Providing a QuickStart for people with newly acquired spinal cord injury: a new model of care offering in-reach advice and support.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Spinal cord Pub Date : 2025-06-01 Epub Date: 2025-05-13 DOI:10.1038/s41393-025-01086-w

Susan M Stoikov, Chau T D Do, Kiley J Pershouse, Claire E Panagoda, Donna G Harre, Delena I Amsters

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引用次数: 0

Abstract

Study design: Descriptive study of a pilot model of care named QuickStart.

Objectives: To describe the eligibility, rehabilitation pathways, team composition, and service delivery of a novel model of care for people with newly acquired spinal cord injuries (SCI).

Setting: Queensland Spinal Cord Injuries Service, Metro South Health, Queensland, Australia.

Methods: In April 2022, QuickStart was established with a multidisciplinary team of health professionals to provide early in-reach specialist SCI expertise to individuals with newly acquired spinal cord injury and their treating clinicians.

Results: Between July 2022 and June 2024, QuickStart accepted 508 patients who were admitted to a Queensland or northern New South Wales hospital. Patients who received QuickStart support followed one of two pathways: they completed their primary rehabilitation in the Spinal Injuries Unit (SIU) at Princess Alexandra Hospital or at another facility. QuickStart provides specialised SCI support to patients and their treating team via a range of modalities including face-to-face review, telephone and videoconference. Referral numbers increased by 22% from the first year of operation, along with a 38% increase in the average QuickStart caseload. Patients received, on average, 12 occasions of service and a total service provision time of 452 min. All QuickStart patients received referrals to other specialised SCI community services within the Queensland Spinal Cord Injuries Service.

Conclusion: QuickStart is a promising model of care that has improved access to specialised SCI expertise for individuals with newly acquired SCI, particularly those who may not have immediate access to specialised rehabilitation services.

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为新获得性脊髓损伤患者提供快速入门：提供触手可及的建议和支持的新型护理模式。

研究设计：对一个名为“快速起步”的护理试点模型进行描述性研究。目的：描述新获得性脊髓损伤（SCI）患者的资格、康复途径、团队组成和服务提供的一种新型护理模式。地点：澳大利亚昆士兰州，Metro South Health，昆士兰脊髓损伤服务中心。方法：2022年4月，QuickStart与多学科卫生专业人员团队成立，为新获得性脊髓损伤患者及其治疗临床医生提供早期可及的专业SCI专业知识。结果：在2022年7月至2024年6月期间，快速启动接受了508名在昆士兰州或新南威尔士州北部医院住院的患者。接受快速入门支持的患者遵循以下两种途径之一：他们在亚历山德拉公主医院的脊柱损伤科（SIU）或其他机构完成了初级康复。QuickStart通过面对面审查、电话和视频会议等多种方式为患者及其治疗团队提供专业的脊髓损伤支持。与第一年相比，转诊人数增加了22%，同时快速入门项目的平均工作量增加了38%。患者平均接受服务12次，总服务时间452 min。所有快速入门患者都被转介到昆士兰州脊髓损伤服务中心的其他专业脊髓损伤社区服务。结论：快速启动是一种很有前途的护理模式，它改善了新获得性脊髓损伤患者获得专业脊髓损伤专业知识的机会，特别是那些可能无法立即获得专业康复服务的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spinal cord 医学-临床神经学

CiteScore

4.50

自引率

9.10%

发文量

142

审稿时长

2 months

期刊介绍： Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews. Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.