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Data Analytics - Coggle Diagram
Data Analytics
What can we do prior to DC
Push for more time in TR
Tx by highly experienced clinicians
Push for better social work and case management
Shorten the time from injury to rehab admit
Emphasize optimism and pt-centered care. Give pts something to look forward to after DC
pain science education
What can we do after DC
Push for outpatient PT/OT that focuses on function
Push for psychologic intervention
Push for support groups and social interaction
Push for pain science education
emphasize importance of HEP for functions like bowel and stairs
Our Results
Self-Perceived Health (SF36)
Severity of Depression Score
CHART number of contacts per month with friends
Satisfaction with Life Total
"Compared to 1 year ago, how would you rate your health in general now?"
"From 0-10, what has been your usual level of pain over the past for weeks?"
FIM (motor)
FIM locomotion - stairs
CHART physical independence total
Bowel Who? - Self
Satisfaction with Life (Diener's)
CHART physical independence total
Self-Perceived Health Total
CHART mobility total
FIM motor (@ 1 year)
Severity of Depression Score
Severity of Depression (PHQ9)
CHART mobility total
"During the past 4 weeks, how much has spasticity interfered with daily activities?"
Satisfaction with Life total
"During the past 4 weeks, how much has pain interfered with daily activities?"
"From 0-10, what has been your usual level of pain over the past 4 weeks?"
Process
Filter out patients who did not participate in the survey (death or other reason) -> normalized data
Find correlations between primary variables (QoL) and others measured at 1 year post discharge
Regression analysis of highly-correlated variables
Old Results (Whiteneck 2012)
Patient and treatment Variables Predict Outcomes
motor FIM at DC and 1 year post
Higher FIM
Higher admission motor FIM
injury work-relatedness
More Time spent in PT
level and completeness of injury
Lower FIM
Older age
Obesity
higher admit cog FIM
Longer rehab LoS
Loner time from injury to rehab admit
more time in OT
Motor Independence at 1 year
Payer
Social work / case management hours
Residence
Home
being married
higher admit FIM
Tx by clinicians with more experience with SCI
More time with bedside education by RNs
Other location
High CSI
minority status
older age
Home in 1 year
being married
more time in TR
English is primary language
NOT home in 1 year
older age
more time from trauma to rehab admit
more time in OT
Tx by clinicians with less experience with SCI
Work/School Status
Working
Younger
college-eduated
injured in sport-related accident
Employed or students before injury
More time in TR
Tx by clinicians with more experience with SCI
Not Working
Tetraplegia A, B, C
More time in Psych intervention
Worker's Comp
Medicare
Social Participation (CHART)
Physical Independence
-- Older age
-- high tetraplegia (A,B,C)
-- Low tetraplegia (A, B, C)
-- Workers Comp Payer
++ More time in PT
-- more time in Psych intervention
Social Integration
-- Older age
++ being married
++ higher admit motor FIM
-- Medicaid Payer
-- unemployed prior to injury
++ Retired prior to injury
++ more time in TR
++ More time in PT
Occupation
-- Older age
++ Being married
++ higher admit motor FIM
-- high tetraplegia (A,B,C)
-- Paraplegia (A, B, C)
++ Student prior to injury
++ more time in TR
Mobility
-- Older age
++ being married
++ higher admit motor FIM
-- high tetraplegia (A,B,C)
-- Low tetraplegia (A, B, C)
-- Paraplegia (A, B, C)
-- Medicaid Payer
++ Student prior to injury
++ more time in TR
++ More time in PT
Mood State and Life Satisfaction
pt characteristics and treatments were weak predictors of depressive symptomology and satisfaction with life
Higher PHQ-9 Scores
Longer time from injury to rehab admit
unemployment prior to injury
work-related injury
more time in ST
Lower PHQ-9 Scores
Male gender
Obesity
Lower SWLS
Older age
high tetraplegia
unemployment prior to injury
Medicaid or Workers Comp Payer
More time in psych intervention
Higher SWLS
Tx by clinicians with more experience with SCI
More time spent in TR
Rehospitalization
More likely
AIS A, B, C
Older age
greater medical severity
more time from injury to rehab admit
Medicaid Payer
More time spent by RN on education and care management
Less Likely
Higher admit motor FIM
more time in PT
More time in TR
Pressure Ulcer at 1 year
More likely
tetraplegia (5x more likely)
Low tetraplegia
lower admit motor FIM
higher medical severity
longer time from injury to rehab admit
more time in OT
Less likely
more time in PT
more time in TR
more time in ST