| アブストラクト | STUDY DESIGN: A retrospective cohort study using a nationwide Japanese inpatient database. OBJECTIVES: To investigate the association between the timing of rehabilitation interventions and pressure ulcers requiring treatment in acute hospitalized patients with cervical spinal cord injuries between 2010 and 2022 in a real-world clinical setting. SETTING: We used the Diagnosis Procedure Combination database, a nationwide Japanese inpatient database. METHODS: We included patients with cervical spinal cord injury who underwent spinal surgery within 3 days of admission between July 2010 and March 2022. We defined rehabilitation within 2 days of surgery as early rehabilitation and >/=3 days of surgery as non-early rehabilitation. The primary outcome was pressure ulcers requiring treatment >/=4 days after admission, and the secondary outcomes were length of hospital stay, hospitalization costs, and in-hospital mortality. Propensity score inverse probability of treatment weighting was conducted to compare the outcomes between the early and non-early rehabilitation groups. RESULTS: We identified 5162 eligible patients, 3434 (66.1%) of whom underwent early rehabilitation. After weighting, the pressure ulcers requiring treatment showed no significant difference between the early and non-early rehabilitation groups (odds ratio, 1.42; 95% confidence interval [CI], 0.78-2.59; P = 0.249). The early rehabilitation group showed shorter length of hospital stay (difference, -7.4; 95% CI, -13.1--1.3%; P = 0.018) than did the non-early rehabilitation group. CONCLUSION: This study found no significant difference in the pressure ulcers requiring treatment between the early and non-early rehabilitation groups. |
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| ジャーナル名 | Spinal cord |
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| Pubmed追加日 | 2025/9/24 |
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| 投稿者 | Yamauchi, Risa; Sasabuchi, Yusuke; Aso, Shotaro; Yasunaga, Hideo |
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| 組織名 | Department of Clinical Epidemiology and Health Economics, School of Public;Health, University of Tokyo, Tokyo, Japan. risa.lisa.y@gmail.com.;Health, University of Tokyo, Tokyo, Japan.;Department of Real-world Evidence, Graduate School of Medicine, University of;Tokyo, Tokyo, Japan.;Department of Health Services Research, Graduate School of Medicine, University;of Tokyo, Tokyo, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/40987817/ |
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