Decreasing pressure injuries and acute care length of stay in patients with acute traumatic spinal cord injury

Gour-Provençal, Gabrielle; Mac-Thiong, Jean-Marc; Feldman, Debbie; Bégin, Jean; Richard-Denis, Andréane

doi:10.1080/10790268.2020.1718265

Cited by 8 publications

(5 citation statements)

References 70 publications

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“… 23 While these extrinsic factors may have contributed to the increased incidence of PIs, there are also many intrinsic factors to COVID-19 that may cause an increased risk of PIs, such as hypoxemia, microvascular injury, and thrombosis. 24 , 25 This study found that male gender was a risk factor for development of a PI during the acute hospital stay. 26 This variable has limited evidence in the literature to support their classification as risk factors for PIs.…”

Section: Discussionmentioning

confidence: 68%

Surveillance for Pressure Injuries on Admission to Inpatient Rehabilitation Hospitals During the COVID-19 Pandemic

Kendall

Haberl

Hartsgrove

et al. 2021

Archives of Physical Medicine and Rehabilitation

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 68%

Surveillance for Pressure Injuries on Admission to Inpatient Rehabilitation Hospitals During the COVID-19 Pandemic

Kendall

Haberl

Hartsgrove

et al. 2021

Archives of Physical Medicine and Rehabilitation

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“…The final strongest rules are in Group 7 which relate to (testBPS=PreHypn, fbs>120=FALSE, thal=FixedDefect) are extracted in (8,9,10,13,14,18) indicating their association to HeartDisease=yes. The confidence is (0.97, 0.95, 0.94, 0.90, 0.89, 0.83) which confirms the rules of Groups 3, 4 & 5, which have a strong relation between hypertension & diabetes with thalassemia.…”

Section: Mining Seci Model Secicarmentioning

confidence: 99%

“…Additionally, it demonstrates new and valid associations/trends with the use of machine learning techniques [6]. With typical data mining applications in healthcare data involving high-risk individual' monitoring, so that the relevant data can be passed on to them [7], prediction of the length of stay of patients with acute traumatic spinal cord injury [8], and prediction of hypertension from patient's medical records along with other diseases [9]. Furthermore [10], data mining is an effective tool for handling the rapid expansion of medical knowledge and healthcare data.…”

Section: Introductionmentioning

confidence: 99%

Pushing towards ehealth for iraqi hypertensives: an integrated class association rules into SECI model

Aljuboori

Tawfeeq

Al-Karawi

2021

IJEECS

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<span lang="EN-GB">This paper highlights the barriers that have led to a delay in the implementation of E-Health services in Iraq. A new framework is proposed to improve the E-Health sector using a SECI model which describes how explicit and tacit knowledge is generated, transferred, and recreated in organizations through main stages (socialization, externalization, combination and internalization). Class association rules (CARs) is integrated to mine the SECI model by extracting related rules which correspond to the medical advice. The proposed framework (SECICAR) can be done through a web portal to assemble healthcare professionals, patients in one environment. SECICAR will be applied to the hypertension community to show that disease if left untreated, frequently leads to serious illnesses such as heart disease. The SECICAR aims to facilitate the dissemination of tacit knowledge, which is explicit to hypertensives, in the form of strategies, guidelines and best practices. The validation of the SECICAR results displays satisfactory accuracy and reliability. Heuristic evaluation was used to test the web portal, the participants stating that there were no major issues regarding its usability.</span>

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“…Medical complications include respiratory, cardiac, urologic, musculoskeletal, and pressure-related injuries. 7,10,11 Many of these complications can occur simultaneously, oftentimes leading to an extensive hospital course with prolonged time in the intensive care unit (ICU). 12 Protracted hospital course can result in a significant burden to the health care system with significant resource utilization.…”

mentioning

confidence: 99%

“…Despite these advances, numerous complications still exist for patients suffering from subaxial SCIs, resulting in paraplegia or tetraplegia. Medical complications include respiratory, cardiac, urologic, musculoskeletal, and pressure-related injuries 7,10,11 . Many of these complications can occur simultaneously, oftentimes leading to an extensive hospital course with prolonged time in the intensive care unit (ICU) 12 .…”

mentioning

confidence: 99%

Hospital Course and Complications of Subaxial Cervical Trauma Patients With Tetraplegia or Paraplegia

Scott,

Patel,

Lucasti

et al. 2023

Clinical Spine Surgery

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Study Design: A single-institution, retrospective cohort study Objective: The objective was to present demographic characteristics, mechanism of injuries, lengths of stay, intensive care unit (ICU) days, discharge locations, and causes of 90-day readmission for patients with subaxial spinal cord injuries resulting in paraplegia or tetraplegia. Summary of Background Data: Spinal cord injuries resulting in paraplegia or tetraplegia are rare injuries with debilitating outcomes. Numerous advances have occurred in caring for these patients, but patients still experience multiple complications. The severity of these injuries and numerous complications result in prolonged hospital stays and the need for extensive rehabilitation. Methods: Twelve patients with subaxial spinal cord injury resulting in paraplegia or tetraplegia from a level 1 adult trauma center were reviewed. The primary outcomes included hospital length of stay, ICU days, intrahospital complications, 90-day readmission rates, and discharge location. We reviewed the literature for these outcomes in spinal cord injuries. Results: For patients with subaxial spinal cord injuries resulting in paraplegia and tetraplegia, the average age was 36.0 years, and most were male [91.7% (11/12)]. The most common mechanism of injury was gunshot wounds[41.7% (5/12)]. Patients spent an average of 46.3 days in the hospital and 30.7 days in the ICU. Respiratory complications were the most common (9 patients). Fifty percent of patients (6/12) were discharged to the inpatient spinal cord rehab center, and 16.7% (2/12) expired while in the hospital. Two patients (20.0%) were readmitted within 90 days of discharge. Conclusions: Most patients with subaxial spinal cord injuries resulting in paraplegia or tetraplegia were young males with high-energy traumas. Many patients had intrahospital complications, and most were discharged to the hospital spinal rehab center. These findings likely stem from the severity of paraplegia and tetraplegia injuries and the need for rehabilitation.

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Decreasing pressure injuries and acute care length of stay in patients with acute traumatic spinal cord injury

Cited by 8 publications

References 70 publications

Surveillance for Pressure Injuries on Admission to Inpatient Rehabilitation Hospitals During the COVID-19 Pandemic

Surveillance for Pressure Injuries on Admission to Inpatient Rehabilitation Hospitals During the COVID-19 Pandemic

Pushing towards ehealth for iraqi hypertensives: an integrated class association rules into SECI model

Hospital Course and Complications of Subaxial Cervical Trauma Patients With Tetraplegia or Paraplegia

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