The long term outcome in 149 patients with spinal cord injury

Daverat, P.; Petit, H; Kemoun, G.; Dartigues, Jean François; Barat, M.

doi:10.1038/sc.1995.139

Cited by 42 publications

(20 citation statements)

References 4 publications

(1 reference statement)

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“…This ®nding is identical to those of the other major studies of SCI populations. The male rate is 79.9%, ranging from 77% 15 to 87.5%, 12 and identical to French authors' results: 80.3% for Daverat et al 10 DeVivo et al observe a male rate of 84.5% 1 and the US National SCI Database a male rate of 82.2%. 2 A recent French study reveals a more important rate for male, 87% in TSCI patients versus 77.4% in SCI patients in general, 11 a notion that is not emphasised elsewhere.…”

Section: Demographic Datasupporting

confidence: 85%

“…9 A French survey of 149 patients by Daverat et al mentions a rate of 52% TSCI patients at hospitalisation, but this ®gure is only 47% among the survivors who could be included in the survey (between 7 and 10 years following the accident). 10 The most recent French survey gives a rate of 38% TSCI, but in this case the survey was conducted outside institutions, a fact which is liable to lower the ratio of TSCI patients. 11 A low rate of TSCI patients (31%) is mentioned by Whiteneck et al but this survey involves accidents which occurred before 1970.…”

Section: Introductionmentioning

confidence: 99%

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The Tetrafigap Survey on the long-term outcome of tetraplegic spinal cord injured persons, Part II: Demographic characteristics and initial cause of injury

Ravaud

Delcey²,

Desert³

2000

Spinal Cord

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Objectives: After presenting in part I the protocol and the methodology of the Tetra®gap Survey, this article is aimed at investigating demographic characteristics, initial cause of trauma and spinal injury in the French tetraplegic spinal cord injured (TSCI) population. Study design: The Tetra®gap Survey is a multicentre epidemiological survey on the outcome of TSCI people following their ®rst admission to a rehabilitation department or centre. Setting: The survey was conducted with the participation of 35 French-speaking collaborating centres. Method: A self-administered questionnaire was carried out among consenting TSCI patients followed by the centres. 1668 questionnaires ful®lled all the required criteria for data analysis. Results: The socio-demographic variables (gender, current age and age at the time of accident, duration of disability), circumstances of accident as well as initial spinal cord lesions are reviewed in the body of the text. Conclusion:The results from this survey form the ®rst detailed description of the French TSCI population. Whereas demographic data show many similarities with those of previous studies in other countries, some speci®c di erences are highlighted, in particular relating to the type of accident.

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Section: Demographic Datasupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

The Tetrafigap Survey on the long-term outcome of tetraplegic spinal cord injured persons, Part II: Demographic characteristics and initial cause of injury

Ravaud

Delcey²,

Desert³

2000

Spinal Cord

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“…Although the variation in time points was not analysed in this study, the effect on neurological and functional outcomes is believed to be minimal. 20 Second, the small patient numbers in this study limit the reliability of our results. Third, it has been suggested that patients with an ischaemic myelopathy of idiopathic origin have a more favourable outcome.…”

Section: Discussionmentioning

confidence: 80%

Is the outcome in acute spinal cord ischaemia different from that in traumatic spinal cord injury? A cross-sectional analysis of the neurological and functional outcome in a cohort of 93 paraplegics

et al. 2010

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Study design: Retrospective cohort study. Objectives: To compare the neurological outcome between paraplegic patients with acute spinal cord ischaemia syndrome (ASCIS) or traumatic spinal cord injury (tSCI) and to investigate the influence of SCI aetiology on the total Spinal Cord Independence Measure (SCIM)-II score. Setting: Level 1 trauma centre. Methods: Initial (0-40 days) and chronic-phase (6-12 months) American Spinal Injury Association (ASIA) sensory scores, lower extremity motor score (LEMS) and chronic-phase total SCIM-II scores were analysed. Differences between ASCIS and tSCI patients were calculated using Student's t-tests and Wilcoxon signed-rank tests. To assess which variables give rise to the prediction of total SCIM-II score, a multiple linear regression analysis was used. These predictor variables included complete (ASIA impairment scale A) or incomplete SCI (AIS B, C, and D), aetiology, age and gender. Results: Out of 93 included patients, 20 ASCIS and 73 tSCI patients were identified. In the complete SCI group, the initial pinprick scores were higher (Po0.05) in ASCIS patients compared with tSCI patients, 37.9 (95% Confidence Interval (CI), 23.3-52.5) and 27.3 (95% CI, 24.1-30.4), respectively. No other relevant differences in neurological outcome were identified between ASCIS and tSCI patients; however, the total SCIM-II scores were higher (Po0.05) in tSCI patients after 12 months. Using the linear regression analysis, we were able to predict 31.4% of the variability. The aetiology was not significant in this model. Conclusion: The neurological outcome was independent of the diagnosis ASCIS or tSCI. Furthermore, the diagnosis ASCIS or tSCI was not a significant predictor for total SCIM II scores after 12 months. Sponsorship: This study was granted by the 'Internationale Stiftung für Forschung in Paraplegie' (IFP), Zürich, Switzerland.

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“…These data support those of previous reports, in which discharge disposition has depended primarily on the level of independence in daily activities. 26 The association between pressure sores and the risk of institutionalization was demonstrated in the GISEM study.…”

Section: Discussionmentioning

confidence: 91%

Recovery following ischemic myelopathies and traumatic spinal cord lesions

et al. 2011

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Background: As the general population ages, the rising prevalence of vascular lesions of the spinal cord will become significant. The aim of this study was to compare the neurological and functional outcomes of patients with ischemic spinal cord injury (ISCI) and traumatic spinal cord injury (TSCI). Setting: Spinal cord unit of a rehabilitation hospital in Italy. Study design: Retrospective study. Patients and methods:We studied 179 patients with a TSCI and 68 with an ISCI. At admission and discharge, patients were examined by American Spinal Injury Association (ASIA) standards, Barthel Index, Rivermead Mobility Index and Walking Index for Spinal Cord Injury. Bowel and bladder management and discharge destination were recorded at discharge. Analysis of covariance (ANCOVA) and logistic regression models were used to analyze the effects of the etiology of the lesion, AIS level at admission, site of the lesion and the presence of complications on measured outcomes. Results: Patients with an ISCI were older and experienced fewer cervical lesions and complications at admission. By ANCOVA and logistic regression, age, AIS level and lesion level were the chief predictors of neurological and functional outcome, whereas etiology had no effect on outcome. Conclusions: A diagnosis of ischemia and trauma is not a determinant of neurological and functional recovery in spinal cord injury patients. Instead, the outcome of these patients is influenced by age, lesion level and AIS level.

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The long term outcome in 149 patients with spinal cord injury

Cited by 42 publications

References 4 publications

The Tetrafigap Survey on the long-term outcome of tetraplegic spinal cord injured persons, Part II: Demographic characteristics and initial cause of injury

The Tetrafigap Survey on the long-term outcome of tetraplegic spinal cord injured persons, Part II: Demographic characteristics and initial cause of injury

Is the outcome in acute spinal cord ischaemia different from that in traumatic spinal cord injury? A cross-sectional analysis of the neurological and functional outcome in a cohort of 93 paraplegics

Recovery following ischemic myelopathies and traumatic spinal cord lesions

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