Association Between Trauma Center Designation and Spinal Cord Injury Admission in the USA

Well-controlled research investigating psychological responses following Spinal Cord Injury (SCI) is lacking. In addition, much of the literature is based on depression following SCI and is dominated by data from the USA. The effects of SCI on perceptions of control, self-esteem and coping styles over the first year of SCI were investigated. Forty-one acute spinal injured patients and 41 able-bodied controls matched for age, sex and education completed a variety of standardised questionnaires on three occasions over one year. The instruments included the Locus of Control of Behaviour Scale, Rosenberg's Self-Esteem Scale, and an adapted Mental Adjustment to Cancer (MAC) Scale which measures coping styles, including fighting spirit, helplessness/hopelessness and fatalism. The SCI group were found to be more external in their perceptions of control, lower in self-esteem, and more helpless/hopeless and fatalistic in attitude than the controls. The majority of the SCI group had scores reflecting adaptive coping styles and intact levels of self-esteem but there were still a substantial proportion who displayed maladaptive coping styles (e.g. external locus of control, fatalism, helplessness). No differences in scores across time were found for either group. Implications for psychological rehabilitation are discussed.

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The Effects of Trauma Center Care, Admission Volume, and Surgical Volume on Paralysis After Traumatic Spinal Cord Injury

Annals of Surgery ◽

10.1097/sla.0b013e31818a1505 ◽

2009 ◽

Vol 249 (1) ◽

pp. 10-17 ◽

Cited By ~ 44

Author(s):

Carlos Aitor Macias ◽

Matthew R. Rosengart ◽

Juan-Carlos Puyana ◽

Walter T. Linde-Zwirble ◽

Wade Smith ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Trauma Center ◽

Traumatic Spinal Cord Injury ◽

Surgical Volume ◽

Cord Injury ◽

Center Care

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Epidemiology of Current Treatment for Sexual Dysfunction in Spinal Cord Injured Men in the USA Model Spinal Cord Injury Centers

Journal of Spinal Cord Medicine ◽

10.1080/10790268.1996.11719430 ◽

1996 ◽

Vol 19 (3) ◽

pp. 186-189 ◽

Cited By ~ 20

Author(s):

Toyohiko Watanabe ◽

Michael B. Chancellor ◽

David A. Rivas ◽

Irvin H. Hirsch ◽

Carol J. Bennett ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Sexual Dysfunction ◽

Current Treatment ◽

Cord Injury ◽

The Usa ◽

Spinal Cord Injured

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Risk factors for mortality after spinal cord injury in the USA

Spinal Cord ◽

10.1038/sc.2013.2 ◽

2013 ◽

Vol 51 (5) ◽

pp. 413-418 ◽

Cited By ~ 23

Author(s):

Y Cao ◽

J S Krause ◽

N DiPiro

Keyword(s):

Risk Factors ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Cord Injury ◽

The Usa

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Prevalence and Risk Factors of Spinal Trauma and Spinal Cord Injury in a Trauma Center in Shiraz, Iran

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.14238 ◽

2018 ◽

Vol 20 (S1) ◽

Cited By ~ 2

Author(s):

Mahnaz Yadollahi ◽

Ali Kashkooe ◽

Ehsan Habibpour ◽

Kazem Jamali

Keyword(s):

Risk Factors ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Trauma Center ◽

Spinal Trauma ◽

Cord Injury

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Assessment instruments and depression rates in people with spinal cord injury: a systematic review

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2017037303388 ◽

2018 ◽

Vol 52 (0) ◽

Author(s):

Aline Ferreira Placeres ◽

Regina Célia Fiorati

Keyword(s):

Systematic Review ◽

Spinal Cord ◽

Spinal Cord Injury ◽

The United States ◽

Assessment Instruments ◽

Review Of The Literature ◽

The Past ◽

Cord Injury ◽

The Usa ◽

Different Parts

ABSTRACT Objective: To identify, describe, differentiate and qualify the instruments used to evaluate depression and also identify the percentage and average rates of depression in people with spinal cord injury. Method: This is a systematic review of the literature implementing a qualitative approach. SciELO, LILACS, PubMed and PsycINFO databases were consulted. Original articles were classified according to the variables (Spinal Cord Injury, Depression and Assessment instruments). The studies are presented according to the instruments in recent publications in the past 11 years. Results: Five evaluation instruments were found. PHQ-9, a screening instrument for diagnosing depression was used in most studies, with all being performed in the United States and having a higher impact factor and number of participants. Studies with PHQ-9 presented a total score of people who met the criteria for depression without grading by severity with an average of 17.6% ± 7.3%, while BDI presented 51.6% ± 15.1% and the HADS showed 37.5% ± 31% of people with some degree of depression. Conclusion: This study was important in identifying which instruments can be used to assess depression, the description of each, some of their differences, which ones are used in the best studies and o the depression rates in different parts of the world. It was also important to show how the PHQ-9 is an important instrument, but is limited to being used in the USA.

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Clinical Characteristics and Challenges of Management of Traumatic Spinal Cord Injury in a Trauma Center of a Developing Country

Journal of Neurosciences in Rural Practice ◽

10.1055/s-0039-1695696 ◽

2019 ◽

Vol 10 (03) ◽

pp. 393-399

Author(s):

Ayodeji Salman Yusuf ◽

Muhammad Raji Mahmud ◽

Dumura Jeneral Alfin ◽

Samue Isa Gana ◽

Samaila Timothy ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Trauma Center ◽

Spinal Injury ◽

Cervical Spinal Cord ◽

Prehospital Care ◽

Insurance Coverage ◽

Traumatic Spinal Cord Injury ◽

Optimal Care ◽

Cord Injury

Abstract Background Traumatic spinal cord injury (TSCI) is a major burden in trauma care worldwide. Most victims are young, and the injury results in economic loss and psychological and social burden on the individual and the society. The outcome depends on the severity of primary spinal cord injury, interventions to prevent secondary insults to the damaged cord, and access to a specialized care. The lack of standard prehospital care and dedicated facilities for spine care coupled with challenges of inadequate health insurance coverage impact negatively on the outcome of care in patients with spinal cord injury in our practice. Objectives This study was performed to determine the clinical profile of patients with TSCI and to highlight the factors that determine the early outcome in a resource-constrained trauma center. Materials and Methods This study was a retrospective review of trauma registry and medical records of all the patients with acute TSCI at the National Trauma Center Abuja from September 2014 to December 2016. Results A total of 133 patients with TSCI were studied. Most of these patients were young men with a mean age of 36 years. Most injury (72.2%) occurred following motor vehicular crash affecting mainly the cervical spinal cord (62.0%). None of the patients received standard prehospital care. Only 41.4% of the patients were transported to the hospital in an ambulance. About half (52.6%) of the patients suffered complete spinal cord injury (the American Spinal Injury Association [ASIA] A), and pressure ulcer was the most common complication (23.3%). Only 42% of the patients that needed surgical intervention were operated, mainly due to the inability to pay for the service. The ASIA grade on admission was the most significant determinant factor of morbidity and mortality. Conclusion Optimal care of patients with TSCI was hindered by inadequate facilities and economic constraints.

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