Prescribing patterns for treating common complications of spinal cord injury

Gupta, Shikha; McColl, Mary Ann; Smith, Karen; McColl, Alexander

doi:10.1080/10790268.2021.1920786

Cited by 10 publications

(3 citation statements)

References 38 publications

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“…The survey asked participants about their medication use (number and names of prescribed medications), demographic characteristics, and injury details. 2 The study was approved by the Health Sciences Research Ethics Board at Queen's University in Kingston, Ont.…”

Section: Sources Of Informationmentioning

confidence: 99%

Prescribing for common complications of spinal cord injury

et al. 2022

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Objective To describe prescribing patterns for 3 common complications associated with spinal cord injury (SCI) and to provide family doctors with strategies for optimizing the care of patients with SCI. Sources of informationResults of a nationwide survey of prescription medication use among people with SCI in Canada and a longitudinal study of secondary complications associated with SCI.Main message Altered neurologic and cardiometabolic function in patients with SCI make it difficult for family physicians to predict optimal medication regimens for these patients. Three common problems seen in primary care among patients with SCI that require pharmacologic treatment are pain (treated in 57% of survey respondents), muscle spasms (54%), and recurrent urinary tract infections (43%). Pain management may require multiple medications, depending on the source or nature of the pain. Some prescription medications recommended for treating pain may be underused in this population, such as amitriptyline, while others may be overused in this population, such as antibiotics for urinary tract infections. Spasticity is often related to an underlying problem such as pain, and treatment of concomitant conditions may also reduce spasticity. Short-acting benzodiazepines were found to have been prescribed for spasticity outside the recommended treatment paradigm at a surprisingly high rate. The longitudinal study of secondary complications associated with SCI led to the development of Actionable Nuggets, an innovative knowledge translation tool for primary care providers. ConclusionTo provide optimal treatment to patients with SCI, family doctors are encouraged to engage in open communication with them about prescription medications, including aspects of cost, polypharmacy, and therapeutic substitutions. Family physicians should also explore interprofessional collaboration with SCI specialists and allied health providers to provide patients with nonpharmacologic strategies tailored to their activity levels and nutritional needs. The Actionable Nuggets mobile app provides family doctors with brief, actionable, evidence-based information on the top 20 health concerns associated with SCI.

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Section: Sources Of Informationmentioning

confidence: 99%

Prescribing for common complications of spinal cord injury

et al. 2022

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“…Cette revue repose sur les résultats de 2 . L'étude a reçu l'approbation du comité d'éthique de la recherche en sciences de la santé de l'Université Queen's à Kingston (Ontario).…”

Section: Sources De L'informationunclassified

Prescriptions pour les complications courantes des lésions de la moelle épinière

McColl

Gupta

McColl³

et al. 2022

Can Fam Physician

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“…SCI not only causes structural and functional damage to the body but also leads to many complications. About 80% of patients suffer from neurogenic bladder and neurogenic bowel dysfunction [6,7], have a significantly higher risk of venous thrombosis embolism (VTE) [8] and pressure injury (PI) [9] than the general population, and severe respiratory dysfunction has become the leading cause of death in the acute and chronic recovery phases [10]. Therefore, the high disability rate, mortality rate, complication rate, long rehabilitation time, and poor outcome of SCI severely affect the physical and mental health and quality of life of patients [11].…”

Section: Introductionmentioning

confidence: 99%

Spinal Cord Injury Identification and Localization Detection Based on MRI Imaging and Deep Learning Technology

Shao,

Xu,

Dai

2024

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This study explores the feasibility and application value of the Faster R-CNN algorithm, a deep learning technology, in identifying signal abnormalities and locating injury areas in MRI images of the spinal cord. Method: Initially, Magnetic Resonance Imaging (MRI) images from 1,000 spinal cord injury (SCI) patients and 500 healthy individuals collected over five years were included in the dataset, divided into signal change and normal groups. The dataset was then preprocessed, and the lesion areas were annotated by experienced spine surgeons for later experimental verification of the algorithm's effectiveness; no markings were necessary for the normal group. Subsequently, the Faster R-CNN algorithm, combined with the VGG-16 and Resnet50 network models from the convolutional neural network (CNN) framework, was used for recognizing and locating SCI in MRI images. Finally, a horizontal comparison of different network structure models was conducted, with the model's mean Average Precision (mAP) and visual results serving as evaluation metrics to determine the best network structure model. The deep learning model constructed in this paper can use real-time medical imaging of SCI patients as input for the spinal cord analysis neural network. The trained network can automatically identify and label the location of SCI, achieving a model mAP of 88.6% and an image test speed of 0.22s per image.

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Prescribing patterns for treating common complications of spinal cord injury

Cited by 10 publications

References 38 publications

Prescribing for common complications of spinal cord injury

Prescribing for common complications of spinal cord injury

Prescriptions pour les complications courantes des lésions de la moelle épinière

Spinal Cord Injury Identification and Localization Detection Based on MRI Imaging and Deep Learning Technology

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