The Effect of Shorter Lengths of Stay on Functional Outcomes of Spinal Cord Injury Rehabilitation

1999 ◽  
Vol 4 (4) ◽  
pp. 44-55 ◽  
Author(s):  
Sarah Morrison ◽  
Douglas Stanwyck
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcomes ◽  
Injury Rehabilitation ◽  
Lengths Of Stay ◽  
Cord Injury

Cognitive-behavioral pain management during pediatric spinal cord injury rehabilitation

2013 ◽  
Author(s):  
Kimberly P. Raghubar ◽  
Adrianna Amari ◽  
Meg Nicholl ◽  
Valerie Paasch ◽  
Daniel Becker ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pain Management ◽  
Cognitive Behavioral ◽  
Injury Rehabilitation ◽  
Cord Injury ◽  
Pediatric Spinal Cord Injury

scholarly journals The SCIRehab project: analyzing multidisciplinary inpatient spinal cord injury rehabilitation treatment — second phase

2011 ◽  
Vol 34 (2) ◽  
pp. 131-132 ◽  
Author(s):  
Gale Whiteneck ◽  
Julie Gassaway ◽  
Marcel P. Dijkers ◽  
Flora M. Hammond ◽  
Daniel P. Lammertse
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Second Phase ◽  
Injury Rehabilitation ◽  
Rehabilitation Treatment ◽  
Cord Injury

Functional outcome of patients with spinal cord injury: rehabilitation outcome study

1999 ◽  
Vol 13 (6) ◽  
pp. 457-463 ◽  
Author(s):  
M C Schönherr ◽  
J W Groothoff ◽  
G A Mulder ◽  
W H Eisma
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcome ◽  
Outcome Study ◽  
Injury Rehabilitation ◽  
Rehabilitation Outcome ◽  
Cord Injury

scholarly journals Surgical airway procedures in emergency surgical patients: Results of what has become a back-up procedure

2021 ◽  
Author(s):  
Gijs J. A. Willinge ◽  
Falco Hietbrink ◽  
Luke P. H. Leenen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcomes ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Surgical Patients ◽  
Trauma Patients ◽  
Airway Patency ◽  
Surgical Tracheostomy ◽  
Cord Injury

Abstract Background Cricothyroidotomy and surgical tracheostomy are methods to secure airway patency. In emergency surgery, these methods are nowadays mostly reserved for patients unsuited for percutaneous procedures. Detailed description of complications and functional outcomes following both procedures is underreported in current literature. The aim of this study was to evaluate outcomes following cricothyroidotomy and tracheostomy in this presumed complex population. Methods In this retrospective cohort study, adult emergency surgical patients treated with cricothyroidotomy and/or surgical tracheostomy were included. Postoperative complications and functional outcomes in trauma and non-trauma patients were evaluated. Results Forty-one trauma patients and 11 non-trauma emergency surgical patients (mainly after elective onco-abdominal or vascular surgery) were included. Of 52 patients, seven underwent cricothyroidotomy pre-tracheostomy. Mortality was higher in non-trauma patients (p = 0.04) following both procedures. Over half of patients (56%, n = 29) regained unsupported airway patency with a tendency toward increased tracheostomy removal in trauma patients. Among complications, only pneumonia occurred frequently (60%, n = 31), with no relation to patient type. Other complications included local infection (5.8%, n = 4) and wound dehiscence (1.9%, n = 1). Adverse functional outcomes were frequently observed and were mild and self-limiting. Cervical spinal cord injury reduced overall unsupported airway patency (p = 0.01); with high cervical spinal cord injury related to adverse functional outcomes and increased home ventilation need. Conclusions No major procedure-related complications or functional adverse events were encountered following cricothyroidotomy and surgical tracheostomy, even though only complex patients were included. Only mild, self-limiting functional problems occurred, especially in trauma patients with cervical injury who underwent early tracheostomy by longitudinal incision. This information can aid clinicians in making tailor-made decisions for individual patients.

Sign in / Sign up

Export Citation Format

Share Document