Age, outcome, and rehabilitation costs after tetraplegia spinal cord injury

At 20 medical centers, 2,099 consecutive adult patients with tetraplegia SC I were assessed at acute care admission, inpatient rehabilitation admission , and in-patient rehabilitation discharge. Age differences were examined by separating the sample into 11 age categories and conducting one way ANOVA' s on treatment, medical expense, and outcome measures that included the FIM and the ASIA Motor Index Score. Analyses revealed that persons aged 35-55 showed the greatest improvement, and persons aged 70 and older showed the l east improvement. SCI patients aged 18-34 had longer inpatient rehabilitati on stays than patients aged 35-64, and incurred greater rehabilitation medi cal expenses than patients aged 65 and older. Acute care outcome and charge s, and functional independence were unrelated to age. Patients younger than 30 were most often discharged to non-institutional settings and institutio nalization rates were similar for persons aged 30-69. Present findings sugg est that tetraplegia patients can be categorized into three distinct age gr oupings: 18-34, 35-64, and 65 acid older. Findings also suggest that the AS IA Motor Index is more sensitive than the FIM for measuring changes during hospitalization in the tetraplegic population.