scholarly journals Functional Outcome and Quality of Life of Conservative Versus Surgical Management of Adult Potts Disease with Incomplete Spinal Cord Injury: A Prospective Cohort Study

2021 ◽  
pp. 09-16
Author(s):  
Mark Maranon ◽  
David Endriga
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cohort Study ◽  
Functional Outcome ◽  
Surgical Management ◽  
Prospective Cohort ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury

scholarly journals Trajectory and Determinant of Functional Independence among Patient with Traumatic and Non-Traumatic Spinal Cord Injury

2018 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Yudha Mathan Sakti ◽  
Astri Ferdiana ◽  
Dananjaya Putramega ◽  
Zikrina A. Lanodiyu ◽  
Galih Prasetya Sakadewa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Life Satisfaction ◽  
Cohort Study ◽  
Lumbar Vertebra ◽  
Functional Independence ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

<p>The level of functional independence was directly proportional to life satisfaction and quality of life in patients with spinal cord injury. By knowing the determinants that predict changes in functional independence, medical treatment and rehabilitation can be better planned to improve the patient’s quality of life. We conducted a prospective cohort study on 49 patients with spinal cord injury at Dr. Sardjito general hospital Yogyakarta from April to June 2016. The data were taken before patient underwent surgery, before discharged from the hospital, and 3 months after underwent surgery. We found that most common spinal cord injury was at the level of lumbar vertebra with 28 patients (58%). There was a positive trajectory of the patients with spinal cord injury with ASIA grade B-E classification. However, patients with spinal cord injury with ASIA classification grade A have a neutral trajectory.We conclude there was a positive trajectory between functional independence and traumatic or non-traumatic spinal cord injury except in patients with ASIA grade A classification spinal cord injury. The determinants that affected the trajectory of patients with spinal cord injury were the level of the injured vertebra and severity of the neurological deficit. </p>

scholarly journals Respiratory function and respiratory complications in spinal cord injury: protocol for a prospective, multicentre cohort study in high-income countries

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e038204
Author(s):  
Anja M Raab ◽  
Martin W G Brinkhof ◽  
David J Berlowitz ◽  
Karin Postma ◽  
David Gobets ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cohort Study ◽  
Respiratory Function ◽  
Respiratory Complications ◽  
Study Results ◽  
Cord Injury ◽  
Multicentre Research

IntroductionPneumonia is one of the leading complications and causes of death after a spinal cord injury (SCI). After a cervical or thoracic lesion, impairment of the respiratory muscles decreases respiratory function, which increases the risk of respiratory complications. Pneumonia substantially reduces patient’s quality of life, may prolong inpatient rehabilitation time, increase healthcare costs or at worse, lead to early death. Respiratory function and coughing can be improved through various interventions after SCI, but the available evidence as to which aspect of respiratory care should be optimised is inconclusive. Furthermore, ability of respiratory function parameters to predict pneumonia risk is insufficiently established. This paper details the protocol for a large-scale, multicentre research project that aims to evaluate the ability of parameters of respiratory function to predict and understand variation in inpatient risk of pneumonia in SCI.Methods and analysisRESCOM, a prospective cohort study, began recruitment in October 2016 across 10 SCI rehabilitation centres from Australia, Austria, Germany, the Netherlands and Switzerland. Inpatients with acute SCI, with complete or incomplete cervical or thoracic lesions, 18 years or older and not/no more dependent on 24-hour mechanical ventilation within the first 3 months after injury are eligible for inclusion. The target sample size is 500 participants. The primary outcome is an occurrence of pneumonia; secondary outcomes include pneumonia-related mortality and quality of life. We will use the longitudinal data for prognostic models on inpatient pneumonia risk factors.Ethics and disseminationThe study has been reviewed and approved by all local ethics committees of all participating centres. Study results will be disseminated to the scientific community through peer-reviewed journals and conference presentations, to the SCI community, other stakeholders and via social media, newsletters and engagement activities.Trial registration detailsClinicalTrials.gov NCT02891096.

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