scholarly journals In-hospital mortality in people with complete acute traumatic spinal cord injury at a tertiary care center in India—a retrospective analysis

Spinal Cord ◽  
2021 ◽  
Author(s):  
Harvinder Singh Chhabra ◽  
Rajesh Sharawat ◽  
Gayatri Vishwakarma
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Hospital Mortality ◽  
Retrospective Analysis ◽  
Care Center ◽  
Tertiary Care ◽  
Traumatic Spinal Cord Injury ◽  
Tertiary Care Center ◽  
Cord Injury

scholarly journals Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center

2021 ◽  
Author(s):  
Rahul Singh ◽  
Ravi Shankar Prasad ◽  
Ashvamedh Singh ◽  
Kulwant Singh ◽  
Anurag Sahu
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neuropathic Pain ◽  
Sagittal Plane ◽  
Care Center ◽  
Tertiary Care ◽  
International Standards ◽  
Surgical Approaches ◽  
Severity Of Injury ◽  
Cord Injury

Abstract Objective To evaluate traumatic spondyloptosis cases for neurological, surgical, and outcome perspectives. Materials and Methods This retrospective study includes 17 patients of spondyloptosis admitted in our department between August 2016 and January 2020. Each patient was evaluated in terms of demographic profile, clinical presentation, duration of injury, mode of injury, associated injuries, level and type of spondyloptosis, spinal cord status, nociceptive and neuropathic pain severity, severity of injury based on International Standards for Neurological Classification of Spinal Cord Injury (ISNCSI) assessment, surgical approaches, complications, and outcome. Unpaired t- test and Chi-square test were used for statistical analysis. Values with p < 0.05 were considered statistically significant. Results Fall from height (58.8%) was the most common mode of injury. Most common level of spondyloptosis was T12–L1 (41.1%). Sagittal–plane spondyloptosis (76.5%) were more common than coronal–plane spondyloptosis (23.5%). Most common associated injury was musculoskeletal (64.7%). Neurological status of the patient at presentation (p = 0.0007) was significantly associated with outcome after 3 months of surgery/conservative management. Residual listhesis was present in 53.3% of patients postoperatively. Postoperative nociceptive pain (p = 0.0171) and neuropathic pain (0.0329) were significantly associated with residual listhesis. Duration of injury (p = 0.0228) was also significantly associated with postoperative residual listhesis. Conclusion Complete reduction of spondyloptosis should be the goal of surgery. Overall prognosis of spinal cord injury (SCI) due to traumatic spondyloptosis is poor.

scholarly journals Reliability and validity of transfer assessment instrument version 3.0 in individuals with acute spinal cord injury in early rehabilitation phase

2018 ◽  
Vol 38 (02) ◽  
pp. 115-123
Author(s):  
Preeti Baghel ◽  
Shefali Walia ◽  
Majumi M Noohu
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Care Center ◽  
Tertiary Care ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Early Rehabilitation ◽  
Assessment Instrument ◽  
Minimal Detectable Change ◽  
Cord Injury

Background: Transfers are very important in functional activities of subjects with spinal cord injury (SCI). The transfer assessment instrument (TAI) was the first tool to standardize the assessment of transfer technique. Objective: The purpose of this study was to establish the reliability and validity of TAI 3.0 in people with SCI in early rehabilitation phase. Methods: Thirty subjects with acute traumatic SCI were recruited from a tertiary care center for SCI management. Four raters assessed the quality of transfer using TAI 3.0 and a fifth rater used global assessment of transfer scale (VAS). TAI 3.0’s intraclass correlation coefficient (ICC) for intrarater and interrater reliability, standard error of measurement (SEM), minimal detectable change (MDC), limits of agreement and concurrent validity was determined. Results: The intrarater ICC was 0.93 to 0.98 and interrater ICC was 0.99, indicating high levels of reliability. The SEMs among the raters for TAI 3.0 total was from 0.23 to 0.28. The MDC among the raters TAI 3.0 total was from 0.54 to 0.86. Correlation for different raters between the TAI 3.0 and VAS ranged between 0.88 and 0.90. Conclusion: TAI 3.0 is a reliable and valid tool to assess the transfer skill in individuals with SCI in early rehabilitation phase.

Baclofen dosage after traumatic spinal cord injury: A multi-decade retrospective analysis

2015 ◽  
Vol 129 ◽  
pp. 50-56 ◽  
Author(s):  
Ashan Veerakumar ◽  
Jennifer J. Cheng ◽  
Abraham Sunshine ◽  
Xiaobu Ye ◽  
Richard D. Zorowitz ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Retrospective Analysis ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

Acute traumatic quadriplegia: Predictors of in-hospital and six-month mortality

Trauma ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 300-306
Author(s):  
Ehsan Alimohammadi ◽  
Paniz Ahadi ◽  
Cyrous Rezaee ◽  
Roya Safari-Faramani ◽  
Seyed Reza Bagheri ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Logistic Regression ◽  
Respiratory Failure ◽  
Hospital Mortality ◽  
Logistic Regression Model ◽  
Injury Severity ◽  
Traumatic Spinal Cord Injury ◽  
Multiple Logistic Regression ◽  
Cord Injury

Background Traumatic spinal cord injury is one of the most disastrous and devastating health burdens all over the world with a high mortality rate. The present study aimed to evaluate the predictors of in-hospital and six-month mortality in these patients. Methods The electronic medical records of 87 consecutive patients with acute complete traumatic quadriplegia were reviewed to extract clinical, radiological, and laboratory data. Simple and multiple logistic regression models were used to estimate crude and adjusted odds with 95% confidence interval (CI) ratios for the predictors of in-hospital mortality and six-month mortality. Results There were 48 males and the mean age was 38.67 ± 12.81; in-hospital and six-month mortality were 21.84% and 11.76%, respectively. Traffic road accidents (67.8%) and falls (12.6%) were the most common causes of injury. The univariate analysis demonstrated advanced age, level of injury, late surgery or no surgical intervention, the lack of methylprednisolone therapy, a higher Charlson comorbidity index, the Injury Severity Score, and the presence of respiratory failure or bradycardia on admission were predictors of in-hospital mortality ( p < 0.05). In the final multiple logistic regression model, the level of injury (OR = 0.02 (0.001,0.35), p = 0.008) and the presence of respiratory failure (OR = 2.37 (0.03,13.88), p = 0.024) were the only predictors of in-hospital mortality. The univariate model showed that the level of injury, respiratory failure on admission, and the Injury Severity Score were the predictors of six-month mortality; however, the level of injury was the only predictor of the six-month mortality (OR = 1.12 (0.99, 1.27), p = 0.028) according to the multiple logistic regression model. Conclusions Several factors could affect in-hospital and six-month mortality in patients with traumatic spinal cord injury. Our findings demonstrated the level of injury and respiratory failure on admission as independent predictors of in-hospital mortality in these patients. Furthermore, the level of injury was the only independent predictor of six-month mortality in the present study.

scholarly journals Profile of Traumatic Spinal Cord Injury Patients Admitted in Physical Medicine and Rehabilitation Department of a Tertiary Care Hospital: A North East India Experience

2013 ◽  
Vol 24 (2) ◽  
pp. 40-43
Author(s):  
A R Chanu ◽  
C Zonunsanga ◽  
Hmingthanmawii LNU ◽  
M Pertin
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Tertiary Care ◽  
Traumatic Spinal Cord Injury ◽  
Physical Medicine ◽  
Common Site ◽  
North East India ◽  
North East ◽  
Cord Injury ◽  
The Mean

Abstract Study Design Retrospective Descriptive Study. Setting Physical Medicine and Rehabilitation (PMR) Department, Regional Institute of Medical Sciences (RIMS), Imphal, a tertiary care teaching hospital in North East India Study Duration 1st November 2011 to 31st October 2012. Study Duration 1st November 2011 to 31st October 2012. Objective To study the profile of traumatic spinal cord injury (SCI) patients admitted in PMR Department, RIMS. Materials and Methods Neurological profile of traumatic SCI patients admitted in PMR Department, RIMS was recorded using a structured proforma and analysed. Demographic profile of the patients, time since injury, functional status and complications were also recorded. Results Among all 22 patients, 16(72.7%) were tetraplegics with C5 (59.09%) as the most common neurological level involved. Twelve (54.5%) were American Spinal Injury Association (ASIA) grade A. The mean motor and sensory scores were 45±24.97 and 157.50±69.53 respectively. The mean FIM score (at admission) was 71.50±23.40 and FIM (at discharge) was 82.35±20.72. Spasticity was present in 16 cases (72.7%) with gastrosoleus as most common site. There were 14 patients (63.6%) who had urinary tract infection (UTI). Only 5(22.7%) underwent urodynamic study and all had hyperactive detrussor. The most common mode of bladder management was clean intermittent catheterisation (CIC) which was done in 16 patients (72.7%). Pressure sore was seen in 14(63.6%) of patients with sacrum (78.57%) as the most common site. Conclusion Majority of traumatic SCI inpatients were of ASIA grade A and tetraplegics were commoner. Fall from height was the comonest cause of injury. Spasticity, UTI and pressure sores were common complications.

scholarly journals In-Hospital Mortality for the Elderly with Acute Traumatic Spinal Cord Injury

2020 ◽  
Vol 37 (21) ◽  
pp. 2332-2342
Author(s):  
Tom Inglis ◽  
Dan Banaszek ◽  
Carly S. Rivers ◽  
Dilnur Kurban ◽  
Nathan Evaniew ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Hospital Mortality ◽  
The Elderly ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

scholarly journals PROFILE OF SPINAL CORD TRAUMA VICTIMS TREATED AT A REFERENCE UNIT IN SÃO PAULO

2018 ◽  
Vol 17 (1) ◽  
pp. 39-41 ◽  
Author(s):  
ALEX OLIVEIRA DE ARAUJO ◽  
DANILO DE SOUZA FERRONATO ◽  
IVAN DIAS DA ROCHA ◽  
RAPHAEL MARTUS MARCON ◽  
ALEXANDRE FOGAÇA CRISTANTE ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Care Center ◽  
Tertiary Care ◽  
Case Series ◽  
High Energy ◽  
Sao Paulo ◽  
Spinal Cord Trauma ◽  
São Paulo ◽  
Cord Injury

ABSTRACT Introduction: Spinal cord trauma (SCT) is an important cause of morbidity and mortality around the world. It affects different age groups, especially young adults who are victims of high-energy trauma. The most effective way to reduce the incidence of spinal cord trauma and its consequences is through preventive campaigns and control and surveillance measures through public agencies. The objective of this study is to outline the epidemiological profile of patients with spinal cord trauma attended at a tertiary care center in the city of São Paulo. Methods: Retrospective, cross-sectional study performed at a reference center for the care of patients with spinal cord injury in the State of São Paulo. Data were collected from the medical records of patients with spinal cord trauma between 2012 and 2016. Results: Of the 515 patients with spinal trauma, 153 (29.7%) had spinal cord injury of which 131 (85.62%) were male, and 22 (14.37%) were female, in a ratio of approximately 6:1. The mean age was 39.45 years. The main cause of spinal cord trauma observed was the fall from heights, with 72 cases (47.05%), and 52.94% were classified as Frankel A. Conclusions: The results showed that the majority of the patients were young, economically active, with low educational level, exposed to accidents that could be largely avoided. Most of these patients also had severe disabling injuries, which usually bring considerable psychological sequelae and economic consequences to the individual and to society. Level of evidence: IV. Type of study: Case series.

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