scholarly journals Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-income countries: A scoping review

2021 ◽  
Vol 11 (3) ◽  
pp. 339-346
Author(s):  
Zachary J. Eisner ◽  
Peter G. Delaney ◽  
Patricia Widder ◽  
Ilyas S. Aleem ◽  
Denise G. Tate ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Scoping Review ◽  
Prehospital Care ◽  
Traumatic Spinal Cord Injury ◽  
African Countries ◽  
Middle Income ◽  
Middle Income Countries ◽  
Cord Injury ◽  
Sub Saharan

scholarly journals Clinical Characteristics and Challenges of Management of Traumatic Spinal Cord Injury in a Trauma Center of a Developing Country

2019 ◽  
Vol 10 (03) ◽  
pp. 393-399
Author(s):  
Ayodeji Salman Yusuf ◽  
Muhammad Raji Mahmud ◽  
Dumura Jeneral Alfin ◽  
Samue Isa Gana ◽  
Samaila Timothy ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Trauma Center ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Prehospital Care ◽  
Insurance Coverage ◽  
Traumatic Spinal Cord Injury ◽  
Optimal Care ◽  
Cord Injury

Abstract Background Traumatic spinal cord injury (TSCI) is a major burden in trauma care worldwide. Most victims are young, and the injury results in economic loss and psychological and social burden on the individual and the society. The outcome depends on the severity of primary spinal cord injury, interventions to prevent secondary insults to the damaged cord, and access to a specialized care. The lack of standard prehospital care and dedicated facilities for spine care coupled with challenges of inadequate health insurance coverage impact negatively on the outcome of care in patients with spinal cord injury in our practice. Objectives This study was performed to determine the clinical profile of patients with TSCI and to highlight the factors that determine the early outcome in a resource-constrained trauma center. Materials and Methods  This study was a retrospective review of trauma registry and medical records of all the patients with acute TSCI at the National Trauma Center Abuja from September 2014 to December 2016. Results A total of 133 patients with TSCI were studied. Most of these patients were young men with a mean age of 36 years. Most injury (72.2%) occurred following motor vehicular crash affecting mainly the cervical spinal cord (62.0%). None of the patients received standard prehospital care. Only 41.4% of the patients were transported to the hospital in an ambulance. About half (52.6%) of the patients suffered complete spinal cord injury (the American Spinal Injury Association [ASIA] A), and pressure ulcer was the most common complication (23.3%). Only 42% of the patients that needed surgical intervention were operated, mainly due to the inability to pay for the service. The ASIA grade on admission was the most significant determinant factor of morbidity and mortality. Conclusion Optimal care of patients with TSCI was hindered by inadequate facilities and economic constraints.

scholarly journals Scoping review of peer reviewed publications addressing rehabilitation for people sustaining traumatic spinal cord injury

2019 ◽  
Vol 43 (4) ◽  
pp. 421-427
Author(s):  
Lynn H. Gerber ◽  
Haley Bush ◽  
Xinsheng “Cindy” Cai ◽  
Leslie Morse ◽  
Lynn Worobey ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Scoping Review ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

scholarly journals Indicators of Quality of Care in Individuals With Traumatic Spinal Cord Injury: A Scoping Review

2021 ◽  
pp. 219256822098198
Author(s):  
Sepehr Khosravi ◽  
Amirmahdi Khayyamfar ◽  
Milad Shemshadi ◽  
Masoud Pourghahramani Koltapeh ◽  
Mohsen Sadeghi-Naini ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Quality Of Care ◽  
Healthcare System ◽  
Scoping Review ◽  
System Structure ◽  
Traumatic Spinal Cord Injury ◽  
Cochrane Central Register ◽  
Cord Injury

Study Design: Scoping review. Objectives: To identify a practical and reproducible approach to organize Quality of Care Indicators (QoCI) in individuals with traumatic spinal cord injury (TSCI). Methods: A comprehensive literature review was conducted in the Cochrane Central Register of Controlled Trials (CENTRAL) (Date: May 2018), MEDLINE (1946 to May 2018), and EMBASE (1974 to May 2018). Two independent reviewers screened 6092 records and included 262 full texts, among which 60 studies were included for qualitative analysis. We included studies, with no language restriction, containing at least 1 quality of care indicator for individuals with traumatic spinal cord injury. Each potential indicator was evaluated in an online, focused group discussion to define its categorization (healthcare system structure, medical process, and individuals with Traumatic Spinal Cord Injury related outcomes), definition, survey options, and scale. Results: A total of 87 indicators were identified from 60 studies screened using our eligibility criteria. We defined each indicator. Out of 87 indicators, 37 appraised the healthcare system structure, 30 evaluated medical processes, and 20 included individuals with TSCI related outcomes. The healthcare system structure included the impact of the cost of hospitalization and rehabilitation, as well as staff and patient perception of treatment. The medical processes included targeting physical activities for improvement of health-related outcomes and complications. Changes in motor score, functional independence, and readmission rates were reported as individuals with TSCI-related outcomes indicators. Conclusion: Indicators of quality of care in the management of individuals with TSCI are important for health policy strategists to standardize healthcare assessment, for clinicians to improve care, and for data collection efforts including registries.

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