scholarly journals Assessment of clinical adherence to the international autonomic standards following spinal cord injury

Spinal Cord ◽  
2015 ◽  
Vol 53 (9) ◽  
pp. 668-672 ◽  
Author(s):  
J W Squair ◽  
G le Nobel ◽  
V K Noonan ◽  
G Raina ◽  
A V Krassioukov
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Adherence ◽  
Cord Injury

Empirical targets for acute hemodynamic management of individuals with spinal cord injury

Neurology ◽  
2019 ◽  
Vol 93 (12) ◽  
pp. e1205-e1211
Author(s):  
Jordan W. Squair ◽  
Lise M. Bélanger ◽  
Angela Tsang ◽  
Leanna Ritchie ◽  
Jean-Marc Mac-Thiong ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Relative Risk ◽  
Real Life ◽  
Target Range ◽  
Hemodynamic Management ◽  
Neurologic Recovery ◽  
Clinical Adherence ◽  
Cord Injury ◽  
Transition Points

ObjectiveTo determine the hemodynamic conditions associated with optimal neurologic improvement in individuals with acute traumatic spinal cord injury (SCI) who had lumbar intrathecal catheters placed to measure CSF pressure (CSFP).MethodsNinety-two individuals with acute SCI were enrolled in this multicenter prospective observational clinical trial. We monitored mean arterial pressure (MAP) and CSFP during the first week after injury and assessed neurologic function at baseline and 6 months after injury. We used relative risk iterations to determine transition points at which the likelihood of either improving neurologically or remaining unchanged neurologically was equivalent. These transition points guided our analyses in which we examined the linear relationships between time spent within target hemodynamic ranges (i.e., clinical adherence) and neurologic recovery.ResultsRelative risk transition points for CSFP, MAP, and spinal cord perfusion pressure (SCPP) were linearly associated with neurologic improvement and directed the identification of key hemodynamic target ranges. Clinical adherence to the target ranges was positively and linearly related to improved neurologic outcomes. Adherence to SCPP targets, not MAP targets, was the best indicator of improved neurologic recovery, which occurred with SCPP targets of 60 to 65 mm Hg. Failing to maintain the SCPP within the target ranges was an important detrimental factor in neurologic recovery, particularly if the target range is set lower.ConclusionWe provide an empirical, data-driven approach to aid institutions in setting hemodynamic management targets that accept the real-life challenges of adherence to specific targets. Our results provide a framework to guide the development of widespread institutional management guidelines for acute traumatic SCI.

1132: Creation of a Somatic-Autonomic Reflex Pathway for Treatment of Neurogenic Bladder in Patients with Spinal Cord Injury: Preliminary Results of First 2 USA Patients

2005 ◽  
Vol 173 (4S) ◽  
pp. 307-308 ◽  
Author(s):  
Christopher E. Kelly ◽  
Chuan-Guo Xiao ◽  
Howard Weiner ◽  
Aleksandar Beric ◽  
Victor W. Nitti ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Reflex Pathway ◽  
Preliminary Results ◽  
Cord Injury ◽  
Autonomic Reflex

1630: Sufficient Total Motile Sperm for Intrauterine Insemination is Easily Obtained by Assisted Ejaculation of Men with Spinal Cord Injury

2006 ◽  
Vol 175 (4S) ◽  
pp. 525-525
Author(s):  
Charles M. Lynne ◽  
Nancy L. Brackett ◽  
Teodoro C. Aballa ◽  
Emad Ibrahim ◽  
Apostolos Kafetsoulis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Intrauterine Insemination ◽  
Motile Sperm ◽  
Cord Injury ◽  
Assisted Ejaculation
Sign in / Sign up

Export Citation Format

Share Document