Impact of Surgical Timing and Approaches to Health Care Utilization in Patients Undergoing Surgery for Acute Traumatic Cervical Spinal Cord Injury

Sharma, Mayur; Dietz, Nicholas; Ugiliweneza, Beatrice; Wang, Dengzhi; Khattar, Nicolas K; Adams, Shawn; Ball, Tyler; Boakye, Maxwell

doi:10.7759/cureus.6166

Cited by 6 publications

(6 citation statements)

References 23 publications

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“…In our study, only 2.8% of surgical patients received the intervention within 24 hours after injury, with more females (5.3%) receiving surgery within 24 hours compared with males (3.3%). However, some studies have reported that >80% of patients received surgical treatment within 24 hours 55,56 . In the absence of clinical information on treatment decisions for patients with spinal cord injuries, we cannot determine the exact cause of this phenomenon.…”

Section: Discussionmentioning

confidence: 99%

“…However, some studies have reported that > 80% of patients received surgical treatment within 24 hours. 55,56 In the absence of clinical information on treatment Because of limited resources, medical institutions may not be able to complete early operations in time. These factors will affect the current status of TSCI treatment in China going forward.…”

Section: Discussionmentioning

confidence: 99%

“…However, some studies have reported that >80% of patients received surgical treatment within 24 hours. 55 , 56 In the absence of clinical information on treatment decisions for patients with spinal cord injuries, we cannot determine the exact cause of this phenomenon. Noticeably, research on sex discrepancies in surgical treatment is currently lacking, and more research is needed to further explore this.…”

Section: Discussionmentioning

confidence: 99%

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Sex-related Differences in Epidemiology, Treatment, and Economic Burden of Traumatic Spinal Cord Injury in China (2013–2018)

Shang

Wang

et al. 2023

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Study Design. Retrospective epidemiological study. Objective. To describe differences based on biological sex in the epidemiology and treatment of the economic burden of traumatic spinal cord injury (TSCI) in China (2013–2018). Summary of Background Data. Although there have been many regional single-center studies on TSCI in China, there are few reports involving multicenter data, especially those that report on discrepancies related to biological sex. Materials and Methods. This study is a nationally representative hospital-based retrospective study. The treatment data of TSCI patients in 30 hospitals in 11 provinces/cities from January 2013 to December 2018 were analyzed. Sociodemographic characteristics, accident and related injury characteristics, treatment methods, and hospital costs were obtained. Regression models were used to evaluate differences in the outcomes of interest based on biological sex and other factors. Results. There were 13,465 individuals with TSCI, with a mean age of 50.0 years, and females (52.2) older than males (49.3). Overall, the average ratio of males to females was 3.1:1, ranging from 3.0:1 in 2013 to 2.8:1 in 2018. The overall proportion of patients with TSCI increased from 2013 to 2018 [annual percentage change (APC)=6.8%, 95% CI, 3.3–10.4] (P < 0.05). The percent increase in females (APC=8.2%, 95% CI, 5.6–10.8) was greater than that of males (APC=6.3%, 95% CI, 2.1–10.6). Overall, high-level falls mainly affected males (30.8%), and low-level falls mainly occurred in females (36.6%). Females demonstrated a higher frequency of thoracolumbar trauma and less severe neurological impairment. Conclusions. This study suggests that although the main population of TSCI is male, the average ratio of males to females is decreasing. The frequency of TSCI may be increasing faster in females than in males. Therefore, it is necessary to develop sex-specific public prevention measures. In addition, more medical resources should be devoted to improving the ability of hospitals to perform early surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sex-related Differences in Epidemiology, Treatment, and Economic Burden of Traumatic Spinal Cord Injury in China (2013–2018)

Shang

Wang

et al. 2023

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“…In the clinical practice currently, early emergency surgery is the major therapeutic approach for traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema, which has achieved good results. 7 However, there are still some patients with limb movement disorder or vesicorectal disturbance after surgery, which may affect their prognosis. Previous studies have confirmed that the degree of cervical spinal cord injury, neurological function grading, concomitant injuries, underlying medical diseases, and respiratory complications during trauma are factors that affect the prognosis of emergency surgery.…”

Section: Original Articlementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influential factors of the prognosis of patients with winter sports-induced traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgical treatment

Zhang,

Yang,

Yin

et al. 2024

Pak J Med Sci

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Objective: To explore relevant influencing factors of the prognosis of patients with winter sports-induced traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgical treatment. Methods: A retrospective analysis was performed on 73 cases of traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema in The First Hospital Affiliated to Hebei North University from January 2020 to October 2022. The enrolled patients were divided into the good prognosis (n=17) group and poor prognosis (n=56) group according to the recovery of neurological function after six months of follow-up. The risk factors affecting the prognosis of patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgery were analyzed by binary Logistic regression. Results: Among the enrolled 73 patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema, 56 cases showed significant improvement in ASIA Grade-6 months after operation, with an improvement rate of 76.71%. Further Logistic regression analysis revealed that concomitant diabetes, preoperative MSCC>40.83% and recovery rate of AMS <40.13% 3d after operation were independent risk factors affecting the poor prognosis of patients with traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema. Conclusions: Emergency surgery can improve the neurological function of patients with cervical spinal cord injury complicated with intramedullary hemorrhage and edema caused by winter sports. Concomitant diabetes, preoperative MSCC and recovery rate of AMS 3d after operation are the main factors affecting the prognosis of patients with emergency surgery. doi: https://doi.org/10.12669/pjms.40.4.7644 How to cite this: Zhang P, Yang X, Yin Y, Yao Y. Influential factors of the prognosis of patients with winter sports-induced traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgical treatment. Pak J Med Sci. 2024;40(4):617-622. doi: https://doi.org/10.12669/pjms.40.4.7644 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Machine learning in clinical diagnosis, prognostication, and management of acute traumatic spinal cord injury (SCI): A systematic review

Dietz

Jaganathan²,

Alkin³

et al. 2022

Journal of Clinical Orthopaedics and Trauma

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Impact of Surgical Timing and Approaches to Health Care Utilization in Patients Undergoing Surgery for Acute Traumatic Cervical Spinal Cord Injury

Cited by 6 publications

References 23 publications

Sex-related Differences in Epidemiology, Treatment, and Economic Burden of Traumatic Spinal Cord Injury in China (2013–2018)

Sex-related Differences in Epidemiology, Treatment, and Economic Burden of Traumatic Spinal Cord Injury in China (2013–2018)

Influential factors of the prognosis of patients with winter sports-induced traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgical treatment

Machine learning in clinical diagnosis, prognostication, and management of acute traumatic spinal cord injury (SCI): A systematic review

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