Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery
STUDY DESIGN: A retrospective review of medical records. OBJECTIVE: The objective of this study was to examine probability of survival after 90- and 180-days after surgery, to document the rehabilitation needs, patients discharge destination, and whether discharge destination, re-admission, and prob...
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ftpubmed:oai:pubmedcentral.nih.gov:8313531 2023-05-15T16:10:57+02:00 Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery Christensen, Jan Biering-Sørensen, Fin Morgen, Søren Schmidt la Cour, Karen 2021-07-26 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313531/ http://www.ncbi.nlm.nih.gov/pubmed/34312376 https://doi.org/10.1038/s41394-021-00428-z en eng Nature Publishing Group UK http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313531/ http://www.ncbi.nlm.nih.gov/pubmed/34312376 http://dx.doi.org/10.1038/s41394-021-00428-z © The Author(s), under exclusive licence to International Spinal Cord Society 2021 Spinal Cord Ser Cases Article Text 2021 ftpubmed https://doi.org/10.1038/s41394-021-00428-z 2022-07-31T00:28:48Z STUDY DESIGN: A retrospective review of medical records. OBJECTIVE: The objective of this study was to examine probability of survival after 90- and 180-days after surgery, to document the rehabilitation needs, patients discharge destination, and whether discharge destination, re-admission, and probability of survival among patients with metastatic spinal cord compression (MSCC) were associated with potential risk factors. SETTING: Copenhagen University Hospital, Rigshospitalet that serves a population of 2.8 million people from the Eastern part of Denmark, Faroe Islands, and Greenland. METHODS: Adult (≥18 years) patients with MSCC undergoing surgery in 2017–2018 were included. Descriptive statistics were used to investigate the probability of survival after 90- and 180-days, rehabilitation needs documented in the patient’s medical record, and discharge destination. Univariate logistic regression analyses were used to examine the associations between a priory defined potential risk factors for mortality and readmission. RESULTS: Seventy-four medical records were included in final analysis. The probability of survival after 90- and 180-days post-surgery were 78% and 57%, respectively. Higher age was the only defined variable that was significantly associated with higher mortality. Ninety-three percent of the patient’s medical records described rehabilitation potential, but only 44.6% of the patients were discharged with a rehabilitation plan. Seventy-three percent of the patients were discharged to their home. None had a specialized rehabilitation plan. CONCLUSION: Almost all patients diagnosed with MSCC have a rehabilitation potential described in their medical records. However, only half of these patients are discharged with a rehabilitation plan indicating an unmet potential for rehabilitation. Text Faroe Islands Greenland PubMed Central (PMC) Faroe Islands Greenland Spinal Cord Series and Cases 7 1 |
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Article Christensen, Jan Biering-Sørensen, Fin Morgen, Søren Schmidt la Cour, Karen Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery |
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STUDY DESIGN: A retrospective review of medical records. OBJECTIVE: The objective of this study was to examine probability of survival after 90- and 180-days after surgery, to document the rehabilitation needs, patients discharge destination, and whether discharge destination, re-admission, and probability of survival among patients with metastatic spinal cord compression (MSCC) were associated with potential risk factors. SETTING: Copenhagen University Hospital, Rigshospitalet that serves a population of 2.8 million people from the Eastern part of Denmark, Faroe Islands, and Greenland. METHODS: Adult (≥18 years) patients with MSCC undergoing surgery in 2017–2018 were included. Descriptive statistics were used to investigate the probability of survival after 90- and 180-days, rehabilitation needs documented in the patient’s medical record, and discharge destination. Univariate logistic regression analyses were used to examine the associations between a priory defined potential risk factors for mortality and readmission. RESULTS: Seventy-four medical records were included in final analysis. The probability of survival after 90- and 180-days post-surgery were 78% and 57%, respectively. Higher age was the only defined variable that was significantly associated with higher mortality. Ninety-three percent of the patient’s medical records described rehabilitation potential, but only 44.6% of the patients were discharged with a rehabilitation plan. Seventy-three percent of the patients were discharged to their home. None had a specialized rehabilitation plan. CONCLUSION: Almost all patients diagnosed with MSCC have a rehabilitation potential described in their medical records. However, only half of these patients are discharged with a rehabilitation plan indicating an unmet potential for rehabilitation. |
format |
Text |
author |
Christensen, Jan Biering-Sørensen, Fin Morgen, Søren Schmidt la Cour, Karen |
author_facet |
Christensen, Jan Biering-Sørensen, Fin Morgen, Søren Schmidt la Cour, Karen |
author_sort |
Christensen, Jan |
title |
Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery |
title_short |
Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery |
title_full |
Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery |
title_fullStr |
Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery |
title_full_unstemmed |
Survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery |
title_sort |
survival, discharge destination, and referral for rehabilitation after metastatic spinal cord compression surgery |
publisher |
Nature Publishing Group UK |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313531/ http://www.ncbi.nlm.nih.gov/pubmed/34312376 https://doi.org/10.1038/s41394-021-00428-z |
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Faroe Islands Greenland |
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Faroe Islands Greenland |
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Faroe Islands Greenland |
genre_facet |
Faroe Islands Greenland |
op_source |
Spinal Cord Ser Cases |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313531/ http://www.ncbi.nlm.nih.gov/pubmed/34312376 http://dx.doi.org/10.1038/s41394-021-00428-z |
op_rights |
© The Author(s), under exclusive licence to International Spinal Cord Society 2021 |
op_doi |
https://doi.org/10.1038/s41394-021-00428-z |
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Spinal Cord Series and Cases |
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7 |
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1 |
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