Acute cervical spinal cord injury and the rate of extubation failure: a systematic review and meta-analysis

2017 ◽  
Vol 30 (2) ◽  
pp. 122-123
Author(s):  
Miles Wilson ◽  
Peter Kruger ◽  
Marc Nickels ◽  
Brooke Wadsworth ◽  
Adam Semciw
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Meta Analysis ◽  
Extubation Failure ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury

Acute cervical spinal cord injury and extubation failure: A systematic review and meta-analysis

2020 ◽  
Vol 33 (1) ◽  
pp. 97-105 ◽  
Author(s):  
Miles Wilson ◽  
Marc Nickels ◽  
Brooke Wadsworth ◽  
Peter Kruger ◽  
Adam Semciw
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Meta Analysis ◽  
Extubation Failure ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury

scholarly journals A Meta-Analysis of the Influencing Factors for Tracheostomy after Cervical Spinal Cord Injury

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Yan Wang ◽  
Zhiliang Guo ◽  
Dehong Fan ◽  
Haijiang Lu ◽  
Dong Xie ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Influencing Factors ◽  
Cervical Spinal Cord ◽  
Meta Analysis ◽  
Cervical Spinal Cord Injury ◽  
Thoracic Injury ◽  
Current Evidence ◽  
Respiratory Complications ◽  
Cord Injury

Background. Traumatic cervical spinal cord injury (CSCI) is a common disease that has high complication, disability, and mortality rates and a poor prognosis. Tracheostomy is an important supportive therapy for patients with CSCI. However, a consensus on the predictive factors for tracheostomy after CSCI has not been reached. Objective. This meta-analysis study assessed the influencing factors for tracheostomy after CSCI. Methods. We searched for relevant studies on the influencing factors for tracheostomy after CSCI. The extracted data were analyzed using RevMan 5.3 software. We calculated the odds ratio (OR) or mean difference (MD) and 95% confidence intervals (CIs). Results. Sixteen eligible studies containing 9697 patients with CSCI were selected. The pooled OR (MD) and 95% CI of the influencing factors were as follows: age (mean ± SD): -0.98 (-4.00 to 2.03), advanced age: 1.93 (0.80 to 4.63), sex (male): 1.29 (1.12 to 1.49), American Spinal Injury Association Impairment Scale (AIS) A grade: 7.79 (5.28 to 11.50), AIS B grade: 1.15 (1.13 to 2.02), AIS C grade: 0.28 (0.20 to 0.41), AIS D grade: 0.04 (0.02 to 0.09), neurological level of injury (upper CSCI): 2.36 (1.51 to 3.68), injury severity score (ISS): 8.97 (8.11 to 9.82), Glasgow Coma Scale (GCS) score ≤8: 6.03 (2.19 to 16.61), thoracic injury: 1.78 (1.55 to 2.04), brain injury: 0.96 (0.55 to 1.69), respiratory complications: 5.97 (4.03 to 8.86), smoking history: 1.45 (0.99 to 2.13), traffic accident injury: 1.27 (0.92 to 1.74), and fall injury: 0.72 (0.52 to 1.01). Conclusions. The current evidence shows that male sex, AIS A grade, AIS B grade, neurological level of injury (upper CSCI), high ISS, GCS≤8, thoracic injury, and respiratory complications are risk factors for tracheostomy after CSCI, and AIS C grade and AIS D grade are protective factors. This study will allow us to use these factors for tracheostomy decisions and ultimately optimize airway management in patients with CSCI.

scholarly journals Systematic review of melatonin levels in individuals with complete cervical spinal cord injury

2018 ◽  
Vol 43 (5) ◽  
pp. 565-578 ◽  
Author(s):  
Alexander Whelan ◽  
Mary Halpine ◽  
Sean D. Christie ◽  
Sonja A. McVeigh
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury

Can MRI findings predict the outcome of cervical spinal cord Injury? a systematic review

2020 ◽  
Vol 29 (10) ◽  
pp. 2457-2464 ◽  
Author(s):  
Ahmad M. Tarawneh ◽  
Daniel D’Aquino ◽  
Aaron Hilis ◽  
Amr Eisa ◽  
Nasir A. Quraishi
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Mri Findings ◽  
Cord Injury

scholarly journals Upper Limb Robotic Rehabilitation for Patients With Cervical Spinal Cord Injury: A Comprehensive Review

2021 ◽  
Author(s):  
Giovanni Morone ◽  
Alessandro De Sire ◽  
Alex Martino Cinnera ◽  
Matteo Paci ◽  
Luca Perrero ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cochrane Library ◽  
Functional Impairments ◽  
Robotic Assisted ◽  
Study Results ◽  
Cord Injury

The upper extremities limitation represents one of the essential functional impairments in patients with cervical spinal cord injury. Electromechanics assisted devices and robots are increasingly used in neurorehabilitation to help functional improvement in patients with neurological diseases. This review aimed to systematically report the evidence-based, state-of-art on clinical applications and robotic-assisted arm training (RAT) in motor and functional recovery in subjects affected by cervical spinal cord injury. The present study has been carried out within the framework of the Italian Consensus Conference on "Rehabilitation assisted by robotic and electromechanical devices for persons with disability of neurological origin" (CICERONE). PubMed/MEDLINE, Cochrane Library, and Physiotherapy Evidence Database (PEDro) databases were systematically searched from inception to September 2021. The 10-item PEDro scale assessed the study quality for the RCT and the AMSTAR-2 for the systematic review. Two different authors rated the studies included in this review. If consensus was not achieved after discussion, a third reviewer was interrogated. The 5-item Oxford CEBM scale was used to rate the level of evidence. A total of 11 studies were included. The selected studies were: two systematic reviews, two RCTs, one parallel-group controlled trial, one longitudinal intervention study and five case series. One RCT was scored as a high-quality study, while the systematic review was of low quality. RAT was reported as feasible and safe. Initial positive effects of RAT were found for arm function and quality of movement in addition to conventional therapy. The high clinical heterogeneity of treatment programs and the variety of robot devices could severely affect the generalizability of the study results; therefore, future studies are warranted to standardize the type of intervention and evaluate the role of robotic-assisted training in subjects affected by cervical spinal cord injury.

scholarly journals Tracheal intubation in patients at risk for cervical spinal cord injury: A systematic review

2019 ◽  
Vol 64 (4) ◽  
pp. 443-454 ◽  
Author(s):  
Luca Cabrini ◽  
Martina Baiardo Redaelli ◽  
Martina Filippini ◽  
Evgeny Fominskiy ◽  
Laura Pasin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
At Risk ◽  
Spinal Cord Injury ◽  
Tracheal Intubation ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury ◽  
Patients At Risk
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