scholarly journals A Clinical Prediction Model for Long-Term Functional Outcome after Traumatic Spinal Cord Injury Based on Acute Clinical and Imaging Factors

2012 ◽  
Vol 29 (13) ◽  
pp. 2263-2271 ◽  
Author(s):  
Jefferson R. Wilson ◽  
Robert G. Grossman ◽  
Ralph F. Frankowski ◽  
Alexander Kiss ◽  
Aileen M. Davis ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Prediction Model ◽  
Functional Outcome ◽  
Traumatic Spinal Cord Injury ◽  
Clinical Prediction ◽  
Clinical Prediction Model ◽  
Cord Injury

A prediction model of functional outcome at 6 months using clinical findings of a person with traumatic spinal cord injury at 1 month after injury

Spinal Cord ◽  
2020 ◽  
Vol 58 (11) ◽  
pp. 1158-1165
Author(s):  
Yuto Ariji ◽  
Tetsuo Hayashi ◽  
Ryosuke Ideta ◽  
Ryuichiro Koga ◽  
Satoshi Murai ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Prediction Model ◽  
Functional Outcome ◽  
Clinical Findings ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

scholarly journals Cervical Spine Injuries with Acute Traumatic Spinal Cord Injury – Spinal Surgery Adverse Events and Their Association with Neurological and Functional Outcome

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Thomas Liebscher ◽  
Johanna Ludwig ◽  
Tom Lübstorf ◽  
Martin Kreutzträger ◽  
Thomas Auhuber ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
Adverse Events ◽  
Functional Outcome ◽  
Spinal Surgery ◽  
Traumatic Spinal Cord Injury ◽  
Cervical Spine Injuries ◽  
Cord Injury ◽  
Spine Injuries

Access to health and support services: perspectives of people living with a long-term traumatic spinal cord injury in rural and urban areas

2014 ◽  
Vol 37 (16) ◽  
pp. 1401-1410 ◽  
Author(s):  
Donna Goodridge ◽  
Marla Rogers ◽  
Laura Klassen ◽  
Bonnie Jeffery ◽  
Katherine Knox ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Support Services ◽  
Urban Areas ◽  
Traumatic Spinal Cord Injury ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Access To Health ◽  
Cord Injury

scholarly journals Initial blood pressure is important for long-term outcome after traumatic spinal cord injury

2020 ◽  
Vol 33 (2) ◽  
pp. 256-260 ◽  
Author(s):  
Mette Haldrup ◽  
Stig Dyrskog ◽  
Mathias Møller Thygesen ◽  
Hans Kirkegaard ◽  
Helge Kasch ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Correlation Coefficient ◽  
Chart Review ◽  
Rank Correlation ◽  
Traumatic Spinal Cord Injury ◽  
Spearman’S Rank Correlation ◽  
Spearman’S Rank Correlation Coefficient ◽  
Cord Injury

OBJECTIVEPatients with traumatic spinal cord injury (TSCI) are at risk of developing neurogenic shock that causes hypotension and thereby secondary injury to the spinal cord due to ischemia. Hemodynamic treatment of patients with acute TSCI remains inadequately elucidated. Guidelines for management are divergent and based on limited evidence. To this end, the authors evaluated whether mean arterial blood pressure (MABP) during the prehospital and initial hospital phases of TSCI treatment is correlated with long-term neurological outcome.METHODSThe authors performed a retrospective cohort study based on a chart review of MABP data collected during the prehospital transport, in the operating room (OR), and in the neurointensive care unit (NICU) during the first 7 days after trauma. Data from the NICU were divided into two periods: days 1–2 and days 3–7. Data were analyzed using Spearman’s rank correlation to evaluate for any correlation between MABP and changes in the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) score 1 year postinjury. In the analysis, the MABP target value was 80 mm Hg. Hypotension was treated with metaoxedrin or norepinephrine. Statistically significant differences were evaluated using Spearman’s rank correlation coefficient.RESULTSThe chart review yielded 129 patients treated for TSCI. The inclusion period was 2010–2017. For the prehospital transport measurements of MABP, the Spearman’s rank correlation coefficient was a rho of 0.5662 (p < 0.001), for OR measurements it was a rho of 0.6818 (p < 0.001), and for the NICU measurements it was a rho of 0.4611 (p < 0.001); for NICU unit days 1–2 and days 3–7, the Spearman’s rank correlation coefficient was a rho of 0.2209 (p = 0.0681).CONCLUSIONSContinuous MABP levels exceeding 80 mm Hg have a significant impact on neurological outcome—from earliest possible stabilization in the prehospital care, through hospital admission, the surgical phase, and into the first 2 days in the NICU.

Long-term experience with diaphragm pacing for traumatic spinal cord injury: Early implantation should be considered

Surgery ◽  
2018 ◽  
Vol 164 (4) ◽  
pp. 705-711 ◽  
Author(s):  
Raymond P. Onders ◽  
MaryJo Elmo ◽  
Cindy Kaplan ◽  
Robert Schilz ◽  
Bashar Katirji ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Diaphragm Pacing ◽  
Cord Injury ◽  
Long Term Experience

scholarly journals A Functional Outcome Prediction Model of Acute Traumatic Spinal Cord Injury Based on Extreme Gradient Boost

2021 ◽  
Author(s):  
Sizheng Zhan ◽  
Boxuan Huang ◽  
Wenyong Xie ◽  
Feng Xue ◽  
Dianying Zhang ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Prediction Model ◽  
Functional Outcome ◽  
Nonlinear Regression ◽  
Spinal Injury ◽  
Surgical Decompression ◽  
Cord Injury ◽  
The Difference ◽  
Outcome Index

Abstract Purpose: We aimed to construct a nonlinear regression model through Extreme Gradient Boost (XGBoost) to predict functional outcome 1 year after surgical decompression for patients with acute spinal cord injury (SCI).Methods: We prospectively enrolled 249 patients with acute SCI from 5 primary orthopedic centers from June 1, 2016, to June 1, 2020. We identified a total of 6 predictors with three aspects: 1) clinical characteristics, including age, American Spinal Injury Association (ASIA) Impairment Scale (AIS) at admission, level of injury and baseline ASIA motor score (AMS); 2) MR imaging, mainly including Brain and Spinal Injury Center (BASIC) score; 3) surgical timing, specifically comparing whether surgical decompression was received within 24 hours or not. We assessed the SCIM score at 1 year after the operation as the functional outcome index. XGBoost was used to build a nonlinear regression prediction model through the method of boosting integrated learning.Results: We successfully constructed a nonlinear regression prediction model through XGBoost and verified the credibility. The average absolute value of the difference between the predicted value and the actual value is 3.72 (t=1.29, P=0.203), ranging from 0 to 8.44. AMS and age ranked first and second in predicting the functional outcome.Conclusion: We verified the feasibility of using XGBoost to construct a nonlinear regression prediction model for the functional outcome of patients with acute SCI, and we found that age and AMS play the most important role in predicting the functional outcome.Trial registration: ClinicalTrials.gov identifier: NCT03103516.

Validation of a clinical prediction rule for ambulation outcome after non-traumatic spinal cord injury

Spinal Cord ◽  
2019 ◽  
Vol 58 (5) ◽  
pp. 609-615
Author(s):  
Rodney Sturt ◽  
Bridget Hill ◽  
Anne Holland ◽  
Peter W. New ◽  
Chloe Bevans
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Prediction Rule ◽  
Clinical Prediction Rule ◽  
Traumatic Spinal Cord Injury ◽  
Clinical Prediction ◽  
Cord Injury

Long-term medical complications after traumatic spinal cord injury: A regional model systems analysis

1999 ◽  
Vol 80 (11) ◽  
pp. 1402-1410 ◽  
Author(s):  
William O. McKinley ◽  
Amie B. Jackson ◽  
Diana D. Cardenas ◽  
Michael J. De Vivo
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Systems Analysis ◽  
Regional Model ◽  
Model Systems ◽  
Medical Complications ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury
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