Nontraumatic spinal cord injury: an Italian survey

Archives of Physical Medicine and Rehabilitation
A CitterioGruppo Italiano Studio Epidemiologico Mielolesioni

Abstract

To describe the demographic and clinical characteristics and the clinical course of patients with nontraumatic spinal cord injury (SCI). A multicenter prospective study. Thirty-two rehabilitation centers in several Italian regions. Patients with nontraumatic SCI (N=330) on first admission (February 1, 1997-January 31, 1999) to rehabilitation centers. Not applicable. Indicators of rehabilitation process quality were efficient bladder and bowel management. The indica-tor of neurologic recovery was improvement in American Spinal Injury Association Impairment Scale (AIS) level at discharge. The indicator of rehabilitation outcome was return home. Length of stay (LOS) was also measured as an indicator of the care process. Of the 330 patients, 30% exhibited an improvement in AIS classification at discharge, and 73% returned home. In multivariate analysis, a longer LOS was associated with vascular etiology, complete lesions, residence outside the district of the rehabilitation center, and presence of clinical complications. Neurologic improvement was related to incompleteness of the lesion and longer LOS. Factors predicting a return home were married status, incompleteness of lesion, clinical improvement, efficient bowel and bladder m...Continue Reading

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Citations

Mar 3, 2009·Journal of Neurology·S DebetteP Vermersch
Jan 16, 2013·Case Reports in Orthopedics·Mohd ZahidRavish Chabra
Feb 1, 2012·Archives of Physical Medicine and Rehabilitation·Maayken E L van den BergJesús de Pedro-Cuesta
Jul 22, 2008·Brain Research Bulletin·Giorgio Scivoletto, Valentina Di Donna
Mar 26, 2013·Annals of Rehabilitation Medicine·Ji Cheol ShinSeo Yeon Yoon
Oct 2, 2019·The Journal of Spinal Cord Medicine·Heather FlettB Catharine Craven
Aug 26, 2018·Spinal Cord·G StampacchiaUNKNOWN Research Partners
Jan 25, 2020·Nature Reviews. Neurology·Jetan H BadhiwalaMichael G Fehlings
Aug 16, 2017·BioMed Research International·Maayken Elizabeth Louise van den BergJesus de Pedro-Cuesta
Jan 18, 2018·Topics in Spinal Cord Injury Rehabilitation·Peter Wayne NewChester Ho
Jan 18, 2018·Topics in Spinal Cord Injury Rehabilitation·Sara J T GuilcherSusan B Jaglal
Jan 18, 2018·Topics in Spinal Cord Injury Rehabilitation·Susan B JaglalB Cathy Craven

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