumatic SCI achieve greater functional improvement, patients with neoplastic SCC have a shorter rehabilitation LOS and can achieve comparable success with discharge to the community. |
| doi_str_mv | 10.1016/S0003-9993(99)90025-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70848516</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999399900254</els_id><sourcerecordid>70848516</sourcerecordid><originalsourceid>FETCH-LOGICAL-c456t-c5000010b8bf6e73f5bc9bd737a42d7474b5e34cc52df31df7c8f5df43b91443</originalsourceid><addsrcrecordid>eNqFkE1L5TAUQIM46NPxJyhdiOiiM0mTtI0bkYfODIgudOEupMkNRtqmJqngvzfP91B3s7nhXs79yEHokOBfBJP69z3GmJZCCHoqxJnAuOIl20ILwmlVthV53EaLT2QX7cX4nNOaU7KDdgnmVYNbukDmFvzUq5icLl4hxDkWKah5UKtCnNyo-kL7YAo3Ps_h7by4HAs_J-0HyPVhUsFFPxbKJgiZmXIfjKkI8KQ617uUcz_-RD-s6iMcbN599HB99bD8W97c_fm3vLwpNeN1KjXPF2KCu7azNTTU8k6LzjS0UawyDWtYx4EyrXllLCXGNrq13FhGO0EYo_voZD12Cv5lhpjk4KKGvlcj-DnK_GPWclJnkK9BHXyMAaycghtUeJMEy5Vd-WFXrtTlID_sytWCo82CuRvAfOta68zA8QZQUaveBjVqF7-4qqoZERm7WGOQZbw6CDLqrE2DcQF0ksa7_1zyDgd0mKk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70848516</pqid></control><display><type>article</type><title>Neoplastic versus traumatic spinal cord injury: An outcome comparison after inpatient rehabilitation</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>EZB Electronic Journals Library</source><creator>McKinley, William O. ; Huang, Mark E. ; Brunsvold, Kristin T.</creator><creatorcontrib>McKinley, William O. ; Huang, Mark E. ; Brunsvold, Kristin T.</creatorcontrib><description>Objective: To compare outcomes of patients with neoplastic spinal cord compression (SCC) to outcomes of patients with traumatic spinal cord injury (SCI) after inpatient rehabilitation.
Design: A comparison between patients with a diagnosis of neoplastic SCC admitted to an SCI rehabilitation unit and patients with a diagnosis of traumatic SCI admitted to the regional Model Spinal Cord Injury Centers over a 5-year period, controlling for age, neurologic level of injury, and American Spinal Injury Association impairment classification.
Setting: Tertiary university medical centers.
Patients: Twenty-nine patients with neoplastic SCC and 29 patients with SCI of traumatic etiology who met standard rehabilitation admission criteria.
Main Outcome Measures: Acute and rehabilitation hospital length of stay (LOS), Functional Independence Measure (FIM) scores, FIM change, FIM efficiency, and discharge rates to home.
Results: Patients with neoplastic SCC had a significantly (
p < .01) shorter rehabilitation LOS than those with traumatic SCI (25.17 vs 57.46 days). No statistical significance was found in acute care LOS. Motor FIM scores on admission were higher in the neoplastic group, but discharge FIM scores and FIM change were significantly lower. Both groups had similar FIM efficiencies and community discharges.
Conclusions: Patients with neoplastic SCC can achieve rates of functional gain comparable to those of their counterparts with traumatic SCI. While patients with traumatic SCI achieve greater functional improvement, patients with neoplastic SCC have a shorter rehabilitation LOS and can achieve comparable success with discharge to the community.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/S0003-9993(99)90025-4</identifier><identifier>PMID: 10527083</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Biological and medical sciences ; Diseases of the nervous system ; Hospital Units ; Hospitalization ; Humans ; Length of Stay - statistics & numerical data ; Medical sciences ; Motor Skills ; Patient Discharge - statistics & numerical data ; Prospective Studies ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation Centers ; Severity of Illness Index ; Spinal Cord Injuries - physiopathology ; Spinal Cord Injuries - rehabilitation ; Spinal Cord Neoplasms - physiopathology ; Spinal Cord Neoplasms - rehabilitation ; Treatment Outcome</subject><ispartof>Archives of physical medicine and rehabilitation, 1999-10, Vol.80 (10), p.1253-1257</ispartof><rights>1999</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-c5000010b8bf6e73f5bc9bd737a42d7474b5e34cc52df31df7c8f5df43b91443</citedby><cites>FETCH-LOGICAL-c456t-c5000010b8bf6e73f5bc9bd737a42d7474b5e34cc52df31df7c8f5df43b91443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-9993(99)90025-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1226419$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10527083$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McKinley, William O.</creatorcontrib><creatorcontrib>Huang, Mark E.</creatorcontrib><creatorcontrib>Brunsvold, Kristin T.</creatorcontrib><title>Neoplastic versus traumatic spinal cord injury: An outcome comparison after inpatient rehabilitation</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Objective: To compare outcomes of patients with neoplastic spinal cord compression (SCC) to outcomes of patients with traumatic spinal cord injury (SCI) after inpatient rehabilitation.
Design: A comparison between patients with a diagnosis of neoplastic SCC admitted to an SCI rehabilitation unit and patients with a diagnosis of traumatic SCI admitted to the regional Model Spinal Cord Injury Centers over a 5-year period, controlling for age, neurologic level of injury, and American Spinal Injury Association impairment classification.
Setting: Tertiary university medical centers.
Patients: Twenty-nine patients with neoplastic SCC and 29 patients with SCI of traumatic etiology who met standard rehabilitation admission criteria.
Main Outcome Measures: Acute and rehabilitation hospital length of stay (LOS), Functional Independence Measure (FIM) scores, FIM change, FIM efficiency, and discharge rates to home.
Results: Patients with neoplastic SCC had a significantly (
p < .01) shorter rehabilitation LOS than those with traumatic SCI (25.17 vs 57.46 days). No statistical significance was found in acute care LOS. Motor FIM scores on admission were higher in the neoplastic group, but discharge FIM scores and FIM change were significantly lower. Both groups had similar FIM efficiencies and community discharges.
Conclusions: Patients with neoplastic SCC can achieve rates of functional gain comparable to those of their counterparts with traumatic SCI. While patients with traumatic SCI achieve greater functional improvement, patients with neoplastic SCC have a shorter rehabilitation LOS and can achieve comparable success with discharge to the community.</description><subject>Activities of Daily Living</subject><subject>Biological and medical sciences</subject><subject>Diseases of the nervous system</subject><subject>Hospital Units</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Medical sciences</subject><subject>Motor Skills</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation Centers</subject><subject>Severity of Illness Index</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Spinal Cord Neoplasms - physiopathology</subject><subject>Spinal Cord Neoplasms - rehabilitation</subject><subject>Treatment Outcome</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1L5TAUQIM46NPxJyhdiOiiM0mTtI0bkYfODIgudOEupMkNRtqmJqngvzfP91B3s7nhXs79yEHokOBfBJP69z3GmJZCCHoqxJnAuOIl20ILwmlVthV53EaLT2QX7cX4nNOaU7KDdgnmVYNbukDmFvzUq5icLl4hxDkWKah5UKtCnNyo-kL7YAo3Ps_h7by4HAs_J-0HyPVhUsFFPxbKJgiZmXIfjKkI8KQ617uUcz_-RD-s6iMcbN599HB99bD8W97c_fm3vLwpNeN1KjXPF2KCu7azNTTU8k6LzjS0UawyDWtYx4EyrXllLCXGNrq13FhGO0EYo_voZD12Cv5lhpjk4KKGvlcj-DnK_GPWclJnkK9BHXyMAaycghtUeJMEy5Vd-WFXrtTlID_sytWCo82CuRvAfOta68zA8QZQUaveBjVqF7-4qqoZERm7WGOQZbw6CDLqrE2DcQF0ksa7_1zyDgd0mKk</recordid><startdate>19991001</startdate><enddate>19991001</enddate><creator>McKinley, William O.</creator><creator>Huang, Mark E.</creator><creator>Brunsvold, Kristin T.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19991001</creationdate><title>Neoplastic versus traumatic spinal cord injury: An outcome comparison after inpatient rehabilitation</title><author>McKinley, William O. ; Huang, Mark E. ; Brunsvold, Kristin T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-c5000010b8bf6e73f5bc9bd737a42d7474b5e34cc52df31df7c8f5df43b91443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Activities of Daily Living</topic><topic>Biological and medical sciences</topic><topic>Diseases of the nervous system</topic><topic>Hospital Units</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Medical sciences</topic><topic>Motor Skills</topic><topic>Patient Discharge - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation Centers</topic><topic>Severity of Illness Index</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Spinal Cord Neoplasms - physiopathology</topic><topic>Spinal Cord Neoplasms - rehabilitation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McKinley, William O.</creatorcontrib><creatorcontrib>Huang, Mark E.</creatorcontrib><creatorcontrib>Brunsvold, Kristin T.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McKinley, William O.</au><au>Huang, Mark E.</au><au>Brunsvold, Kristin T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neoplastic versus traumatic spinal cord injury: An outcome comparison after inpatient rehabilitation</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>80</volume><issue>10</issue><spage>1253</spage><epage>1257</epage><pages>1253-1257</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Objective: To compare outcomes of patients with neoplastic spinal cord compression (SCC) to outcomes of patients with traumatic spinal cord injury (SCI) after inpatient rehabilitation.
Design: A comparison between patients with a diagnosis of neoplastic SCC admitted to an SCI rehabilitation unit and patients with a diagnosis of traumatic SCI admitted to the regional Model Spinal Cord Injury Centers over a 5-year period, controlling for age, neurologic level of injury, and American Spinal Injury Association impairment classification.
Setting: Tertiary university medical centers.
Patients: Twenty-nine patients with neoplastic SCC and 29 patients with SCI of traumatic etiology who met standard rehabilitation admission criteria.
Main Outcome Measures: Acute and rehabilitation hospital length of stay (LOS), Functional Independence Measure (FIM) scores, FIM change, FIM efficiency, and discharge rates to home.
Results: Patients with neoplastic SCC had a significantly (
p < .01) shorter rehabilitation LOS than those with traumatic SCI (25.17 vs 57.46 days). No statistical significance was found in acute care LOS. Motor FIM scores on admission were higher in the neoplastic group, but discharge FIM scores and FIM change were significantly lower. Both groups had similar FIM efficiencies and community discharges.
Conclusions: Patients with neoplastic SCC can achieve rates of functional gain comparable to those of their counterparts with traumatic SCI. While patients with traumatic SCI achieve greater functional improvement, patients with neoplastic SCC have a shorter rehabilitation LOS and can achieve comparable success with discharge to the community.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10527083</pmid><doi>10.1016/S0003-9993(99)90025-4</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB Electronic Journals Library |
| subjects | Activities of Daily Living Biological and medical sciences Diseases of the nervous system Hospital Units Hospitalization Humans Length of Stay - statistics & numerical data Medical sciences Motor Skills Patient Discharge - statistics & numerical data Prospective Studies Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Centers Severity of Illness Index Spinal Cord Injuries - physiopathology Spinal Cord Injuries - rehabilitation Spinal Cord Neoplasms - physiopathology Spinal Cord Neoplasms - rehabilitation Treatment Outcome |
| title | Neoplastic versus traumatic spinal cord injury: An outcome comparison after inpatient rehabilitation |
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