{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:33:32Z","timestamp":1762101212728},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2011,8,24]],"date-time":"2011-08-24T00:00:00Z","timestamp":1314144000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare hospitalizations caused by spina bifida\u2013sensitive conditions, ambulatory care\u2013sensitive conditions in adults with spina bifida and in the general population, our aim was to provide information about whether preventive health efforts already underway in the hospitalized general population are adequate for preventive care in spina bifida and congenital spine anomalies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective secondary data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients (or Participants)<\/jats:title><jats:p>Records of hospitalized individuals who were 18 years of age and older.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Comparison between individuals hospitalized with spina bifida and the general population using data from the California State Inpatient Database from the Healthcare Cost and Utilization Project for 2004 of adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>Prevalence of spina bifida\u2013sensitive conditions and ambulatory care\u2013sensitive conditions as reason for hospitalization and 30\u2010day readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As compared with the general population, persons with spina bifida who were hospitalized in 2004 had a significantly greater number of hospitalizations, number of hospitalizations associated with both spina bifida\u2013sensitive conditions and ambulatory care\u2013sensitive conditions, and number of 30\u2010day readmissions. Stratification by age shows that the admissions for spina bifida sensitive conditions were greater in persons with spina bifida than in the general population for all age groups. In contrast, only in the youngest age group did those with spina bifida experience greater hospitalizations for ambulatory care\u2010sensitive conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study provides further evidence that persons with spina bifida have hospitalizations that are beyond what the general population experiences. These conditions may be potentially preventable with appropriate ambulatory care. This group also had a greater risk for readmission within 30 days of discharge from their last hospitalization. More research is needed on the efficacy of programs aimed at prevention of these conditions.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2011.05.021","type":"journal-article","created":{"date-parts":[[2011,8,25]],"date-time":"2011-08-25T19:46:49Z","timestamp":1314301609000},"page":"730-738","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Targeted Preventive Care May Be Needed for Adults with Congenital Spine Anomalies"],"prefix":"10.1002","volume":"3","author":[{"given":"Richard","family":"Wilson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven A.","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad E.","family":"Dicianno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,24]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"Spina Bifida Association.How many people with spina bifida are there in the United States?http:\/\/www.spinabifidaassociation.org\/site\/c.liKWL7PLLrF\/b.2700311\/k.13CB\/How_Many_People_With_Spina_Bifida_In_The_US.htm Accessed May 28 2010"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000056005"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2007.179"},{"issue":"1","key":"e_1_2_6_5_2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1055\/s-2008-1071031","article-title":"The cost of preventable conditions in adults with spina bifida","volume":"6","author":"Kinsman S.L.","year":"1996","journal-title":"Eur J Pediatr Surg"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.11.023"},{"key":"e_1_2_6_7_2","unstructured":"Department of Health and Human Services Agency for Healthcare Research and Quality AHRQ Quality Indicators Guide to Prevention Quality Indicators: Hospital Admission for Ambulatory Care Sensitive Conditions version 3.1. 2007http:\/\/www.qualityindicators.ahrq.gov Accessed May 27 2010."},{"key":"e_1_2_6_8_2","first-page":"1029","article-title":"An Act to provide for reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010 (S. Con. Res. 13). (Brief title: The Health Care and Education Reconciliation Act of 2010). (PL 111\u2010152, 30 March 2010)","volume":"124","year":"2010","journal-title":"United States Statutes at Large"},{"key":"e_1_2_6_9_2","unstructured":"U.S. Agency for Healthcare Research and Quality.HCUP User Guide: HCUP Supplemental Files for Revisit Analyses\u2014Central Distributor SID SASD and SEDD January 11 2010http:\/\/www.hcup\u2010us.ahrq.gov\/toolssoftware\/revisit\/UserGuide_CD.pdf Accessed May 28 2010"},{"key":"e_1_2_6_10_2","unstructured":"U.S. Agency for Healthcare Research and QualityA.Elixhauser C.Steiner L.Palmer.Clinical Classifications Software (CCS) for ICD\u20109\u2010CM 2008www.hcup\u2010us.ahrq.gov\/toolssoftware\/ccs\/ccs.jsp Accessed July 7 2011"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.296.6630.1153"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31818de070"},{"key":"e_1_2_6_13_2","first-page":"1021","article-title":"Pitfalls in the diagnosis of ventricular shunt dysfunction: Radiology reports and ventricular size","volume":"101","author":"Iskander B.J.","year":"1998","journal-title":"Pediatrics"},{"key":"e_1_2_6_14_2","unstructured":"The Prevention and Management of Urinary Tract Infections Among People with Spinal Cord Injury. National Institute on Disability and Rehabilitation Research Consensus Statement 1992"},{"issue":"1","key":"e_1_2_6_15_2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1055\/s-2008-1072413","article-title":"Beyond multidisciplinary care: A new conceptual model for spina bifida services","volume":"10","author":"Kinsman S.L.","year":"2000","journal-title":"Eur J Pediatr Surg"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/1476-072X-8-51"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.5.811"},{"key":"e_1_2_6_18_2","first-page":"1","article-title":"Unequal access: Insurance instability among low\u2010income workers and minorities","volume":"729","author":"Doty M.M.","year":"2004","journal-title":"Issue Brief (Commonw Fund)"},{"key":"e_1_2_6_19_2","first-page":"24","article-title":"Social\u2010economic status and rates of hospital admission for chronic disease in urban Canada","volume":"106","author":"Disano J.","year":"2010","journal-title":"Can Nurse"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.160.10.1054"},{"key":"e_1_2_6_21_2","first-page":"121","article-title":"Rehospitalization after initial rehabilitation for acute spinal cord injury: Incidence and risk factors","volume":"71","author":"Davidoff G.","year":"1990","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1086\/592691"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022678"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-475X.2008.00356.x"},{"key":"e_1_2_6_25_2","first-page":"24","article-title":"Calculating the risk: Reflections on the Norton scale","volume":"2","author":"Norton D.","year":"1989","journal-title":"Decubitus"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198707000-00002"},{"key":"e_1_2_6_27_2","volume-title":"Pressure ulcers in adults: Prediction and prevention","author":"Panel on the Prediction and Prevention of Pressure Ulcers in Adults","year":"1992"},{"key":"e_1_2_6_28_2","first-page":"31","article-title":"Guidelines on treatment of pressure ulcers","volume":"1","author":"European Pressure Ulcer Advisory Panel (EPUAP)","year":"1999","journal-title":"EPUAP Rev"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(00)00514-1"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2006.05.008"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/10400430902945769"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.8.974"},{"key":"e_1_2_6_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.04060.x"},{"key":"e_1_2_6_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2004.05.013"},{"key":"e_1_2_6_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0965-206X(04)43004-6"},{"issue":"2","key":"e_1_2_6_36_2","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD006898.pub2","article-title":"Repositioning for treating pressure ulcers","author":"Moore Z.E.","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_37_2","doi-asserted-by":"publisher","DOI":"10.1179\/acb.2009.052"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2011.05.021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148211003923?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148211003923?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2011.05.021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T08:07:04Z","timestamp":1694678824000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2011.05.021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8]]},"references-count":36,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2011,8]]}},"alternative-id":["10.1016\/j.pmrj.2011.05.021"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2011.05.021","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8]]},"assertion":[{"value":"2010-06-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-05-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-08-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}