Community Transition and Preventing Rehospitalization After SCI
August 28, 2021
10:30 am -
A spinal cord or brain injury can have devastating effects on the individual, their family and the community. It is estimated that up to 45% of individuals leaving rehabilitation will experience rehospitalization in the first year, interfering with successful reintegration. Individuals discharging from acute rehabilitation were stratified into low, moderate or high risk for rehospitalization at 30 days.
This session presents the outcomes of a high-risk cohort that was offered a transition support program (TSP). Those enrolled in TSP vs not enrolled experienced rehospitalization at a rate of 5.7% vs 18% respectively. Recommendations for the clinical team are presented to prevent rehospitalization, improve health and safety outcomes, and promote self-advocacy. Opportunities to discuss outcomes and programmatic development will be presented in the panel discussion.