scholarly journals Demographic and clinical profile and functional outcomes of patients with spinal cord injury after rehabilitation

2017 ◽  
Vol 63 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Seçilay Günes
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcomes ◽  
Clinical Profile ◽  
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.

scholarly journals Effects of Concomitant Spinal Cord Injury and Brain Injury on Medical and Functional Outcomes and Community Participation

2014 ◽  
Vol 20 (3) ◽  
pp. 225-235 ◽  
Author(s):  
Melissa Nott ◽  
Ian Baguley ◽  
Roxana Heriseanu ◽  
Gerard Weber ◽  
James Middleton ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Brain Injury ◽  
Community Participation ◽  
Functional Outcomes ◽  
Cord Injury

Demonstration of a Software Application for Optimal Prediction of Functional Outcomes After Spinal Cord Injury

2017 ◽  
Vol 98 (10) ◽  
pp. e131-e132
Author(s):  
Timothy Belliveau ◽  
Subramani Seetharama ◽  
Jeffrey Axt ◽  
Alan Jette ◽  
David Rosenblum ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcomes ◽  
Optimal Prediction ◽  
Software Application ◽  
Cord Injury

Tracking Spinal Cord Injury Functional Outcomes Across the Lifespan: Validation of Linking Coefficients

2019 ◽  
Vol 100 (10) ◽  
pp. 1924-1931
Author(s):  
Pengsheng Ni ◽  
M.J. Mulcahey ◽  
Mary D. Slavin ◽  
Christina Calhoun Thielen ◽  
Lawrence C. Vogel ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcomes ◽  
Cord Injury

Cluster Analysis of Functional Outcomes using the Spinal Cord Injury: Functional Index (SCI-FI)

2014 ◽  
Vol 95 (10) ◽  
pp. e80
Author(s):  
Denise Fyffe ◽  
Claire Kalpakjian ◽  
Mary Slavin ◽  
Pamela Kisala ◽  
Steven Kirshblum ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cluster Analysis ◽  
Functional Outcomes ◽  
Functional Index ◽  
Cord Injury
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