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Journal of Neurology and Neurorehabilitation Research | Volume 3
August 23-24, 2018 | Paris, France
Neurology and Neurological Disorders
18th International Conference on
Clinico-Epidemiological determinants of hospital stay and ambulation in patients with Traumatic
Spinal Cord Injury by survival analysis
Mohit K Srivastava
King George’s Medical University, India
Traumatic spinal cord injury (TSCI) is one of the most
devastating injury, and results in different neurological
deficits. A long hospital stay occupies medical and financial
resources which leads to substantial social loss and economic
burden. To optimize resource utilization for rehabilitation
care centers treating TSCI patients, it is important to evaluate
the determinants of hospitalization length as well as their
ambulation. A retrospective cohort study was conducted to
identify the associated epidemiological and clinical factors
affecting length of stay and ambulation in TSCI, utilizing a
quantitative approach. The medical records of 108 patients
with TSCI, who fulfilled the inclusion criteria and discharged
from the hospital between 1st January 2015 and 30th June
2017 were reviewed using data collection tool. Survival
Analysis was done to estimate the probability of ambulation
in the TSCI patients with respect to their length of stay. The
mean duration of hospital stay was 29.37±17.44 days. 63.6%
of age group 15-30 years had hospital stay of ≥30 days. Age
(AOR 9.88; 95% C.I. [2.33 – 41.81]; 0.002), employment
status (AOR 5.57; 95% C.I. [1.09 – 28.37];0.039, location
of residence (AOR 0.14 95%C.I. [0.03-0.63];0.01), Pressure
Ulcer (AOR 5.81; 95% C.I. [1.77 – 19.06]; 0.004) and history
of treatment (AOR 1.98; 95%C.I. [1.76– 14.16]; 0.002) were
significant predictors of length of hospital stay in patients
with TSCI. The probability of ambulation was better in
females as compared to males on survival analysis (p<0.001).
Age (≥35years), gender(males), location of residence (in
same city) and neurological category (A) had hazard of non-
ambulation.
Speaker Biography
Mohit K Srivastava has completed his M.B.B.S at the age of 25 years from
B.R.D Medical College, Gorakhpur, India and is third year post graduate
(MD) resident in Department of Physical Medicine and Rehabilitation in King
George’s Medical University U.P., Lucknow. He has also done fellowship in pain
medicine and intervention. He has published 2 case reports and 3 original
research papers and has presented paper in national conferences three times.
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