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Hospitalizations of Adults With Spina Bifida and Congenital Spinal Cord Anomalies

Dicianno, BE and Wilson, R (2010) Hospitalizations of Adults With Spina Bifida and Congenital Spinal Cord Anomalies. Archives of Physical Medicine and Rehabilitation, 91 (4). 529 - 535. ISSN 0003-9993

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Abstract

Dicianno BE, Wilson R. Hospitalizations of adults with spina bifida and congenital spinal cord anomalies. Objective: To examine hospital admission records from a large cohort of persons with spina bifida (SB) with a variety of insurers to provide descriptive detail about adult hospital use for persons with SB and associated disorders in terms of primary diagnosis for hospitalization, age, sex, payer source, lengths of stay, and total charges. Design: Retrospective secondary data analysis from the Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project for 2004 and 2005 of hospitalizations for adults with SB or associated spinal cord anomalies. Setting: Records from U.S. inpatient hospital admissions. Participants: Persons with SB age 18 years and older. Interventions: Not applicable. Main Outcome Measures: Diagnoses associated with hospitalizations and death. Results: The most common primary diagnosis for hospitalization was urinary tract infection, followed by complications from devices/grafts/implants and skin wounds. Sepsis accounted for the most deaths. Approximately one third of hospitalizations were for primary diagnoses of potentially preventable conditions. Hospitalizations associated with a primary diagnosis of a potentially preventable condition occurred most often in those less than 51 years of age and in rural or urban nonteaching hospitals. Conclusions: Reducing the number of secondary medical conditions with proactive and preventative approaches to health care could reduce the morbidity, mortality, and cost for health care for this group. © 2010 American Congress of Rehabilitation Medicine.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Dicianno, BEdicianno@pitt.eduDICIANNO0000-0003-0738-0192
Wilson, R
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 1 April 2010
Date Type: Publication
Journal or Publication Title: Archives of Physical Medicine and Rehabilitation
Volume: 91
Number: 4
Page Range: 529 - 535
DOI or Unique Handle: 10.1016/j.apmr.2009.11.023
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0003-9993
MeSH Headings: Adolescent; Adult; Age Distribution; Cause of Death; Cohort Studies; Comorbidity; Costs and Cost Analysis; Female; Hospitalization--economics; Hospitalization--statistics & numerical data; Humans; Insurance Coverage--economics; Insurance Coverage--statistics & numerical data; Insurance, Health--economics; Insurance, Health--statistics & numerical data; International Classification of Diseases; Length of Stay--economics; Length of Stay--statistics & numerical data; Male; Medical Assistance--economics; Medical Assistance--statistics & numerical data; Middle Aged; Sex Distribution; Spinal Cord--abnormalities; Spinal Dysraphism--epidemiology; Spinal Dysraphism--therapy; Young Adult
PubMed ID: 20382283
Date Deposited: 03 Oct 2012 20:57
Last Modified: 05 Feb 2019 00:55
URI: http://d-scholarship.pitt.edu/id/eprint/14711

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