Impact of a Quality Improvement Program on the Neurological Outcome of Patients with Traumatic Spinal Cord Injury: A Before-After Mono-Centric Study
| Autor: | Paul Rooze, Karim Asehnoune, Antoine Roquilly, Brigitte Perrouin-Verbe, Marwan Bouras, Marie-Anne Vibet, Raphaël Cinotti, Kevin Buffenoir, Pierre Joachim Mahe, Dominique Demeure-Dit-Latte, Nicolas Grillot, Paul Langlais, Alexandre Bourdiol |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Quality management Traumatic spinal cord injury medicine.medical_treatment Young Adult 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Severe disability Spinal cord injury Spinal Cord Injuries Aged Rehabilitation business.industry Length of Stay Middle Aged medicine.disease Quality Improvement Respiration Artificial Intensive Care Units Treatment Outcome Cervical Vertebrae Female Neurology (clinical) Nervous System Diseases 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurotrauma. 36:3338-3346 |
| ISSN: | 1557-9042 0897-7151 |
| Popis: | Spinal cord injury (SCI) is a major cause of severe disability. This study aims to assess the effectiveness of a quality improvement program on neurological recovery after SCI. Before-after study during two phases was done in one intensive care unit in a university hospital. The quality improvement project comprised protective mechanical ventilation, early tracheostomy in anatomical injury above the sixth cervical vertebra, early enteral nutrition, early mobilization, and active perineal care in adult SCI patients. The primary endpoint was the difference between the American Spinal Injury Association (ASIA) motor score between discharge and intensive care unit (ICU) admission (Delta ASIA). Fifty-seven and 60 patients were included in the control and in the intervention period respectively. The ASIA motor score upon ICU admission was 16 (7-37) before and 11 (2-30) after the implementation ( |
| Databáze: | OpenAIRE |
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