Rehabilitation Outcomes in Spinal Abscess Patients With and Without a History of Intravenous Substance Abuse

Objective To compare functional outcomes of acute inpatient rehabilitation for spinal epidural abscess (SEA) patients with and without history of intravenous substance abuse (IVSA). Design Retrospective case series study in freestanding rehabilitation hospital. Methods Charts of 28 SEA patients admitted from 01/2012 to 9/2015: 13 with IVSA and 15 without IVSA were reviewed. Both groups received standard-of-care rehabilitation. Statistical analyses of Functional Independence Measure (FIM) scores were conducted using individual 2 (substance use) X 2 (rehabilitation status) repeated measures analysis of variance (ANOVA). Functional outcomes were defined by total FIM scores as well as motor and cognitive subsets. Length of stay (LOS) and morphine equivalents were also compared. Results There were no significant differences between the 2 groups. There was a significant main effect of treatment on total FIM scores (P<.001 fim motor scores and cognitive from admission to discharge. subsequent student t-tests revealed that the of both groups significantly improved on all components. there were no group differences los morphine equivalents at conclusions acute inpatient rehabilitation can effectively improve functional outcomes in sea patients with or without ivsa even though these patient vary clinical factors. corresponding author information: sara s salles do department physical medicine university kentucky lexington ky usa phone number: address: versailles road e-mail sara.salles disclosures: funding was received for this research. is financial benefit authors. copyright wolters kluwer health inc. rights reserved.>

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