Gunshot versus nongunshot spinal cord injury: acute care and rehabilitation outcomes

American Journal of Physical Medicine & Rehabilitation
J D PutzkeM J Devivo

Abstract

To examine the impact of gunshot-caused spinal cord injury on acute and rehabilitative care outcome using a case control design. Two groups (i.e., gunshot- vs. nongunshot-caused spinal cord injury) of 212 individuals were matched case-for-case on age (i.e., within 10 yr), education, gender, race, marital status, primary occupation, impairment level, and Model System region. Outcome measures included length of hospital stay, functional status (FIM), treatment charges, and home discharge rates. The two groups did not differ in the length of stay during acute and rehabilitative care, charges during rehabilitative care, or postrehabilitation discharge placement. Several significant between-group differences in treatment procedures were noted (e.g., prevalence of spinal surgery), which may, in part, account for the higher acute-care charges among those persons with nongunshot-caused spinal cord injury. Once an individual is stabilized and admitted for rehabilitative care, gunshot etiology of spinal cord injury seems largely unrelated to the initial rehabilitation outcome.

References

Sep 1, 1991·Journal of Spinal Disorders·T KaneR Adkins
Mar 1, 1991·Journal of Spinal Disorders·H D O'DonnellT B Ducker
Jun 13, 1998·The Journal of Spinal Cord Medicine·W McKinleyK Wilson
Mar 24, 1999·American Journal of Physical Medicine & Rehabilitation·W O McKinleyJ J Musgrove
Jul 27, 1999·American Journal of Physical Medicine & Rehabilitation·W O McKinleyJ S Kreutzer

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Citations

Apr 28, 2005·Clinical Rheumatology·Demet OfluogluOnder Kayhan
Mar 24, 2006·American Journal of Physical Medicine & Rehabilitation·Marca L Sipski, J Scott Richards
May 14, 2008·Spinal Cord·C Nordgren
Mar 17, 2007·Social Science & Medicine·Patrick J DevliegerMiram Hertz
Mar 26, 2013·Annals of Rehabilitation Medicine·Juyong KimMoon Suk Bang
Jul 7, 2001·Archives of Physical Medicine and Rehabilitation·J D PutzkeM J DeVivo
Jul 8, 2021·The Journal of Spinal Cord Medicine·Jessica PruenteDeborah Gaebler-Spira

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