Acute spinal cord injuries before and after the New Zealand Spinal Cord Impairment Action Plan.

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dc.contributor.author Lin, Peny en
dc.contributor.author Vandal, Alain en
dc.contributor.author Patel, Alpesh en
dc.date.accessioned 2020-01-10T01:01:49Z en
dc.date.issued 2019-11 en
dc.identifier.issn 1445-1433 en
dc.identifier.uri http://hdl.handle.net/2292/49468 en
dc.description.abstract BACKGROUND:Early medical and surgical intervention in acute spinal cord injuries can improve long-term functional outcomes. This study aims to observe the effects of the New Zealand (NZ) Spinal Cord Impairment Action Plan on timing to acute decompression and comparing this to the period prior to the policy change. METHOD:Data were collected in the form a retrospective audit from medical records of 12 patients admitted to Middlemore Hospital from 2010 to 2013 prior to the NZ Spinal Cord Impairment Action Plan, and 11 patients from 2014 to 2015 following the policy change. Time of decompression is defined as either closed reduction or open reduction plus decompression. Patients were transferred from an initial regional hospital to Middlemore Hospital or directly to Middlemore Hospital following injury. Important time points were compared before and after the NZ Spinal Cord Impairment Action Plan. RESULTS:Cox regression modelling was used to compare statistical data. Following the regional policy change, patients had a shorter time of transfer between hospitals, pre-surgical work up, and hence shorter time to decompression. The mean time of injury to decompression before the policy change is 57.8 and 24.9 h after. CONCLUSION:Since implementing the NZ Spinal Cord Impairment Action Plan, time to decompression has been significantly reduced compared with the same group prior. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries ANZ journal of surgery en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Acute spinal cord injuries before and after the New Zealand Spinal Cord Impairment Action Plan. en
dc.type Journal Article en
dc.identifier.doi 10.1111/ans.15523 en
pubs.issue 11 en
pubs.begin-page 1480 en
pubs.volume 89 en
dc.rights.holder Copyright: The author en
pubs.end-page 1484 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 786416 en
pubs.org-id Science en
pubs.org-id Statistics en
dc.identifier.eissn 1445-2197 en
pubs.record-created-at-source-date 2019-11-01 en
pubs.dimensions-id 31667989 en


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