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1. WHAT ARE THE FACTORS EFFECT ON LENGTH OF STAY IN REHABILITATION UNIT IN SPINAL CORD INJURY PATIENTS?
Yıl: 2019 Cilt: 23 Sayı: 4 Sayfa Aralığı: 247 - 254
Veri Tabanı: Fen

Introduction: The objective of this study is to evaluate the main clinical and functional factors influencing the length of stay (LOS) in rehabilitation unit and to explore the effect of complications on the LOS in patients with Spinal Cord Injury (SCI). Material and Methods: The sample, who were admitted for inpatient rehabilitation unit consisted of 59 patients with SCI. Demographic, clinical, and functional characteristics, LOS, number and types of medical complications were determined. To find out the factors related to the LOS, correlation analysis was performed. Regression analysis was also carried out to determine the independent factors affecting the LOS and the extent to which these factors explain the change in LOS. Results: Although, the urinary tract infection, neuropathic pain and pressure ulcer were the complications related to the LOS, in regression analysis, the number of complications and the FIM efficiency were determined as independent predictive factors of the rehabilitation LOS. None of the complications alone was found to be the independent predictor for the LOS. However, the regression model was able to explain only 37.8% of the variation in the LOS. Conclusion: The number of complications is the main determinant of the LOS. The daily functional gain decreases as the LOS increases. Thus, future studies are necessary to determine the role of the number of complications and possible other factors that may have an impact on the LOS.

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