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The impact of acute management on the occurrence of medical complications during the specialized spinal cord injury acute hospitalization following motor-complete cervical spinal cord injury

Résumé Context/Objective: Determine the impact of early admission and complete perioperative management in a specialized spinal cord injury (SCI) trauma center (SCI-center) on the occurrence of medical complications following tetraplegia. Design: A retrospective comparative cohort study of prospectively collected data involving 116 individuals was conducted. Group 1 (N=87) was early managed in a SCI-center promptly after the trauma, whereas Group 2 (N=29) was surgically and preoperatively managed in a non-specialized (NS) center before being transferred to the SCI-center. Bivariate comparisons and multivariate logistic regression analyses were used to assess the relationship between the type of acute care facility and the occurrence of medical complications. Length of stay (LOS) in acute care was also compared. Setting: Single Level-1 trauma center. Participants: Individuals with acute traumatic motor complete cervical SCI. Interventions: Not applicable Outcome measures: The occurrence of complications during the SCI-center stay. Results: There was a similar rate of complications between the two groups. However, the LOS was greater in Group 2 (p=0.04). High cervical injuries (C1-C4) showed an important tendency to increase the likelihood of developing a complication, while high cervical injuries and increased trauma severity increased the odds of developing respiratory complications. Conclusion: Although complication rates were similar in non-specialized and specialized centers, peri-operative management in a non-specialized center required a longer length of stay. Prompt transfer to a SCI-center may optimize the care trajectory by favoring earlier transfer to rehabilitation.
AuteursAndréane Richard-Denis, Debbie Erhmann Feldman, Cynthia Thompson, Jean-Marc Mac-Thiong
Titre de revue/journal, volume et numéroThe Journal of Spinal Cord Medicine, volume 41, numéro 4.
Langue de la publication et/ou de traductionAnglais (langue d’origine)
Année de parution2018
PaysQuébec, Canada.
Institutions affiliéesHôpital du Sacré-Cœur, Université de Montréal, Hôpital Sainte-Justine
Lien vers la publicationhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055977/
Type d’accès à la publicationGratuit
Mots clésSpinal cord injury, Complications, Specialized centers, Tetraplegia, Acute care
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Précédent Are early clinical manifestations of spasticity associated with long-term functional outcome following spinal cord injury? A retrospective study
Prochain The impact of early spasticity on the intensive functional rehabilitation phase and community reintegration following traumatic spinal cord injury
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