Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17177
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dc.contributor.authorBattistuzzo, Camila R-
dc.contributor.authorArmstrong, Alex-
dc.contributor.authorClark, Jillian-
dc.contributor.authorWorley, Laura-
dc.contributor.authorSharwood, Lisa-
dc.contributor.authorLin, Peny-
dc.contributor.authorRooke, Gareth-
dc.contributor.authorSkeers, Peta-
dc.contributor.authorNolan, Sherilyn-
dc.contributor.authorGeraghty, Timothy-
dc.contributor.authorNunn, Andrew-
dc.contributor.authorBrown, Doug J-
dc.contributor.authorHill, Steven-
dc.contributor.authorAlexander, Janette-
dc.contributor.authorMillard, Melinda-
dc.contributor.authorCox, Susan F-
dc.contributor.authorRao, Sudhakar-
dc.contributor.authorWatts, Ann-
dc.contributor.authorGoods, Louise-
dc.contributor.authorAllison, Garry T-
dc.contributor.authorAgostinello, Jacqui-
dc.contributor.authorCameron, Peter A-
dc.contributor.authorMosley, Ian-
dc.contributor.authorLiew, Susan M-
dc.contributor.authorGeddes, Tom-
dc.contributor.authorMiddleton, James-
dc.contributor.authorBuchanan, John-
dc.contributor.authorRosenfeld, Jeffrey V-
dc.contributor.authorBernard, Stephen-
dc.contributor.authorAtresh, Sridhar-
dc.contributor.authorPatel, Alpesh-
dc.contributor.authorSchouten, Rowan-
dc.contributor.authorFreeman, Brian J C-
dc.contributor.authorDunlop, Sarah A-
dc.contributor.authorBatchelor, Peter E-
dc.date2016-
dc.date.accessioned2018-02-22T01:10:02Z-
dc.date.available2018-02-22T01:10:02Z-
dc.date.issued2016-06-15-
dc.identifier.citationJournal of neurotrauma 2016; 33(12): 1161-1169-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17177-
dc.description.abstractEarly decompression may improve neurological outcome after spinal cord injury (SCI), but is often difficult to achieve because of logistical issues. The aims of this study were to 1) determine the time to decompression in cases of isolated cervical SCI in Australia and New Zealand and 2) determine where substantial delays occur as patients move from the accident scene to surgery. Data were extracted from medical records of patients aged 15-70 years with C3-T1 traumatic SCI between 2010 and 2013. A total of 192 patients were included. The median time from accident scene to decompression was 21 h, with the fastest times associated with closed reduction (6 h). A significant decrease in the time to decompression occurred from 2010 (31 h) to 2013 (19 h, p = 0.008). Patients undergoing direct surgical hospital admission had a significantly lower time to decompression, compared with patients undergoing pre-surgical hospital admission (12 h vs. 26 h, p < 0.0001). Medical stabilization and radiological investigation appeared not to influence the timing of surgery. The time taken to organize the operating theater following surgical hospital admission was a further factor delaying decompression (12.5 h). There was a relationship between the timing of decompression and the proportion of patients demonstrating substantial recovery (2-3 American Spinal Injury Association Impairment Scale grades). In conclusion, the time of cervical spine decompression markedly improved over the study period. Neurological recovery appeared to be promoted by rapid decompression. Direct surgical hospital admission, rapid organization of theater, and where possible, use of closed reduction, are likely to be effective strategies to reduce the time to decompression.-
dc.language.isoeng-
dc.subjectdecompression-
dc.subjectprocess of care-
dc.subjectspinal cord injury-
dc.subjectspine surgery-
dc.titleEarly Decompression following Cervical Spinal Cord Injury: Examining the Process of Care from Accident Scene to Surgery.-
dc.typeJournal Article-
dc.identifier.journaltitleJournal of neurotrauma-
dc.identifier.affiliationDepartment of Medicine (Royal Melbourne Hospital), the University of Melbourne , Melbourne, Australia-
dc.identifier.affiliationSchool of Animal Biology, the University of Western Australia , Perth Australia-
dc.identifier.affiliationCenter for Orthopedic and Trauma Research, the University of Adelaide , Adelaide, Australia-
dc.identifier.affiliationQueensland Spinal Injuries Service, Princess Alexandra Hospital , Woolloongabba, Australia-
dc.identifier.affiliationJohn Walsh Center for Rehabilitation Research, the University of Sydney , Sydney, Australia-
dc.identifier.affiliationOrthopedic Department, Middlemore Hospital , Auckland, New Zealand-
dc.identifier.affiliationOrthopedic Department, Christchurch Hospital , Christchurch, New Zealand-
dc.identifier.affiliationVictorian Spinal Cord Service, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationThe Spinal Research Institute , Melbourne, Australia-
dc.identifier.affiliationNeuroscience Trials Australia, the Florey Institute of Neuroscience , Melbourne, Australia-
dc.identifier.affiliationTrauma Service, Royal Perth Hospital , Perth, Australia-
dc.identifier.affiliationSpinal Unit, Royal Perth Hospital , Perth, Australia-
dc.identifier.affiliationSchool of Physiotherapy and Exercise Science, Curtin University , Bentley, Australia-
dc.identifier.affiliationEmergency and Trauma Center, the Alfred Hospital , Melbourne, Australia-
dc.identifier.affiliationCollege of Science, Health and Engineering, La Trobe University , Melbourne, Australia-
dc.identifier.affiliationDepartment of Orthopedic Surgery, the Alfred Hospital , Melbourne, Australia-
dc.identifier.affiliationDepartment of Physiotherapy, Royal Perth Hospital , Perth, Australia-
dc.identifier.affiliationDepartment of Neurosurgery, the Alfred Hospital , Melbourne, Australia-
dc.identifier.affiliationIntensive Care Unit, the Alfred Hospital , Melbourne, Australia-
dc.identifier.affiliationDepartment of Orthopedics and Trauma, the University of Adelaide , Adelaide, Australia-
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/26650510-
dc.identifier.doi10.1089/neu.2015.4207-
dc.identifier.pubmedid26650510-
dc.type.austinJournal Article-
local.name.researcherHill, Steven
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptVictorian Spinal Cord Service-
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