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Targeted Preventive Care May Be Needed for Adults with Congenital Spine Anomalies

Wilson, R and Lewis, SA and Dicianno, BE (2011) Targeted Preventive Care May Be Needed for Adults with Congenital Spine Anomalies. PM and R, 3 (8). 730 - 738. ISSN 1934-1482

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To compare hospitalizations caused by spina bifida-sensitive conditions, ambulatory care-sensitive conditions in adults with spina bifida and in the general population, our aim was to provide information about whether preventive health efforts already underway in the hospitalized general population are adequate for preventive care in spina bifida and congenital spine anomalies. Design: Retrospective secondary data analysis. Patients (or Participants): Records of hospitalized individuals who were 18 years of age and older. Methods: Comparison between individuals hospitalized with spina bifida and the general population using data from the California State Inpatient Database from the Healthcare Cost and Utilization Project for 2004 of adults. Main Outcome Measurements: Prevalence of spina bifida-sensitive conditions and ambulatory care-sensitive conditions as reason for hospitalization and 30-day readmission. Results: As compared with the general population, persons with spina bifida who were hospitalized in 2004 had a significantly greater number of hospitalizations, number of hospitalizations associated with both spina bifida-sensitive conditions and ambulatory care-sensitive conditions, and number of 30-day readmissions. Stratification by age shows that the admissions for spina bifida sensitive conditions were greater in persons with spina bifida than in the general population for all age groups. In contrast, only in the youngest age group did those with spina bifida experience greater hospitalizations for ambulatory care-sensitive conditions. Conclusions: This study provides further evidence that persons with spina bifida have hospitalizations that are beyond what the general population experiences. These conditions may be potentially preventable with appropriate ambulatory care. This group also had a greater risk for readmission within 30 days of discharge from their last hospitalization. More research is needed on the efficacy of programs aimed at prevention of these conditions. © 2011 American Academy of Physical Medicine and Rehabilitation.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Wilson, R
Lewis, SA
Dicianno, BEdicianno@pitt.eduDICIANNO0000-0003-0738-0192
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 1 August 2011
Date Type: Publication
Journal or Publication Title: PM and R
Volume: 3
Number: 8
Page Range: 730 - 738
DOI or Unique Handle: 10.1016/j.pmrj.2011.05.021
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 1934-1482
MeSH Headings: Adolescent; Adult; Aged; Female; Hospitalization--statistics & numerical data; Humans; Male; Middle Aged; Patient Readmission--statistics & numerical data; Pneumonia--etiology; Primary Prevention--organization & administration; Retrospective Studies; Sepsis--etiology; Skin Ulcer--etiology; Spinal Dysraphism--complications; Spinal Dysraphism--rehabilitation; Spine--abnormalities; Urinary Tract Infections--etiology; Young Adult
PubMed ID: 21871417
Date Deposited: 12 Oct 2012 18:44
Last Modified: 05 Feb 2019 00:55


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