The Journal of Spinal Cord Medicine最新文献

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Statement of Retraction. 撤回声明。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-11-01 Epub Date: 2020-05-12 DOI: 10.1080/10790268.2018.1473673
{"title":"Statement of Retraction.","authors":"","doi":"10.1080/10790268.2018.1473673","DOIUrl":"https://doi.org/10.1080/10790268.2018.1473673","url":null,"abstract":"","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"979"},"PeriodicalIF":1.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2018.1473673","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37924667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Synergistic neuroprotective effects of hyperbaric oxygen and methylprednisolone following contusive spinal cord injury in rat. 高压氧和甲基强的松龙对大鼠挫伤性脊髓损伤的协同神经保护作用。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-11-01 Epub Date: 2021-04-08 DOI: 10.1080/10790268.2021.1896275
Fahimeh Ahmadi, Mehryar Zargari, Davood Nasiry, Ali Reza Khalatbary
{"title":"Synergistic neuroprotective effects of hyperbaric oxygen and methylprednisolone following contusive spinal cord injury in rat.","authors":"Fahimeh Ahmadi,&nbsp;Mehryar Zargari,&nbsp;Davood Nasiry,&nbsp;Ali Reza Khalatbary","doi":"10.1080/10790268.2021.1896275","DOIUrl":"https://doi.org/10.1080/10790268.2021.1896275","url":null,"abstract":"<p><strong>Objective: </strong>Recent studies revealed the neuroprotective effects of hyperbaric oxygen (HBO) on spinal cord injury (SCI). Meanwhile, the use of methylprednisolone (MP) is one of the current protocols with limited effects in SCI patients. Accordingly, the aim of the present study was to investigate the effect of combined HBO and MP treatment on SCI.</p><p><strong>Design: </strong>The present study was conducted on five groups of rats each as follows: Sham group (underwent laminectomy alone at T9 level vertebra); SCI group (underwent moderate contusive SCI); MP group (underwent SCI and received MP); HBO group (underwent SCI and received HBO); HBO + MP group (underwent SCI and simultaneously received MP and HBO). Blood serum and Spinal cord tissue samples were taken 48 h after SCI for analysis of serum ferric reducing antioxidant power (FRAP) and tissue malodialdehyde (MDA) levels as well as immunohistochemistry of caspase-3 and tumor necrosis factor-alpha (TNF-α). Neurological function was evaluated by the Basso-Beattie-Bresnehan (BBB) locomotion scores until the end of experiments. Additionally, histopathology was assessed at the end of the study.</p><p><strong>Setting: </strong>Mazandaran University of Medical Sciences, Sari, Iran.</p><p><strong>Results: </strong>Combination therapy with HBO and MP in the HBO + MP group significantly decreased MDA as well as increased FRAP levels compared to other treatment groups. Meanwhile, attenuated TNF-α and Caspase-3 expression could be significantly detected in the HBO + MP group. At the end of treatment, the neurological outcome was significantly improved and the extent of injured spinal tissue was also significantly reduced in the HBO + MP compared to other treatment groups.</p><p><strong>Conclusion: </strong>The results suggest that combined therapy with MP and HBO has synergistic effects on SCI treatment.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"930-939"},"PeriodicalIF":1.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2021.1896275","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25570406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Clinical significance of miR-142-5p in spinal cord injury caused by spinal trauma and its functional role in the regulation of inflammation. miR-142-5p在脊髓外伤脊髓损伤中的临床意义及其在炎症调节中的功能作用。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-11-01 Epub Date: 2021-04-27 DOI: 10.1080/10790268.2021.1911505
Xiaoqian Zhang, Qing Dong, Wei Geng, Linlin Yang
{"title":"Clinical significance of miR-142-5p in spinal cord injury caused by spinal trauma and its functional role in the regulation of inflammation.","authors":"Xiaoqian Zhang,&nbsp;Qing Dong,&nbsp;Wei Geng,&nbsp;Linlin Yang","doi":"10.1080/10790268.2021.1911505","DOIUrl":"https://doi.org/10.1080/10790268.2021.1911505","url":null,"abstract":"<p><strong>Objective: </strong>Spinal cord injury (SCI) is a severe traumatic disease in the central nervous system, and can result in neuronal injury. Altered miRNA expression is identified to be involved in the pathogenesis of SCI.</p><p><strong>Design: </strong>This study investigated the clinical value of miR-142-5p in SCI patients, and explored its functional role in the regulation of inflammatory.</p><p><strong>Setting: </strong>The First Affiliated Hospital of Soochow University.</p><p><strong>Participants: </strong>Ninety-eight patients with acute spinal trauma.</p><p><strong>Interventions: </strong>All patients were recruited, and divided into complete SCI group, incomplete SCI group and normal nerve function group.</p><p><strong>Outcome measures: </strong>Real-time quantitative PCR (qRT-PCR) was used to detect the expression levels of miR-142-5p. CCK-8 and flow cytometry assay were performed to evaluate the cell viability and apoptosis. ELISA assay was applied to estimate the levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α).</p><p><strong>Results: </strong>Serum miR-142-5p level was significantly increased in SCI patients, especially the complete SCI cases. ROC curve analysis suggested miR-142-5p could distinguish SCI patients from normal nerve function patients and was associated with the severity of SCI. A positive association was detected between miR-142-5p and serum levels of IL-6, TNF-α in SCI patients. Downregulation of miR-142-5p significantly reduced the protein levels of both IL-6 and TNF-α in LPS treated PC12 cells, and weakened LPS induced cell apoptosis.</p><p><strong>Conclusion: </strong>MiR-142-5p is a potential biomarker for the occurrence of SCI in acute spinal trauma patients. Downregulation of miR-142-5p plays an anti-inflammatory effect for SCI patients.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"957-964"},"PeriodicalIF":1.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2021.1911505","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38913021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Position-dependent arm dyskinesia due to severe craniocervical malformation. 严重颅颈畸形引起的位置依赖性手臂运动障碍。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-11-01 Epub Date: 2021-03-11 DOI: 10.1080/10790268.2021.1878341
Francisco de Assis Aquino Gondim, José Arnaldo Mota Arruda, David Nunes de Lima Junior, Florian P Thomas
{"title":"Position-dependent arm dyskinesia due to severe craniocervical malformation.","authors":"Francisco de Assis Aquino Gondim,&nbsp;José Arnaldo Mota Arruda,&nbsp;David Nunes de Lima Junior,&nbsp;Florian P Thomas","doi":"10.1080/10790268.2021.1878341","DOIUrl":"https://doi.org/10.1080/10790268.2021.1878341","url":null,"abstract":"<p><strong>Context: </strong>Spinal-generated movement disorders are a complex group of medical conditions, frequently misdiagnosed, originating in the spinal cord or from combined peripheral and central nervous system involvement. In this case report, we describe a novel form of position-dependent dyskinesia due to severe craniocervical malformation.</p><p><strong>Findings: </strong>An 83-year-old woman with basilar invagination at the C2 vertebra above the line of Chamberlain, occipitocervical lordosis, platybasia with a short clivus, ankylosis of the C1-C2 complex and fusion of the C1 arch developed an unusual pattern of position-dependent left arm dyskinesia triggered by bending her neck forward with simultaneous contact of the flexed elbow with a flat surface. Symptoms did not improve with anticonvulsants and she progressed and died suddenly.</p><p><strong>Conclusion/clinical relevance: </strong>A newly described form of position-dependent arm dyskinesia can be associated with severe craniocervical malformation.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"975-978"},"PeriodicalIF":1.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2021.1878341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25476318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Use and evaluation of assistive technologies for upper limb function in tetraplegia. 四肢瘫痪患者上肢功能辅助技术的应用与评价。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-11-01 Epub Date: 2021-02-19 DOI: 10.1080/10790268.2021.1878342
Rosti Readioff, Zaha Kamran Siddiqui, Caroline Stewart, Louisa Fulbrook, Rory J O'Connor, Edward K Chadwick
{"title":"Use and evaluation of assistive technologies for upper limb function in tetraplegia.","authors":"Rosti Readioff,&nbsp;Zaha Kamran Siddiqui,&nbsp;Caroline Stewart,&nbsp;Louisa Fulbrook,&nbsp;Rory J O'Connor,&nbsp;Edward K Chadwick","doi":"10.1080/10790268.2021.1878342","DOIUrl":"https://doi.org/10.1080/10790268.2021.1878342","url":null,"abstract":"<p><strong>Context: </strong>More than half of all spinal cord injuries (SCI) occur at the cervical level leading to loss of upper limb function, restricted activity and reduced independence. Several technologies have been developed to assist with upper limb functions in the SCI population.</p><p><strong>Objective: </strong>There is no clear clinical consensus on the effectiveness of the current assistive technologies for the cervical SCI population, hence this study reviews the literature in the years between 1999 and 2019.</p><p><strong>Methods: </strong>A systematic review was performed on the state-of-the-art assistive technology that supports and improves the function of impaired upper limbs in cervical SCI populations. Combinations of terms, covering assistive technology, SCI, and upper limb, were used in the search, which resulted in a total of 1770 articles. Data extractions were performed on the selected studies which involved summarizing details on the assistive technologies, characteristics of study participants, outcome measures, and improved upper limb functions when using the device.</p><p><strong>Results: </strong>A total of 24 articles were found and grouped into five categories, including neuroprostheses (invasive and non-invasive), orthotic devices, hybrid systems, robots, and arm supports. Only a few selected studies comprehensively reported characteristics of the participants. There was a wide range of outcome measures and all studies reported improvements in upper limb function with the devices.</p><p><strong>Conclusions: </strong>This study highlighted that assistive technologies can improve functions of the upper limbs in SCI patients. It was challenging to draw generalizable conclusions because of factors, such as heterogeneity of recruited participants, a wide range of outcome measures, and the different technologies employed.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"809-820"},"PeriodicalIF":1.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2021.1878342","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25385256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Cultural validation and language translation of the scientific SCI exercise guidelines for use in Indonesia, Japan, Korea, and Thailand. 印尼、日本、韩国和泰国SCI科学练习指南的文化验证和语言翻译。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-11-01 Epub Date: 2021-07-06 DOI: 10.1080/10790268.2021.1945857
Yukio Mikami, Damayanti Tinduh, KunHo Lee, Chayaporn Chotiyarnwong, Jan W van der Scheer, Kyung Su Jung, Hiroshi Shinohara, Inggar Narasinta, Seung Hyun Yoon, Napatpaphan Kanjanapanang, Takafumi Sakai, Martha K Kusumawardhani, Jinho Park, Pannika Prachgosin, Futoshi Obata, Ditaruni Asrina Utami, Phairin Laohasinnarong, Indrayuni Lukitra Wardhani, Siraprapa Limprasert, Fumihiro Tajima, Victoria L Goosey-Tolfrey, Kathleen A Martin Ginis
{"title":"Cultural validation and language translation of the scientific SCI exercise guidelines for use in Indonesia, Japan, Korea, and Thailand.","authors":"Yukio Mikami,&nbsp;Damayanti Tinduh,&nbsp;KunHo Lee,&nbsp;Chayaporn Chotiyarnwong,&nbsp;Jan W van der Scheer,&nbsp;Kyung Su Jung,&nbsp;Hiroshi Shinohara,&nbsp;Inggar Narasinta,&nbsp;Seung Hyun Yoon,&nbsp;Napatpaphan Kanjanapanang,&nbsp;Takafumi Sakai,&nbsp;Martha K Kusumawardhani,&nbsp;Jinho Park,&nbsp;Pannika Prachgosin,&nbsp;Futoshi Obata,&nbsp;Ditaruni Asrina Utami,&nbsp;Phairin Laohasinnarong,&nbsp;Indrayuni Lukitra Wardhani,&nbsp;Siraprapa Limprasert,&nbsp;Fumihiro Tajima,&nbsp;Victoria L Goosey-Tolfrey,&nbsp;Kathleen A Martin Ginis","doi":"10.1080/10790268.2021.1945857","DOIUrl":"https://doi.org/10.1080/10790268.2021.1945857","url":null,"abstract":"<p><strong>Context: </strong>Indonesia, Japan, Korea, Thailand.</p><p><strong>Objective: </strong>To culturally validate and translate the Scientific Exercise Guidelines for Adults with Spinal Cord Injury (SEG-SCI) for use in four Asian countries.</p><p><strong>Design: </strong>Systematic Review.</p><p><strong>Participants: </strong>N/A.</p><p><strong>Methods: </strong>A systematic review was conducted to identify all published English- and local-language studies conducted in Indonesia, Japan, Korea, and Thailand, testing the effects of exercise training interventions on fitness and cardiometabolic health in adults with acute or chronic SCI. Protocols and results from high-quality controlled studies were compared with the SEG-SCI. Forward and backward translation processes were used to translate the guidelines into Bahasa Indonesian, Japanese, Korean and Thai languages.</p><p><strong>Results: </strong>Fifteen studies met the review criteria. At least one study from each country implemented exercise prescriptions that met or exceeded the SEG-SCI. Two were controlled studies. In those two studies, relative to control conditions, participants in exercise conditions achieved significant improvements in fitness or cardiometabolic health outcomes only when the exercise intervention protocol met or exceeded the SEG-SCI. During the language translation processes, end-users confirmed that SEG-SCI language and terminology were clear.</p><p><strong>Conclusion: </strong>Clinical researchers in Indonesia, Japan, Korea and Thailand have implemented exercise protocols that meet or exceed the SCI-SEG. Results of high-quality studies align with the SEG-SCI recommendations. Based on this evidence, we recommend that the SEG-SCI be adopted in these countries. The cultural validation and translation of the SEG-SCI is an important step towards establishing consistent SCI exercise prescriptions in research, clinical and community settings around the world.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"821-832"},"PeriodicalIF":1.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2021.1945857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39155296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
COVID-19 in spinal cord injury patients at a veterans administration hospital: A case series. 退伍军人管理医院脊髓损伤患者的COVID-19:病例系列
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-09-01 Epub Date: 2021-01-19 DOI: 10.1080/10790268.2020.1871254
Marinella D Galea, Michael A Gelman, Vincent P Galea, Krutika Parasar Raulkar, Stephen Kornfeld, Swapna Johnson-Kunjukutty, Gang Li, Norbert Bräu
{"title":"COVID-19 in spinal cord injury patients at a veterans administration hospital: A case series.","authors":"Marinella D Galea,&nbsp;Michael A Gelman,&nbsp;Vincent P Galea,&nbsp;Krutika Parasar Raulkar,&nbsp;Stephen Kornfeld,&nbsp;Swapna Johnson-Kunjukutty,&nbsp;Gang Li,&nbsp;Norbert Bräu","doi":"10.1080/10790268.2020.1871254","DOIUrl":"https://doi.org/10.1080/10790268.2020.1871254","url":null,"abstract":"Objective To describe the clinical features and disease course of COVID-19 in veterans with spinal cord injury (SCI). Design Case series of consecutive veterans with SCI treated at a single center. Setting SCI Unit at an urban Veterans Administration hospital at the epicenter of the COVID-19 pandemic in the US. Participants Seven SCI veterans with confirmed COVID-19 infection by PCR; all veterans were male, mean age was 60.6. Five had cervical level of injury, and five had complete injury (AIS A). Six veterans had a BMI > 22; three had chronic obstructive pulmonary disease; three had chronic kidney disease. Interventions None. Outcome Measures Presence of co-morbidities, diagnostic values, and clinical findings. Results Each case presented differently; the most common presenting sign was fever. In the three individuals with critical and fatal infection, pre-existing comorbidities were more common and inflammatory markers were markedly elevated. Conclusion Level and completeness of SCI did not appear to correlate with COVID-19 severity, as mild and asymptomatic illness was noted in persons with high grade SCI. As has been shown to be the case in the general population, pre-existing comorbidities are the most reliable predictors of severe SARS-CoV-2 infection currently available for persons with chronic SCI. Contrary to concerns that SCI may mask the cardinal signs of COVID-19, such as fever and cough, by way of compromised thermoregulation and thoracoabdominal musculature, such signs were common in our series. To facilitate early detection, prompt treatment, and minimized viral spread, the implementation of preventive strategies by SCI units is recommended.","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"668-680"},"PeriodicalIF":1.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2020.1871254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38834289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
The role of self-efficacy in community reintegration among persons with traumatic spinal cord injury in South Africa. 自我效能感在南非创伤性脊髓损伤患者重新融入社区中的作用。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-09-01 Epub Date: 2021-01-21 DOI: 10.1080/10790268.2020.1855867
Eugene Nizeyimana, Conran Joseph, Juliana Phillips
{"title":"The role of self-efficacy in community reintegration among persons with traumatic spinal cord injury in South Africa.","authors":"Eugene Nizeyimana,&nbsp;Conran Joseph,&nbsp;Juliana Phillips","doi":"10.1080/10790268.2020.1855867","DOIUrl":"https://doi.org/10.1080/10790268.2020.1855867","url":null,"abstract":"<p><strong>Objectives: </strong>To assess perceived levels of community reintegration, and examine whether self-efficacy relates to community reintegration among persons with a TSCI.</p><p><strong>Design: </strong>A cross-sectional exploratory survey.</p><p><strong>Settings: </strong>Cape Metropolitan Area. Western Cape Province, South Africa.</p><p><strong>Participants: </strong>A hundred and eight (108) conveniently selected community-dwelling adults between the ages of 19 and 71 years old, who sustained a TSCI more than 1-year post-injury.</p><p><strong>Outcomes measures: </strong>Community Integration Measure (CIM) and the Moorong Self-Efficacy (MSES).</p><p><strong>Results: </strong>The CIM score ranged between 10 and 50 with an overall mean score of 31.48; SD = 12.5. CIM item 10 \"I have something useful and productive to do in this community\" was the least scored by participants (M = 2.50, SD = 1.4). Multivariate analysis demonstrated that social functioning factor of self-efficacy, accommodation type, and level of injury were the only variables influencing perceived community reintegration that explained 47.3% of the total variance, of which social functioning factor of self-efficacy was the strongest predictor that alone explained 33% of the variance in the model after controlling for the influence of accommodation and the level of injury.</p><p><strong>Conclusion: </strong>Community reintegration achieved by individuals with a TSCI in this study is generally low. Individuals' perceptions about community reintegration are affected by the community in which one lives. Self-efficacy plays a major role in community reintegration following a TSCI. However, reintegration is largely dependent on social functioning rather than the activity of daily living factors of self-efficacy.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"739-747"},"PeriodicalIF":1.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2020.1855867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38843684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in the presentation and management of traumatic spinal cord lesions above T6: 20-Year experience in a tertiary-level hospital in Spain. T6以上创伤性脊髓病变的表现和治疗趋势:西班牙一家三级医院20年的经验。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-09-01 Epub Date: 2021-01-14 DOI: 10.1080/10790268.2020.1851857
Inés Esmorís Arijón, Rita Galeiras, Leticia Seoane Quiroga, María Elena Ferreiro Velasco, Sonia Pértega Díaz
{"title":"Trends in the presentation and management of traumatic spinal cord lesions above T6: 20-Year experience in a tertiary-level hospital in Spain.","authors":"Inés Esmorís Arijón,&nbsp;Rita Galeiras,&nbsp;Leticia Seoane Quiroga,&nbsp;María Elena Ferreiro Velasco,&nbsp;Sonia Pértega Díaz","doi":"10.1080/10790268.2020.1851857","DOIUrl":"https://doi.org/10.1080/10790268.2020.1851857","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the changes in demographic and lesion characteristics of persons with acute traumatic spinal cord injury (ATSCI) above T6 over a period of 20 years, and to evaluate their impact on ICU resources use, length of stay and mortality.</p><p><strong>Design: </strong>Retrospective observational study.</p><p><strong>Setting: </strong>Intensive Care Unit (ICU) of the University Hospital Complex of A Coruña, Spain.</p><p><strong>Participants: </strong>The study included 241 persons between 1998 and 2017 with an ATSCI above T6. For the purposes of the analysis, the overall study period was divided into three subperiods.</p><p><strong>Results: </strong>Both the mean age of the people with ATSCI (49 vs. 51 vs. 57 years; P = 0.046) and the Charlson Comorbidity Index were higher during the last subperiod (mean: 1.9 ± 2.2; P &lt; 0.01). The most frequent cause of the injury was falls, whose percentage increased over the years. The most common classification in the American Spinal Injury Association Impairment scale was grade A. An increase in the score of the Acute Physiology and Chronic Health Evaluation (APACHE II) score was observed (median: 9 vs. 10 vs. 15; P &lt; 0.01). The length of stay in the ICU has decreased significantly over the years (30 ± 19 vs. 22 ± 14 vs. 19 ± 13 days). No significant differences were found between the rates of ICU or in-hospital mortality recorded over the three subperiods.</p><p><strong>Conclusions: </strong>Despite the progressive increase in the age, comorbidity, and APACHE II, the length of ICU stay decreased significantly, with no associated changes in the mortality rates.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"720-727"},"PeriodicalIF":1.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2020.1851857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38817675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demographic and clinical characteristics of patients with transverse myelitis and traumatic spinal cord injury: A comparative retrospective study. 横贯脊髓炎和外伤性脊髓损伤患者的人口学和临床特征:一项比较回顾性研究。
IF 1.7
The Journal of Spinal Cord Medicine Pub Date : 2022-09-01 Epub Date: 2021-04-13 DOI: 10.1080/10790268.2021.1911506
Nurdan Korkmaz, Gokhan Yardımcı, Mert Koç, Bilge Yılmaz
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引用次数: 1
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