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.

scholarly journals Using Evidence To Inform Practice and Policy To Enhance the Quality of Care for Persons with Traumatic Spinal Cord Injury

2017 ◽  
Vol 34 (20) ◽  
pp. 2934-2940 ◽  
Author(s):  
Michael G. Fehlings ◽  
Christiana L. Cheng ◽  
Elaine Chan ◽  
Nancy P. Thorogood ◽  
Vanessa K. Noonan ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Quality Of Care ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

scholarly journals The data set development for the National Spinal Cord Injury Registry of Iran (NSCIR-IR): progress toward improving the quality of care

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Zahra Azadmanjir ◽  
Seyed Behzad Jazayeri ◽  
Roya Habibi Arejan ◽  
Zahra Ghodsi ◽  
Mahdi Sharif-Alhoseini ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Quality Of Care ◽  
Data Set ◽  
Cord Injury

Headaches after traumatic spinal cord injury in Estonia

Cephalalgia ◽  
2015 ◽  
Vol 36 (5) ◽  
pp. 403-412
Author(s):  
Liis Sabre ◽  
Mariann Rugo ◽  
Toomas Asser ◽  
Janika Kõrv ◽  
Mark Braschinsky
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cross Sectional Study ◽  
Traumatic Spinal Cord Injury ◽  
Cross Sectional ◽  
Cord Injury ◽  
Headache Type ◽  
Mean Time

Background Patients with traumatic spinal cord injury (TSCI) often suffer from different types of pain. However, headaches after TSCI have not been studied. Aim The aim of this article is to examine the occurrence of headache among patients with TSCI. Methods This cross-sectional study included individuals with TSCI from 1997 to 2012 in Estonia. Patients with TSCI were interviewed via telephone. The interview was based on a questionnaire specifically designed to identify headache type using the International Classification of Headache Disorders, third edition (beta version). Results There were 73 patients with a mean age 37.1 ± 10.6 years. The mean time since TSCI was 7.5 ± 4.0 years. The most frequently mentioned pain was headache (71%), followed by back pain (60%) and pain in neck (44%). Headaches were more frequent after the trauma compared with the headaches before TSCI (71% vs 51%, p = 0.02). Headaches that arose after TSCI were not related to the concomitant brain injury ( p = 0.15). The occurrence of headache did not depend on the severity or the level of the TSCI. Eighty-five percent of patients had not contacted any physician and headache was not diagnosed. Conclusions This is the first study that evidentially shows that headache is the most prevalent pain condition after TSCI. Despite this, the majority of patients never consult a physician, nor is their headache diagnosed or appropriately managed. This indicates that further studies are needed to provide evidence regarding the prevalence and causes of headache and its impact on quality of life.

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