Motor exam of patients with spinal cord injury: a terminological imbroglio

Figueiredo, Nicandro

doi:10.1007/s10072-017-2931-8

Cited by 5 publications

(2 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The severity of the impairment varies based on the specific level of injury. Injury to the cauda equina nerve roots at the lumbar level is associated with gait disorders (Figueiredo, 2017), sphincter dysfunctions (urinary and faecal incontinence) and sexual dysfunctions (Henke et al, 2022). Sensory disturbances below the level of spinal cord injury are also worth a note (Kirshblum et al, 2011).…”

Section: Spinal Cord Injurymentioning

confidence: 99%

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Pawełczyk,

Lusa,

Radek

2023

Psychiatr Psychol Klin

View full text Add to dashboard Cite

The present article reviews the existing literature on the application and effectiveness of cognitive-behavioural therapy in a group of patients with spine problems. It encompasses publications describing the use of cognitive-behavioural therapy in the treatment of patients with back pain and spinal cord injuries of various aetiologies, as well as those experiencing disabilities and difficulties in social and emotional functioning. The findings confirm that cognitive-behavioural interventions are effective in reducing the intensity of pain, improving mobility, reducing the duration of professional inactivity, facilitating adaptation to disability, and enhancing overall life satisfaction. They also support the effectiveness of therapeutic interventions in addressing depressive and anxiety disorders among these patients. It appears that both the traditional and newer approaches of cognitive-behavioural therapy offer potential in patients with spine issues and their families and caregivers. However, due to the insufficient number of randomised and controlled studies, high heterogeneity among study groups, and diversity of research protocols, it is not possible to definitive formulate final conclusions or recommendations at this stage. Nevertheless, the literature findings herein support further exploration of cognitive-behavioural therapy among patients experiencing spine problems.

show abstract

Section: Spinal Cord Injurymentioning

confidence: 99%

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Pawełczyk,

Lusa,

Radek

2023

Psychiatr Psychol Klin

View full text Add to dashboard Cite

show abstract

“…15 Paraplegia was defined as complete loss of motor function of the lower extremity, while paraparesis was defined as an incomplete loss of the motor function of the lower extremity. 16 Major revision was defined as any surgical re-intervention during the hospital stay or during follow up, with the exception of minor wound revisions.…”

Section: Definitionsmentioning

confidence: 99%

Editor's Choice – Outcomes After One Stage Versus Two Stage Open Repair of Type II Thoraco-abdominal Aortic Aneurysms

Gombert

Kirner

Ketting

et al. 2019

European Journal of Vascular and Endovascular Surgery

View full text Add to dashboard Cite

WHAT THIS PAPER ADDS This study confirms that staged open and hybrid surgery of type II thoraco-abdominal aortic aneurysm (TAAA) may be related to favourable results in terms of decreased mortality rates versus one stage type II TAAA open repair. Objective: This study compared the outcomes of open one stage with open two stage repair of type II thoracoabdominal aortic aneurysms (TAAA). Methods: This retrospective study included 94 patients (68 men) with a mean AE SD age of 54.5 AE 14 years who underwent open type II TAAA repair from March 2006 to January 2016. The mean aneurysm diameter was 65 AE 14.4 mm. The median follow up was 42 months (range 12e96). Seventy-six patients received one stage open repair and 18 patients were treated in two steps: 12 received two open procedures (thoracic and abdominal) and six received hybrid repair (one open and one endovascular procedure). This study focused on the comparison of open one stage and open two stage TAAA repair. The median time between the two steps was 31.5 days (range 1e169). Results: In hospital mortality after open one stage repair versus open two stage type II repair was 22.4% versus 0% (odds ratio 7.352, 95% confidence interval [CI] 0.884e959.1]; p ¼ .19). The one year survival rate after one stage repair versus open two stage repair was 74.7% (95% CI 62.7e83.3) versus 90.9% (95% CI 50.8e98.7 [p ¼ .225]). The five year survival rate after one stage repair versus open two stage repair was 53.0% (95% CI 37.2e66.5) versus 90.9% (95% CI 50.8e98.7 [p ¼ .141]). The hazard ratio for survival after one stage repair and after open two stage repair was 4.563 (95% CI 96.9e81.4 [p ¼ .137]). Paraplegia was observed after open one stage repair versus open two stage in 10.5% vs. 8% (p ¼ 1). Acute kidney injury requiring permanent dialysis and myocardial infarction were assessed for after open one stage repair and open two stage and were seen in 3.9% vs. 0% (p ¼ 1) and in 5.3% vs. 0% (p ¼ 1), respectively. Conclusion: Open two stage repair may be recommended as a treatment option for type II TAAAs if anatomically feasible, as it has a lower mortality and similar complication rates to one stage repair.

show abstract

Postoperatively increased bioactive adrenomedullin is related to adverse outcome after complex aortic surgery

Gombert

Doukas

Marx

et al. 2020

Vasa

View full text Add to dashboard Cite

Summary: Background: Open and endovascular thoracoabdominal aortic aneurysm repair is related to major complications and increased mortality rates. Up to now, specific biomarkers for adverse outcome are scarce, although routine usage of such biomarkers could enable an earlier and more appropriate treatment of complications during the postoperative course after complex aortic aneurysm repair. Patients and methods: In a prospective single-center study including 33 patients (48.5 % women, mean age 63.0 ± 16.2 years) undergoing elective complex open and endovascular aortic aneurysm repair, bioactive adrenomedullin (bio-ADM) was measured for 72 h perioperatively and an association with clinical endpoints, namely cardiogenic shock, death and the combined endpoint of the two aforementioned parameters was assessed. Furthermore, the association between bio-ADM and baseline characteristics and perioperative details including sepsis biomarkers score were assessed. Results: 51.5 % (n = 17) of patients developed postoperative acute kidney injury, 21.2 % (n = 7) pneumonia and 18.2 % (n = 6) sepsis. Cardiogenic shock was observed in 12.1 % (n = 4) patients. The in-hospital mortality rate was 18.2 % (n = 6), and 24.2 % (n = 8) of patients developed cardiogenic shock and/or died in hospital. A significant correlation of bio-ADM concentrations from all available time points was observed with leukocytes (r = 0.37, P < 0.0001), C-reactive protein (r = 0.56, P < 0.001) and serum creatinine levels (r = 0.52, P < 0.001). Increased bio-ADM at 12 h, 24 h, 48 h and 72 h after admission to ICU was associated with both, in-hospital death and cardiogenic shock, with an area under the curve for the combined endpoint of 0.598, 0.720, 0.880 and 0.967. Bio-ADM concentrations at 48 h and 72 h after admission to ICU were predictive for in-hospital death and cardiogenic shock (both P < 0.01). Conclusions: Bio-ADM may serve as postoperative biomarker for cardiogenic shock and death after complex open and endovascular aortic aneurysm repair, potentially enabling an earlier and by that more adequate treatment of adverse outcome after major surgery.

show abstract

Motor exam of patients with spinal cord injury: a terminological imbroglio

Cited by 5 publications

References 26 publications

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

Editor's Choice – Outcomes After One Stage Versus Two Stage Open Repair of Type II Thoraco-abdominal Aortic Aneurysms

Postoperatively increased bioactive adrenomedullin is related to adverse outcome after complex aortic surgery

Contact Info

Product

Resources

About