None listed
Conditions
Brief summary
Spinal cord injury is devastating injury with significant functional and financial cost. Long term outcomes vary and depend on early injury factors and prevention of secondary neurological injury. This is a retrospective cohort study. The aim of this study is to identify current practice with reference to factors that influence prognostication and prevention of secondary neurological injury. These are early documentation of neurological status, and defence of blood pressure targets in keeping with international guidelines. Identifying current practice will facilitate design of future studies that aim to investigate long term outcomes. The primary objective of this study to describe current practice in the acute assessment and intensive care (ICU) management of spinal cord injury, with respect to timing and documentation of neurological status after injury, and acute blood pressure management in ICU.
Interventions
This retrospective observational cohort study will review the eligible participants' demographics, details of the injury and associated injuries, comorbidities, emergency, surgical and intensive care management including neurological assessment, blood pressure management, imaging results and operative management over the initial 7 days following acute traumatic spinal cord injury.
Sponsors
South Eastern Sydney Local Health District
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adult patients (>=16 years) Admitted to participating Spinal Cord Injury Units Between January 2018 and January 2020 Acute traumatic spinal cord injury as documented by ICD coding
Exclusion criteria
Transferred to participating spinal injury units more than 7 days following injury Unable to access pre-hospital and ED records
Outcome results
None listed