S148 S290
technology itself in terms of cost and implementation to health care
facilities.
Level of Evidence:
Level III
Poster 22:
Lack of Vitamin D Replacement in Low Vitamin D
Individuals with Spinal Cord Injury is Associated with
an Increased Risk of Venous Thrombotic Events
During Acute Inpatient and Rehabilitation
Hospitalization
Reza Ehsanian, MD, PhD (Santa Clara Valley Medical Center, San Jose,
CA, USA), Molly A. Timmerman, DO, Kazuko L. Shem, MD,
Jerry Wright, MS, Stephen McKenna, MD, James Crew, MD
Disclosures:
Reza Ehsanian: I Have No Relevant Financial Relation-
ships To Disclose
Objective:
To determine if lack of vitamin D replacement in persons
with acute spinal cord injury (SCI) and low vitamin D levels is associ-
ated with an increased risk of venous thrombotic events (VTE).
Design:
Retrospective cohort study.
Setting:
Academic Medical Center.
Participants:
Two hundred eighty two persons admitted consecutively
to acute inpatient rehabilitation at Santa Clara Valley Medical Center
(SCVMC) with a diagnosis of SCI from December 2009 to January 2013.
Interventions:
Not applicable.
Main Outcome Measures:
We investigated the incidence of low
vitamin D in our patient population and determined significant asso-
ciations with regard to demographic variables, injury characteristics,
low vitamin D and replacement status. Specific to our hypothesis, we
looked at whether low vitamin D levels and status of vitamin D
replacement correlated with VTE incidence.
Results:
The risk of VTE is clinically relevant but not statistically sig-
nificant among SCI patients who have low vitamin D levels (43/228
¼
18.8%) vs. normal vitamin D levels (6/54
¼
11.1%) (Fisher’s exact test,
p
¼
.23). Individuals with low vitamin D who did not have vitamin D
replaced had a VTE rate of 24 % (42/178) vs. 2% (1/50) amongst those
with low vitamin D who did not receive replacement (p
¼
.0002); Odds
ratio 15.13; 95% CI 2.03-113. In contrast, there was no statistically sig-
nificant difference of VTE rates (p
¼
1.0) in persons with normal vitamin
D levels who were not taking vitamin D supplementation vs. those who
were taking vitamin D supplementation (10.8% (5/46) vs. 12.5% (1/8).
Conclusions:
This study is the first to demonstrate an association
between lack of vitamin D replacement and VTE occurrence in person
with acute SCI and low vitamin D.
Level of Evidence:
Level III
Poster 23:
Measuring the Effect of Patient and Caregiver
Education on Preventing UTI and the Inappropriate
Treatment of Catheter-Associated Bacteriuria in the
Outpatient Spinal Cord Injury Population
Peter D. Torberntsson, MD (Denver VA Med Cntr), Kathleen Bertone-
Kellogg, APRN, CRRN
Disclosures:
Peter Torberntsson: I Have No Relevant Financial Re-
lationships To Disclose
Objective:
To test the hypothesis that patients and their caregivers in
an outpatient spinal cord injury clinic setting who use chronic
indwelling or intermittent catheters and are provided information on
symptoms of true UTI, appropriate catheter hygiene and indications
for antibiotic treatment would result in less of an incidence of anti-
biotic treatment, culture confirmed UTI, and utilization of urinalyses.
Design:
Retrospective chart review study collecting UTI treatment
data after educational intervention during clinic including a patient
handout on identifying symptoms of true UTI, appropriate catheter
hygiene, and education on the indications for antibiotic treatment.
Setting:
Outpatient Spinal Cord injury clinic.
Participants:
A cohort of 11 patients with identified recurrent UTI
(greater than 2 UTIs or antibiotic treatments for suspected UTIs) over
the course of one year prior to the intervention were identified and
given education information during their clinic visits and a patient
hand out.
Interventions:
Education provided in clinical setting and patient
handout regarding UTI symptoms, catheter hygiene and indications for
antibiotic use.
Main Outcome Measures:
Reduction in the number of antibiotic
treatments for suspected UTI, the number of urinalyses performed and
the number of culture positive UTIs and sensitivities in the year after
education intervention was provided.
Results:
Education intervention was associated with a 75% reduction
in antibiotic treatment for UTIs. Furthermore, there was a 56%
reduction in the number of urinalyses that were performed and 62%
reduction in culture positive UTIs (p
¼
.1 .05).
Conclusions:
Educational intervention appeared to trend towards
statistical significance in reducing the number of antibiotic treatments
for UTI, the number of UAs performed and the number of culture
confirmed UTIs. The number of study participants should be increased
to determine if statistical significance can be determined.
Level of Evidence:
Level IV
Poster 24:
Burn and Amputations: A Retrospective Analysis 379
Amputation out of 19,958 Burns in 10-year
Ki Un Jang (Gangnam Sacred Heart Hosp., Hallym University Medical
College, Seoul, South Korea, Korea, Republic Of), Jee Hee Jo, MD,
Cheonghoon Seo, MD
Disclosures:
Ki Un Jang: I Have No Relevant Financial Relationships To
Disclose
Objective:
This study set the goal to afford a baseline for practical
programming in prevention, management and rehabilitation in burned
amputation. Several special suggestions could be recommended based
on these findings. Our work looks for reducing incidence of burned
amputation and to promote the rehabilitation program.
Design:
Retrospective cohort study.
Setting:
University hospital burn center and rehabilitation unit.
Participants:
Data were collected from 19,958 burn patients during
the period 2001
e
2010, and amputation occurred in 379 burn patients
in the same period.
Interventions:
Not applicable.
Main Outcome Measures:
Demographics, etiology, a kind of burn,
extent of burn, administrative data, hospital stay, and data of am-
putations. Amputations not due to burns were excluded. The kind of
burns was classified into flame, scald, electrical, contact, spark, ra-
diation and chemical burns. Total burn body surface area (%TBSA) was
collected.
Results:
The most common kind of burn was scald burn in 42.1%,
followed by flame burn 33.6%, contact burn 10.8%, and electrical burn
5.9%. Children under the age of 15 constituted about 29.1% (n
¼
5818).
Average hospital stay was 28.8 0.9 days (P
<
.05), the longest stayed in
electrical burns in 72.6 days. The amputation occurred in 379 out of
total 19,958. The amputation rate was 1.9%, which slowly decreased in
the last ten years, changing from 2.3-2.6% to 1.2-1.4%. The amputation
rate was highest in the electrical burn in 19.2%; the most common
level of amputation was finger amputation in 168 as 42.0%. Major
amputation was 158 cases in 38.9%; minor amputation was 248 cases in
61.1%.
Conclusions:
This information thus obtained in this investigation
would be expected to be helpful to support prevention program,
management protocol, and rehabilitation program for burned ampu-
tees for their welfare.
Level of Evidence:
Level II
S148
Abstracts / PM R 9 (2017) S131-S290