Factors responsible for readmission of people with spinal cord injury.

Abstract

Purpose: To identify the factors which are responsible for re-admission of the people with Spinal Cord Injury (SCI). Objectives: To find out the factors responsible for re-admission of the people with Spinal Cord Injury, to identify the socio-demographic information, to explore the injury related status, to evaluate functional status, to find out the association between socio-demographic and different factors related information. Methodology: The study was cohort model which was retrospective cohort study design. Total 55 samples were selected conveniently for this study from the CRP nursing station and word. Data was collected by using mixed type of questionnaire. Descriptive statistic was used for data analysis which focused through table, pie chart and bar chart. Results: The leading cause of readmission was diseases of the genitourinary system, including urinary tract infections (UTIs) respiratory system problem and pressure sore. In secondary condition scale patients suffering from pressure sore 22(40%) mild or frequent, injury caused by loss of sensation 34(61.8%) mild or frequent, muscle spasm 22(40%) moderate or occasional, contracture 22(40%) mild or frequent, heterotopic ossification 52(94.5%) not a problem, diabetes mellitus 24(43.6%) not a problem, urinary tract infection 19(34.5%), postural hypotension 24(43.6%), respiratory problem 27(49.1%), chronic problem 38(69.1%), joint and muscle pain 35(63.3%) mild or frequent. The Chi-Square Test performed between socio demographic information with Problems experience .The Chi squire value was 9.76 and P value was 0.02. Significant association was observed between sex and sexual dysfunction (P<0.02). The Chi-Square Test performed between living area and muscle spasm .The Chi squire value was 10.102 and P value was 0.018. Conclusion: Readmission is a major important issue in people with SCI. Readmission rates remain high after SCI with an increased incidence of issues related to genitourinary system, respiratory system, and skin. Several factors, including neurologic level and extent of SCI, decreased functional abilities at discharge from rehabilitation, and payer source, have been shown to influence readmission rates.