Document Detail


Spinal cord injury/disorder teleconsultation outcome study.
MedLine Citation:
PMID:  21721396     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The purpose of this study was to compare the costs of providing specialty wound care to spinal cord injury/disorder (SCI/D) veterans by teleconsultation and traditional care. A retrospective design was used to conduct this descriptive, correlational study. A convenience sample of 76 SCI/D veterans (2 women, 74 men) met inclusion criteria from a possible 123 subjects. Variables were compared between groups using nonparametric methods (Wilcoxon rank sums and chi-square). There was no significant difference in inpatient admissions or inpatient bed days of care between the two groups. The teleconsultation group had more outpatient encounters (medians 12 vs. 4, p = .007; Wilcoxon statistic = 412.5) and longer inpatient stays (medians 81 vs. 19 days/admission, p = .05; Wilcoxon statistic = 227.0) compared to the traditional care group. There was no significant difference in inpatient cost between the two groups; however, the teleconsultation group had a significantly higher median cost per outpatient encounter ($440 vs. $141, p <.0001; Wilcoxon statistic = 469.0). Although this study only looked at costs directly associated with wound management, continued research exploring the use of teleconsultation in other areas of SCI/D specialty is needed to enhance its application.
Authors:
Sadie Young-Hughes; Loretta A Simbartl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses     Volume:  36     ISSN:  0278-4807     ISO Abbreviation:  Rehabil Nurs     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8104825     Medline TA:  Rehabil Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  153-8, 172     Citation Subset:  N    
Affiliation:
Cincinnati Veterans Affairs Medical Center, Spinal Cord Injury/Disorder Clinic, OH, USA. sadie.hughesyoung@va.gov
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