The role of payment sources in the continuation of rehabilitation therapy in tertiary hospitals for patients with traumatic spinal cord injury: a study in Southwest China

Figures & data

Table 1. Demographic characteristics in all patients.

Demographic characteristics
Age (years)	41.00 ± 13.73
TSCI duration (days)	238.43 ± 345.544
Gender (n)
Male	107 (79.25%)
Female	28 (20.74%)
Marital status (n)
Married	101 (74.81%)
Unmarried	34 (25.18%)
Cause of injury (n)
Motor vehicle collision	36 (26.67%)
Struck by an object	21 (15.55%)
High fall	65 (48.14%)
Low fall	8 (5.92%)
Other	5 (3.70%)
Injury level (n)
Cervical	32 (23.70%)
Thoracic	77 (57.03%)
Lumbar	9 (6.67%)
Cauda equina	17 (12.59%)
AIS level (n)
A	48 (35.56%)
B	19 (14.07%)
C	30 (22.22%)
D	20 (14.81%)
Cauda equina^a	18 (13.24%)
Voiding management (n)
Self-IC	7 (5.19%)
IBC	70 (51.85%)
Spontaneous	54 (40.00%)
Suprapubic cystostomy	4 (2.96%)
Infection (n)
UTI	48 (35.56%)
RTI	15 (11.11%)
Complication (n)
NP	56 (41.48%)
DVT	17 (12.59%)
Metabolic disease^b	23 (17.04%)
Depression	12 (8.89%)

TSCI: spinal cord injury; AIS: American Spinal Injury Association Impairment Scale; IC: intermittent catheterization; IBC: indwelling bladder catheter; UTI: urinary tract infection; RTI: respiratory tract infection; NP: neuropathic pain; DVT: deep venous thrombosis.

^a When SCI is combined spinal cord injury with cauda equina injury, it counts as spinal cord injury.

^b Hyperlipidemia and hypertriglyceridemia.

Table 2. Payment sources and discharge plan in total patients.

Payment sources and discharge plan
Caregiver
Family	92 (68.15%)
Care worker	25 (18.52%)
Others	18 (13.33%)
Payment sources
Medical insurance	58 (42.96%)
Work injury insurance	20 (14.81%)
Out-of-pocket	37 (27.41%)
Disputes	20 (14.81%)
Discharge plan
Other tertiary hospital	54 (40%)
Community hospital	36 (26.67%)
Home	45 (33.33%)

Table 3. Difference between discharge plan and characteristics in total patients.

Discharge plan	Tertiary hospital	Community hospital	Home	p Value
Caregiver
Family	43	22	27	.03^*,†
Care worker	9	10	6
Others	2	4	12
Payment method
Medical insurance	12	20	26	.042
Work injury insurance	16	2	2
Out-of-pocket	18	8	11
Disputes	8	6	6
Injury level (n)
Cervical	12	12	8	.009‡
Thoracic	33	22	22
Lumbar	6	1	2
Cauda equina	3	1	13
AIS level (n)
A	26	10	12	.001^*,†,‡
B	10	6	3
C	11	12	7
D	3	7	10
Cauda equina	4	1	13
Co-UTI
Without	27	27	33	.017^*,†
With	27	9	12

AIS: American Spinal Injury Association Impairment Scale; UTI: urinary tract infection.

* Compare the patients plan to tertiary hospitals with a plan back home.

^† Compare the patients admitted to tertiary hospitals with those admitted to community hospitals.

^‡ Compare the patients plan to the community hospital with a plan back home.

Figure 1. The items showed significant difference in different payment resources according to discharge plan and the correlation analysis between discharge plan and other factors. (A) The items showed significant difference in between-group analysis in patient utilizing medical insurance payment; (B) the items showed significant difference in between-group analysis in patient utilizing other payment resources; (C) correlation analysis between discharge plan and significant factors; TSCI: spinal cord injury; AIS: American Spinal Injury Association Impairment Scale; UTI: urinary tract infection (only the items that showed significant difference between groups according to the discharge plan are shown in A and B).

Data availability statement

The datasets used and/or analyzed for the development of this manuscript are available from the corresponding author upon reasonable request.