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25 years or more after spinal cord injury: clinical conditions of individuals in the Florence and Stockholm areas.

https://arctichealth.org/en/permalink/ahliterature129470
Source
Spinal Cord. 2012 Mar;50(3):243-6
Publication Type
Article
Date
Mar-2012
Author
L. Werhagen
S. Aito
L. Tucci
J. Strayer
C. Hultling
Author Affiliation
Karolinska institutet Danderyds Sjukhus, Department of clinical sciences, Division of Rehabilitation Medicine, Danderyds hospital, Stockholm, Sweden. lars.werhagen @ki.se
Source
Spinal Cord. 2012 Mar;50(3):243-6
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Accidental Falls
Accidents, Traffic
Adolescent
Adult
Aged
Aged, 80 and over
Ethnic Groups
Female
Follow-Up Studies
Humans
Italy
Length of Stay
Male
Middle Aged
Retrospective Studies
Severity of Illness Index
Spinal Cord Injuries - complications - etiology - therapy
Sweden
Young Adult
Abstract
Retrospective analysis and retrospective follow-up.
Spinal cord injury (SCI) patients have today a nearly normal lifespan. Avoidance of medical complications is key to this end. The aim of the study was to analyse health in individuals surviving 25 years or more after traumatic SCI in Stockholm and Florence, and compare medical complications.
Data from the databases of the Spinal Unit of Florence and from the Spinalis, Stockholm were analysed. Patients included were C2-L 2, American Spinal Cord Association (ASIA) Impairment Scale (AIS) A-C, and =25 years post traumatic SCI. Patients underwent a thorough neurological and general examination, and were interviewed about medical events during those years. Analysed data include: gender, age at injury, current age, neurological level, AIS, cause of injury, presence of neuropathic pain (NP), and spasticity and medical complications.
A total of 66 Italian patients and 74 Swedish patients were included. The only statistical difference between the groups was cause of injury due to falls was higher in the Florence group (P
PubMed ID
22105457 View in PubMed
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A 2011 updated systematic review and clinical practice guideline for the management of malignant extradural spinal cord compression.

https://arctichealth.org/en/permalink/ahliterature126132
Source
Int J Radiat Oncol Biol Phys. 2012 Oct 1;84(2):312-7
Publication Type
Article
Date
Oct-1-2012
Author
D Andrew Loblaw
Gunita Mitera
Michael Ford
Normand J Laperriere
Author Affiliation
Department of Radiation Oncology, Sunnybrook Health Science Centre, University of Toronto, Toronto, Canada. andrew.loblaw@sunnybrook.ca
Source
Int J Radiat Oncol Biol Phys. 2012 Oct 1;84(2):312-7
Date
Oct-1-2012
Language
English
Publication Type
Article
Keywords
Adult
Decompression, Surgical - methods
Dose Fractionation
Humans
Meta-Analysis as Topic
Multicenter Studies as Topic
Neoplasm Recurrence, Local - radiotherapy
Ontario
Randomized Controlled Trials as Topic
Retrospective Studies
Spinal Cord Compression - diagnosis - therapy
Spinal Cord Neoplasms - secondary - therapy
Steroids - therapeutic use
Walking
Abstract
To update the 2005 Cancer Care Ontario practice guidelines for the diagnosis and treatment of adult patients with a suspected or confirmed diagnosis of extradural malignant spinal cord compression (MESCC).
A review and analysis of data published from January 2004 to May 2011. The systematic literature review included published randomized control trials (RCTs), systematic reviews, meta-analyses, and prospective/retrospective studies.
An RCT of radiation therapy (RT) with or without decompressive surgery showed improvements in pain, ambulatory ability, urinary continence, duration of continence, functional status, and overall survival. Two RCTs of RT (30 Gy in eight fractions vs. 16 Gy in two fractions; 16 Gy in two fractions vs. 8 Gy in one fraction) in patients with a poor prognosis showed no difference in ambulation, duration of ambulation, bladder function, pain response, in-field failure, and overall survival. Retrospective multicenter studies reported that protracted RT schedules in nonsurgical patients with a good prognosis improved local control but had no effect on functional or survival outcomes.
If not medically contraindicated, steroids are recommended for any patient with neurologic deficits suspected or confirmed to have MESCC. Surgery should be considered for patients with a good prognosis who are medically and surgically operable. RT should be given to nonsurgical patients. For those with a poor prognosis, a single fraction of 8 Gy should be given; for those with a good prognosis, 30 Gy in 10 fractions could be considered. Patients should be followed up clinically and/or radiographically to determine whether a local relapse develops. Salvage therapies should be introduced before significant neurologic deficits occur.
PubMed ID
22420969 View in PubMed
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Source
Neuromodulation. 2013 Nov-Dec;16(6):506-13; discussion 513
Publication Type
Article
Author
Kaare Meier
Lone Nikolajsen
Morten Flink
Ronnie Simonsen
Ioanna Milidou
Troels Staehelin Jensen
Jens Christian Sørensen
Author Affiliation
Danish Pain Research Center, Aarhus University Hospital, Aarhus, Denmark; Department of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark; Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark; ITmedico, Aarhus, Denmark; Perinatal Epidemiology Research Unit, Aarhus University Hospital, Aarhus, Denmark; and Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.
Source
Neuromodulation. 2013 Nov-Dec;16(6):506-13; discussion 513
Language
English
Publication Type
Article
Keywords
Analgesics - therapeutic use
Chronic Pain - therapy
Computer Security
Databases, Factual
Denmark
Employment
Humans
Internet
Neuralgia - drug therapy - therapy
Neurosurgical Procedures - adverse effects
Pain Measurement
Quality of Life
Questionnaires
Software
Spinal Cord Stimulation - adverse effects
Treatment Outcome
Abstract
?? Spinal cord stimulation (SCS) is increasingly gaining widespread use as a treatment for chronic pain. A widely used electronic registry could play a pivotal role in improving this complex and cost-?intensive treatment. We aimed to construct a comprehensive, universally available data base for SCS.
?? The design considerations behind a new online data base for SCS are presented; basic structure, technical issues, research applications, and future perspectives are described.
?? The Aarhus Neuromodulation Database covers core SCS treatment parameters, including procedure-?related details and complications, and features recording of key success parameters such as pain intensity, work status, and quality of life. It combines easy access to patient information with exhaustive data extraction options, and it can readily be adapted and expanded to suit different needs, including other neuromodulation treatment modalities.
?? We believe that the data base described in this article offers a powerful and versatile data collection tool suited for both clinicians and researchers in the field. The basic data base structure is immediately available on a no?-cost basis, and we invite our colleagues to make use of the data base as part of the efforts to further the field of neuromodulation.
PubMed ID
22882331 View in PubMed
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Abdominal pain in long-term spinal cord injury.

https://arctichealth.org/en/permalink/ahliterature86843
Source
Spinal Cord. 2008 Mar;46(3):198-203
Publication Type
Article
Date
Mar-2008
Author
Finnerup N B
Faaborg P.
Krogh K.
Jensen T S
Author Affiliation
Danish Pain Research Center, Aarhus University Hospital, Aarhus, Denmark. finnerup@ki.au.dk
Source
Spinal Cord. 2008 Mar;46(3):198-203
Date
Mar-2008
Language
English
Publication Type
Article
Keywords
Abdominal Pain - etiology - physiopathology
Adolescent
Adult
Aged
Aged, 80 and over
Chronic Disease
Colon - physiopathology
Constipation - complications - physiopathology
Denmark
Female
Health Surveys
Humans
Male
Middle Aged
Prevalence
Rectum - physiopathology
Spinal Cord Injuries - complications - physiopathology
Abstract
OBJECTIVES: To describe the prevalence and character of chronic abdominal pain in a group of patients with long-term spinal cord injury (SCI) and to assess predictors of abdominal pain. STUDY DESIGN: Postal survey. SETTING: Members of the Danish Paraplegic Association. METHODS: We mailed a questionnaire to 284 members of the Danish Paraplegic Association who met the inclusion criteria (member for at least 10 years). The questionnaire contained questions about cause and level of spinal injury, colorectal function and pain/discomfort. RESULTS: Seventy percent returned the questionnaire (133 men and 70 women). Mean age was 47 years. Thirty-four percent reported having chronic abdominal pain or discomfort. Onset of pain was later than 5 years after their SCI in 53%. Low defecation frequency was more common in patients with abdominal pain/discomfort and constipation more often affected their quality of life compared to patients without abdominal pain/discomfort. The most common descriptors were annoying, cramping/tightening, tender, sickening and shooting/jolting. There was no relation to age, time since injury or level of injury, but more women than men reported abdominal pain/discomfort. There was no relation of abdominal pain to other types of pain. CONCLUSION: Chronic pain located in the abdomen is frequent in patients with long-term SCI. The delayed onset following SCI and the relation to constipation suggest that constipation plays an important role for this type of pain in the spinal cord injured.
PubMed ID
17621311 View in PubMed
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Source
J Spinal Cord Med. 2012 Sep;35(5):273-4
Publication Type
Article
Date
Sep-2012
Source
J Spinal Cord Med. 2012 Sep;35(5):273-4
Date
Sep-2012
Language
English
Publication Type
Article
Keywords
Humans
Ontario
Rehabilitation Centers - trends
Spinal Cord Injuries - rehabilitation
PubMed ID
23031164 View in PubMed
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Actionable nuggets: knowledge translation tool for the needs of patients with spinal cord injury.

https://arctichealth.org/en/permalink/ahliterature269783
Source
Can Fam Physician. 2015 May;61(5):e240-8
Publication Type
Article
Date
May-2015
Author
Mary Ann McColl
Alice Aiken
Karen Smith
Alexander McColl
Michael Green
Marshall Godwin
Richard Birtwhistle
Kathleen Norman
Gabrielle Brankston
Michael Schaub
Source
Can Fam Physician. 2015 May;61(5):e240-8
Date
May-2015
Language
English
Publication Type
Article
Keywords
Australia
Family Practice - education
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Humans
Male
Needs Assessment
Newfoundland and Labrador
Ontario
Pilot Projects
Primary Health Care
Spinal Cord Injuries
Translational Medical Research - methods
Abstract
To present the results of a pilot study of an innovative methodology for translating best evidence about spinal cord injury (SCI) for family practice.
Review of Canadian and international peer-reviewed literature to develop SCI Actionable Nuggets, and a mixed qualitative-quantitative evaluation to determine Nuggets' effect on physician knowledge of and attitudes toward patients with SCI, as well as practice accessibility.
Ontario, Newfoundland, and Australia.
Forty-nine primary care physicians.
Twenty Actionable Nuggets (pertaining to key health issues associated with long-term SCI) were developed. Nugget postcards were mailed weekly for 20 weeks to participating physicians. Prior knowledge of SCI was self-rated by participants; they also completed an online posttest to assess the information they gained from the Nugget postcards. Participants' opinions about practice accessibility and accommodations for patients with SCI, as well as the acceptability and usefulness of Nuggets, were assessed in interviews.
With Actionable Nuggets, participants' knowledge of the health needs of patients with SCI improved, as knowledge increased from a self-rating of fair (58%) to very good (75%) based on posttest quiz results. The mean overall score for accessibility and accommodations in physicians' practices was 72%. Participants' awareness of the need for screening and disease prevention among this population also increased. The usefulness and acceptability of SCI Nugget postcards were rated as excellent.
Actionable Nuggets are a knowledge translation tool designed to provide family physicians with concise, practical information about the most prevalent and pressing primary care needs of patients with SCI. This evidence-based resource has been shown to be an excellent fit with information consumption processes in primary care. They were updated and adapted for distribution by the Canadian Medical Association to approximately 50,000 primary care physicians in Canada, in both English and French.
Notes
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PubMed ID
26167564 View in PubMed
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Acute cord injury. Part II: A study of 224 cases.

https://arctichealth.org/en/permalink/ahliterature248816
Source
J R Coll Surg Edinb. 1978 Mar;23(2):107-16
Publication Type
Article
Date
Mar-1978
Author
E H Botterell
Source
J R Coll Surg Edinb. 1978 Mar;23(2):107-16
Date
Mar-1978
Language
English
Publication Type
Article
Keywords
Accidents, Occupational
Accidents, Traffic
Diving
Humans
Ontario
Spinal Cord Injuries - complications - etiology
PubMed ID
641859 View in PubMed
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Acute management of traumatic spinal cord injury in a Greek and a Swedish region: a prospective, population-based study.

https://arctichealth.org/en/permalink/ahliterature146552
Source
Spinal Cord. 2010 Jun;48(6):477-82
Publication Type
Article
Date
Jun-2010
Author
A. Divanoglou
A. Seiger
R. Levi
Author Affiliation
Division of Neuro-rehabilitation, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden. anestis.divanoglou@ki.se
Source
Spinal Cord. 2010 Jun;48(6):477-82
Date
Jun-2010
Language
English
Publication Type
Article
Keywords
Community Health Planning
Greece - epidemiology
Humans
Neurologic Examination - methods
Prospective Studies
Retrospective Studies
Spinal Cord Injuries - diagnosis - epidemiology - etiology - therapy
Sweden - epidemiology
Treatment Outcome
Abstract
Prospective, population-based study. This paper is part of the Stockholm Thessaloniki Acute Traumatic Spinal Cord Injury Study (STATSCIS).
To characterize patient populations and to compare acute management after traumatic spinal cord injury (TSCI).
The Greater Thessaloniki region in Greece and the Greater Stockholm region in Sweden.
Inception cohorts with acute TSCI that were hospitalized during the study period, that is September 2006 to October 2007, were identified. Overall, 81 out of 87 cases consented to inclusion in Thessaloniki and 47 out of 49 in Stockholm. Data from Thessaloniki were collected through physical examinations, medical record reviews and communication with TSCI cases and medical teams. Data from Stockholm were retrieved from the Nordic Spinal Cord Injury Registry.
There were no significant differences between study groups with regard to core clinical characteristics. In contrast, there were significant differences in (1) transfer logistics from the scene of trauma to a tertiary-level hospital (number of intermediate admissions, modes of transportation and duration of transfer) and (2) acute key therapeutic interventions, that is, the use of mechanical ventilation (49% in Thessaloniki versus 20% in Stockholm), and performance of tracheostomy (36% in Thessaloniki versus 15% in Stockholm); spinal surgery was performed significantly more often and earlier in Stockholm than in Thessaloniki.
Despite largely similar core clinical characteristics, Stockholm and Thessaloniki cases underwent significantly different acute management, most probably to be attributed to adaptations to the differing regional approaches of care one following a systematic approach of SCI care and the other not.
PubMed ID
20029396 View in PubMed
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560 records – page 1 of 56.