Psychiatric Consultation in a Spinal Injuries Unit

1992 ◽  
Vol 26 (2) ◽  
pp. 218-222 ◽  
Author(s):  
Fiona K. Judd ◽  
Douglas J. Brown
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Clinical Data ◽  
Inpatient Care ◽  
Spinal Injuries ◽  
Psychiatric Consultation ◽  
Cord Injury

The function of a consultation liaison service to a spinal injuries unit is described. Within this context, a study was conducted in which sociodemographic and clinical data were collected over a 4 year period for consecutive admissions to the unit. Data are presented for 227 patients admitted during this period. Forty-seven patients were found to have discrete psychiatric disorders (DSM III) which required treatment during the course of their inpatient care. For forty-two of these patients the psychiatric disorder first developed following spinal cord injury.

scholarly journals Linking Spinal Cord Injury Data Sets to Describe the Patient Journey Following Injury: A Protocol

2020 ◽  
Vol 26 (4) ◽  
pp. 232-242
Author(s):  
Vanessa K. Noonan ◽  
Susan B. Jaglal ◽  
Suzanne Humphreys ◽  
Shawna Cronin ◽  
Zeina Waheed ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Administrative Data ◽  
Clinical Data ◽  
Linked Data ◽  
Population Data ◽  
Data Sets ◽  
Patient Journey ◽  
Cord Injury ◽  
Incident Cases

Background: To optimize traumatic spinal cord injury (tSCI) care, administrative and clinical linked data are required to describe the patient’s journey. Objectives: To describe the methods and progress to deterministically link SCI data from multiple databases across the SCI continuum in British Columbia (BC) and Ontario (ON) to answer epidemiological and health service research questions. Methods: Patients with tSCI will be identified from the administrative Hospital Discharge Abstract Database using International Classification of Diseases (ICD) codes from Population Data BC and ICES data repositories in BC and ON, respectively. Admissions for tSCI will range between 1995–2017 for BC and 2009-2017 for ON. Linkage will occur with multiple administrative data holdings from Population Data BC and ICES to create the “Admin SCI Cohorts.” Clinical data from the Rick Hansen SCI Registry (and VerteBase in BC) will be transferred to Population Data BC and ICES. Linkage of the clinical data with the incident cases and administrative data at Population Data BC and ICES will create subsets of patients referred to as the “Clinical SCI Cohorts” for BC and ON. Deidentified patient-level linked data sets will be uploaded to a secure research environment for analysis. Data validation will include several steps, and data analysis plans will be created for each research question. Discussion: The creation of provincially linked tSCI data sets is unique; both clinical and administrative data are included to inform the optimization of care across the SCI continuum. Methods and lessons learned will inform future data-linking projects and care initiatives.

scholarly journals Do spinal cord injury patients always get the best treatment for neuropathic bladder after discharge from regional spinal injuries centre?

Spinal Cord ◽  
2004 ◽  
Vol 42 (8) ◽  
pp. 438-442 ◽  
Author(s):  
S Vaidyanathan ◽  
G Singh ◽  
B M Soni ◽  
P L Hughes ◽  
Paul Mansour ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Injuries ◽  
Neuropathic Bladder ◽  
Cord Injury

Fractures of the spine in children

2011 ◽  
Author(s):  
James Wilson-MacDonald ◽  
Colin Nnadi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Injuries ◽  
Healthy Children ◽  
X Rays ◽  
Radiographic Abnormality ◽  
Cord Injury ◽  
High Incidence ◽  
Fractures Of The Spine ◽  
Epiphyseal Plates

♦ Spinal injuries in children are rare♦ Pseudosubluxation above C4 is common in healthy children so the sign needs careful interpretation♦ Epiphyseal plates and a high incidence of skeletal variability make the interpretation of spinal x-rays in children difficult. Anterior wedging is also normal as is interpedicular widening♦ Spinal cord injury without radiographic abnormality (SCIWORA) may occur for up to one-third of spinal injuries in children♦ Deformity secondary to trauma tends to deteriorate with growth.

Association between traumatic spinal cord injury and affective and other psychiatric disorders–A nationwide cohort study and effects of rehabilitation therapies

2020 ◽  
Vol 265 ◽  
pp. 381-388 ◽  
Author(s):  
Fang-Jung Wan ◽  
Wu-Chien Chien ◽  
Chi-Hsiang Chung ◽  
Yun-Ju Yang ◽  
Nian-Sheng Tzeng
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cohort Study ◽  
Psychiatric Disorders ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

scholarly journals A Grading System To Evaluate Objectively the Strength of Pre-Clinical Data of Acute Neuroprotective Therapies for Clinical Translation in Spinal Cord Injury

2011 ◽  
Vol 28 (8) ◽  
pp. 1525-1543 ◽  
Author(s):  
Brian K. Kwon ◽  
Elena B. Okon ◽  
Eve Tsai ◽  
Michael S. Beattie ◽  
Jacqueline C. Bresnahan ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Data ◽  
Clinical Translation ◽  
Grading System ◽  
Cord Injury ◽  
Neuroprotective Therapies

Association of venous thromboembolism following pediatric traumatic spinal injuries with injury severity and longer hospital stays

2021 ◽  
pp. 1-7
Author(s):  
Blake M. Hauser ◽  
Samantha E. Hoffman ◽  
Saksham Gupta ◽  
Mark M. Zaki ◽  
Edward Xu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Venous Thromboembolism ◽  
Lower Extremity ◽  
Epidural Hematoma ◽  
Pediatric Patients ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Spinal Injuries ◽  
Cord Injury

OBJECTIVE Venous thromboembolism (VTE) can cause significant morbidity and mortality in hospitalized patients, and may disproportionately occur in patients with limited mobility following spinal trauma. The authors aimed to characterize the epidemiology and clinical predictors of VTE in pediatric patients following traumatic spinal injuries (TSIs). METHODS The authors conducted a retrospective cohort analysis of children who experienced TSI, including spinal fractures and spinal cord injuries, encoded within the National Trauma Data Bank from 2011 to 2014. RESULTS Of the 22,752 pediatric patients with TSI, 192 (0.8%) experienced VTE during initial hospitalization. Proportionally, more patients in the VTE group (77%) than in the non-VTE group (68%) presented following a motor vehicle accident. Patients developing VTE had greater odds of presenting with moderate (adjusted odds ratio [aOR] 2.6, 95% confidence interval [CI] 1.4–4.8) or severe Glasgow Coma Scale scores (aOR 4.3, 95% CI 3.0–6.1), epidural hematoma (aOR 2.8, 95% CI 1.4–5.7), and concomitant abdominal (aOR 2.4, 95% CI 1.8–3.3) and/or lower extremity (aOR 1.5, 95% CI 1.1–2.0) injuries. They also had greater odds of being obese (aOR 2.9, 95% CI 1.6–5.5). Neither cervical, thoracic, nor lumbar spine injuries were significantly associated with VTE. However, involvement of more than one spinal level was predictive of VTE (aOR 1.3, 95% CI 1.0–1.7). Spinal cord injury at any level was also significantly associated with developing VTE (aOR 2.5, 95% CI 1.8–3.5). Patients with VTE stayed in the hospital an adjusted average of 19 days longer than non-VTE patients. They also had greater odds of discharge to a rehabilitative facility or home with rehabilitative services (aOR 2.6, 95% CI 1.8–3.6). CONCLUSIONS VTE occurs in a low percentage of hospitalized pediatric patients with TSI. Injury severity is broadly associated with increased odds of developing VTE; specific risk factors include concomitant injuries such as cranial epidural hematoma, spinal cord injury, and lower extremity injury. Patients with VTE also require hospital-based and rehabilitative care at greater rates than other patients with TSI.

scholarly journals Clinical Data of Urine Culture and Antimicrobial Sensitivity Tests according to the Voiding Method over 15 Years in Patients with Spinal Cord Injury

2016 ◽  
Vol 11 (1) ◽  
pp. 30
Author(s):  
Won Jun Lee ◽  
Sang Jin Kim ◽  
Jae Hyun Ryu ◽  
Yun Beom Kim ◽  
Seung Ok Yang ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Data ◽  
Urine Culture ◽  
Antimicrobial Sensitivity ◽  
Sensitivity Tests ◽  
Cord Injury
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