Examining the impact of the COVID-19 pandemic on homecare services among individuals with traumatic and non-traumatic spinal cord injuries

doi:10.1038/s41393-024-00999-2

. 2024 Jul;62(7):406-413.

doi: 10.1038/s41393-024-00999-2. Epub 2024 May 29.

Examining the impact of the COVID-19 pandemic on homecare services among individuals with traumatic and non-traumatic spinal cord injuries

Arrani Senthinathan¹, Mina Tadrous^{2

3}, Swaleh Hussain^{2

4}, Sandra McKay^{5

6

7

8}, Rahim Moineddin^{4

9}, Cherry Chu³, Susan B Jaglal^{4

6

7

10}, John Shepherd^{10

11}, Lauren Cadel², Vanessa K Noonan^{12

13}, B Catharine Craven^{6

11

14

15}, Karen Tu^{9

16

17}, Sara J T Guilcher^{2

4

6

7}

Affiliations

¹ Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada. arani.senthinathan@utoronto.ca.
² Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
³ Women's College Hospital Institute for Health Systems Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.
⁴ ICES, Toronto, ON, Canada.
⁵ VHA Home HealthCare, Toronto, ON, Canada.
⁶ Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.
⁷ Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
⁸ Ted Rogers School of Management, Toronto Metropolitan University, Toronto, ON, Canada.
⁹ Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
¹⁰ Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
¹¹ KITE (Knowledge Innovation Talent Everywhere), Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
¹² Praxis Spinal Cord Institute, Vancouver, BC, Canada.
¹³ International Collaboration on Repair Discoveries, Vancouver, BC, Canada.
¹⁴ Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
¹⁵ Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
¹⁶ North York General Hospital, Toronto, ON, Canada.
¹⁷ Toronto Western Family Health Team, University Health Network, Toronto, ON, Canada.

PMID: 38811768
DOI: 10.1038/s41393-024-00999-2

Examining the impact of the COVID-19 pandemic on homecare services among individuals with traumatic and non-traumatic spinal cord injuries

Arrani Senthinathan et al. Spinal Cord. 2024 Jul.

. 2024 Jul;62(7):406-413.

doi: 10.1038/s41393-024-00999-2. Epub 2024 May 29.

Authors

Affiliations

¹ Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada. arani.senthinathan@utoronto.ca.
² Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
³ Women's College Hospital Institute for Health Systems Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.
⁴ ICES, Toronto, ON, Canada.
⁵ VHA Home HealthCare, Toronto, ON, Canada.
⁶ Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.
⁷ Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
⁸ Ted Rogers School of Management, Toronto Metropolitan University, Toronto, ON, Canada.
⁹ Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
¹⁰ Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
¹¹ KITE (Knowledge Innovation Talent Everywhere), Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
¹² Praxis Spinal Cord Institute, Vancouver, BC, Canada.
¹³ International Collaboration on Repair Discoveries, Vancouver, BC, Canada.
¹⁴ Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
¹⁵ Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
¹⁶ North York General Hospital, Toronto, ON, Canada.
¹⁷ Toronto Western Family Health Team, University Health Network, Toronto, ON, Canada.

PMID: 38811768
DOI: 10.1038/s41393-024-00999-2

Abstract

Study design: Descriptive repeated-cross sectional retrospective longitudinal cohort study.

Objective: To investigate the impact of the COVID-19 pandemic on homecare services in individuals with traumatic or non-traumatic Spinal Cord Injury (SCI).

Setting: Health administrative database in Ontario, Canada.

Methods: A repeated cross-sectional study using linked health administrative databases from March 2015 to June 2022. Monthly homecare utilization was assessed in 3381 adults with SCI using Autoregressive Integrated Moving Average (ARIMA) models.

Results: Compared to pre-pandemic levels, between March 2020 to June 2022, the traumatic group experienced a decrease in personal and/or homemaking services, as well as an increase in nursing visits from April 2020-March 2022 and June 2022. Case management increased at various times for the traumatic group, however therapies decreased in May 2020 only. The non-traumatic group experienced a decrease in personal and/or homemaking services in July 2020, as well as an increase in nursing visits from March 2020 to February 2021 and sporadically throughout 2020. Case management also increased at certain points for the non-traumatic group, but therapies decreased in April 2020, July 2020, and September 2021.

Conclusion: The traumatic group had decreases in personal and/or homemaking services. Both groups had increases in nursing services, increases in case management, and minimal decreases in therapies at varying times during the pandemic. Investigation is warranted to understand the root cause of these changes, and if they resulted in adverse outcomes.

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Cited by

COVID-19 and Mortality in the Spinal Cord Injury Population: Examining the Impact of Sex, Mental Health, and Injury Etiology.
Senthinathan A, Tadrous M, Hussain S, Ahmad A, Chu C, Craven BC, Jaglal SB, Moineddin R, Cadel L, Noonan VK, Shepherd J, McKay S, Tu K, Guilcher SJT. Senthinathan A, et al. Healthcare (Basel). 2024 Oct 7;12(19):2002. doi: 10.3390/healthcare12192002. Healthcare (Basel). 2024. PMID: 39408182 Free PMC article.

References

1. Hopwood P, MacEachen E, McAiney C, Tong C. Personal support work and home care in Ontario during the COVID-19 pandemic. Healthc Policy Polit Santé. 2022;18:61–75.
1. Sinn C-LJ, Sultan H, Turcotte LA, McArthur C, Hirdes JP. Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada. PLOS ONE. 2022;17:e0266160. - DOI - PubMed - PMC
1. Hapsari AP, Ho JW, Meaney C, Avery L, Hassen N, Jetha A, et al. The working conditions for personal support workers in the Greater Toronto Area during the COVID-19 pandemic: a mixed-methods study. Can J Public Health. 2022;113:817–33. - DOI - PubMed - PMC
1. Biering-Sørensen F, DeVivo MJ, Charlifue S, Chen Y, New PW, Noonan V, et al. International Spinal Cord Injury Core Data Set (version 2.0)—including standardization of reporting. Spinal Cord. 2017;55:759–64. - DOI - PubMed
1. New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014;52:123–32. - DOI - PubMed

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[1] Hopwood P, MacEachen E, McAiney C, Tong C. Personal support work and home care in Ontario during the COVID-19 pandemic. Healthc Policy Polit Santé. 2022;18:61–75.

[2] Hopwood P, MacEachen E, McAiney C, Tong C. Personal support work and home care in Ontario during the COVID-19 pandemic. Healthc Policy Polit Santé. 2022;18:61–75.

[3] Sinn C-LJ, Sultan H, Turcotte LA, McArthur C, Hirdes JP. Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada. PLOS ONE. 2022;17:e0266160. - DOI - PubMed - PMC

[4] Sinn C-LJ, Sultan H, Turcotte LA, McArthur C, Hirdes JP. Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada. PLOS ONE. 2022;17:e0266160. - DOI - PubMed - PMC

[5] Hapsari AP, Ho JW, Meaney C, Avery L, Hassen N, Jetha A, et al. The working conditions for personal support workers in the Greater Toronto Area during the COVID-19 pandemic: a mixed-methods study. Can J Public Health. 2022;113:817–33. - DOI - PubMed - PMC

[6] Hapsari AP, Ho JW, Meaney C, Avery L, Hassen N, Jetha A, et al. The working conditions for personal support workers in the Greater Toronto Area during the COVID-19 pandemic: a mixed-methods study. Can J Public Health. 2022;113:817–33. - DOI - PubMed - PMC

[7] Biering-Sørensen F, DeVivo MJ, Charlifue S, Chen Y, New PW, Noonan V, et al. International Spinal Cord Injury Core Data Set (version 2.0)—including standardization of reporting. Spinal Cord. 2017;55:759–64. - DOI - PubMed

[8] Biering-Sørensen F, DeVivo MJ, Charlifue S, Chen Y, New PW, Noonan V, et al. International Spinal Cord Injury Core Data Set (version 2.0)—including standardization of reporting. Spinal Cord. 2017;55:759–64. - DOI - PubMed

[9] New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014;52:123–32. - DOI - PubMed

[10] New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014;52:123–32. - DOI - PubMed

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Examining the impact of the COVID-19 pandemic on homecare services among individuals with traumatic and non-traumatic spinal cord injuries

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Examining the impact of the COVID-19 pandemic on homecare services among individuals with traumatic and non-traumatic spinal cord injuries

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