Duration and functional outcome of spinal cord injury rehabilitation in the Netherlands

Marcel W. M. Post, Annet J. Dallmeijer, Edmond L. D. Angenot, Floris W. A. van Asbeck, Lucas H. V. van der Woude

Research output: Contribution to journalArticleAcademicpeer-review

62 Citations (Scopus)

Abstract

This study describes the length of stay (LOS) and functional outcome of spinal cord injury (SCI) in the Netherlands and its determinants. Data of 157 patients from eight rehabilitation centers were available. Mean age was 40.0 years and 76.4% were traumatic injuries, 39.8% had tetraplegia, and 69.9% had a motor complete SCI. Median LOS was 240 days (interquartile range 164-322). Median motor Functional Independence Measure (FIM) scores at discharge were 37.3 for persons with complete tetraplegia and 69.7 for persons with complete paraplegia. Level and completeness of injury, bed rest because of pressure sores, and LOS were predictors of motor FIM scores. Duration of SCI rehabilitation in the Netherlands is long compared with the literature. Functional outcome appears slightly better in persons with complete tetraplegia, but not in persons with complete paraplegia when compared with data from the United States. International studies are necessary to reveal strengths and weaknesses of SCI rehabilitation systems in different countries.

Original languageEnglish
Pages (from-to)75-85
Number of pages11
JournalJournal of Rehabilitation Research and Development
Volume42
Issue number3 Suppl 1
DOIs
Publication statusPublished - May-2005
Externally publishedYes

Keywords

  • Adult
  • Female
  • Humans
  • Length of Stay
  • Male
  • Netherlands
  • Recovery of Function
  • Spinal Cord Injuries
  • Time Factors
  • Treatment Outcome

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