当前位置： SCI文献检索 > SPINAL CORD期刊下所有文献 > Spinal injuries admitted to a specialist centre over a 5-year period: a study to evaluate delayed admission.

Spinal injuries admitted to a specialist centre over a 5-year period: a study to evaluate delayed admission.

Abstract：

STUDY DESIGN:Retrospective study of 432 patients admitted to our institution with a spinal injury over a 5-year period. OBJECTIVES:To present epidemiological data relating to this spinal population, reporting specifically on delayed admission and length of hospitalisation. SETTING:Royal National Orthopaedic Hospital, Stanmore, UK. METHODS:A total of 432 traumatic spinal injuries admitted between March 1998 and March 2003 were analysed with respect to age, gender, mechanism of injury, level of bony injury, neurological level (complete, incomplete and intact), Injury Severity Score (ISS), date of injury, referral and admission independently and length of hospitalisation. The delays between injury and referral (>3 days) and between referral and admission (>7 days) were correlated to the length of hospitalisation. A detailed analysis of the cause of delay at both junctures was undertaken. RESULTS:There were 322 males (average age, 38.6 years) and 110 females (average age, 41.8 years) in our study. Classification of neurological severity disclosed 108 complete injuries, 115 incomplete and 209 intact. The average time between injury and referral was 5.5 days (range 0-94), and between referral and admission was 10.7 days (range 0-130). A total of 161 patients (37%) experienced a delay between injury and referral, of whom 59 (37%) were subsequently also delayed to admission. The principal reason for delay between injury and referral was the treatment of concurrent injuries. Even patients with complete injuries (15/43) experienced delayed referral. In all, 112 patients (26%) experienced a delay between referral and admission. Principal reasons included the provision of beds (Intensive care, acute and rehabilitation) and physiological stabilisation of other injuries particularly thoracic trauma. CONCLUSIONS:Provision of beds remains the most common preventable reason for delay between referral and admission and is associated with increased hospitalisation. Early liaison with a designated spinal injuries unit, particularly those with cord injury remains vitally important.

journal_name

Spinal Cord

journal_title

Spinal cord

authors

Amin A,Bernard J,Nadarajah R,Davies N,Gow F,Tucker S

doi

10.1038/sj.sc.3101734

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

434-7

issue

eissn

1362-4393

issn

1476-5624

pii

3101734

journal_volume

pub_type

杂志文章

在线工具

Spinal injuries admitted to a specialist centre over a 5-year period: a study to evaluate delayed admission.