Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Journal Abstract
Accuracy of diagnoses in patients with spinal cord injury referred to hospital rehabilitation departments
Piotr Tederko, Marek Krasuski , Barbara Dobies
Ortop Traumatol Rehabil 2012; 14(2):125-136
ICID: 992297
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
Establishing a comprehensive diagnosis, together with the implementation of evidence-based therapeutic methods, is a prerequisite for effective and safe rehabilitation.
The purpose of the study was to evaluate the accuracy of referral diagnoses and identify the risk factors for diagnostic neglect in persons after spinal injury with neurological consequences (SINC) referred to rehabilitation departments in hospitals.
Material and methods: Referral diagnoses were compared with tentative diagnoses established on admission in 350 randomly chosen patients with SINC admitted to a rehabilitation department between 1998 and 2011. The patients were divided into Group A of those admitted in 1998-2004 and Group B of those admitted in 2006-11 (175 subjects each). The patterns of and risk factors for inaccurate and deficient referral diagnoses (IDRD) were analyzed.
Results: The rate of IDRD was 38.3% in Group A and 35.4% in Group B. The number of diagnoses where additional data were added after verification on admission was 111 in Group A and 129 in Group B. The most common deficiencies in referral diagnoses consisted in the failure to identify symptomatic urinary tract infections (49), heterotopic ossification (39), and pressure sores (32). The IDRD rate was significantly (p>0.05) higher in patients referred from hospitals, surgical departments, those with thoracic spine lesions, complete neurological deficits, and those with at least two co-morbidities or concomitant injuries. Median time between SINC and admission for rehabilitation was longer in subjects with accurate referral diagnoses (180 days) compared with the IDRD group (54 days). Age, gender and cause of SINC did not correlate with IDRD.
Conclusions: Risk factors for IDRD in SINC patients include complete neurological deficit, short time elapsing from SINC, referral from a hospital, referral from a surgical department, thoracic spinal lesion, and multiple co-morbidities.

ICID 992297

DOI 10.5604/15093492.992297
PMID 22619097 - click here to show this article in PubMed

Related articles
  • in IndexCopernicus™
         spinal cord injury [15 related records]
         complications [209 related records]
         concomitant injury [0 related records]
         diagnostic work-up [1 related records]
         Rehabilitation [210 related records]
         uszkodzenia towarzyszÄ…ce [0 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.