Racial Disparities in Time to Decompression in Central Cord Syndrome: A National Trauma Database Analysis

Deysher, Daniel; Jiang, Han; Khilwani, Harsh; Patnam, M; Bhaskara, Mounika; Khalid, Syed I.; Chiu, Ryan G.; Mehta, Ankit I.

doi:10.1016/j.wneu.2023.06.007

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…32 Additionally, in an analysis of the National Trauma Data Bank, there was a significant delay in early surgery for surgical decompression after cervical cord syndrome in Black patients and women when adjusting for potential confounders. 32 The effects of health care KEY POINT…”

Section: Prognosismentioning

confidence: 99%

“…Multiple studies of ischemic and hemorrhagic stroke of the brain have demonstrated that social determinants of health, including race, sex, and socio-economic status are important modifiers of clinical outcomes and highlight the need to address disparities of care 32 . Additionally, in an analysis of the National Trauma Data Bank, there was a significant delay in early surgery for surgical decompression after cervical cord syndrome in Black patients and women when adjusting for potential confounders 32 . The effects of health care disparities on outcomes after vascular pathologies of the spine are less well studied and should be the subject of future research.…”

Section: Spinal Cord Ischemiamentioning

confidence: 99%

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Vascular Myelopathies

Jadhav

2024

CONTINUUM: Lifelong Learning in Neurology

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OBJECTIVE Vascular injuries of the spinal cord are less common than those involving the brain; however, they can be equally devastating. This article discusses the diagnosis and management of ischemic and hemorrhagic vascular disorders of the spinal cord. LATEST DEVELOPMENTS Clinical suspicion remains the mainstay for recognizing vascular myelopathies, yet diagnoses are often delayed and challenging in part because of their rarity and atypical manifestations. Noninvasive imaging such as CT and MRI continues to improve in spatial resolution and diagnostic precision; however, catheter-based spinal angiography remains the gold standard for defining the spinal angioarchitecture. In addition to hemorrhagic and ischemic disease, the contribution of venous dysfunction is increasingly appreciated and informs treatment strategies in conditions such as intracranial hypotension. ESSENTIAL POINTS Vascular disorders of the spine manifest in variable and often atypical ways, which may lead to delayed diagnosis. Increased awareness of these conditions is critical for early recognition and treatment. The goal of treatment is to minimize long-term morbidity and mortality.

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Section: Prognosismentioning

confidence: 99%

Section: Spinal Cord Ischemiamentioning

confidence: 99%