ArticleThe journal of spinal cord medicine2018
Surgical management of patients following traumatic spinal cord injury: Identifying barriers to early surgery in a specialized spinal cord injury center.
Article in The journal of spinal cord medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Intervention of Astragalus Membranaceus Extract in rats of spinal cord injury: a systematic review and meta-analysis.Frontiers in neurology · 2025Pooled it
- Analyzing spinal cord injury patients: Directly admitted compared to individuals transferred into level I trauma centers.The journal of spinal cord medicine · 2026Article
- Early versus Delayed Surgical Decompression in Spinal Cord Injury: A Systematic Review and Meta-Analysis.Asian journal of neurosurgery · 2025Review
- Obstacles in "Time to Spine": Challenges for the Timely Delivery of Acute Surgical Care for Patients with Traumatic and Non-Traumatic Spinal Cord Injury.Healthcare (Basel, Switzerland) · 2024Article
- Current Practice of Acute Spinal Cord Injury Management: A Global Survey of Members from the AO Spine.Global spine journal · 2024Article
- Early surgical intervention for acute spinal cord injury: time is spine.Acta neurochirurgica · 2023Review
- Time is spine: What's over the horizon.Journal of clinical orthopaedics and trauma · 2022Article
- Surgical timing in traumatic spinal cord injury: current practice and obstacles to early surgery in Latin America.Spinal cord · 2022Article
- Time is spine: A clarion call to action.Brain & spine · 2022Article
- Decreasing pressure injuries and acute care length of stay in patients with acute traumatic spinal cord injury.The journal of spinal cord medicine · 2021Article
- Observational
- Article
- Modern Medical Management of Spinal Cord Injury.Current neurology and neuroscience reports · 2019Review
- Article
- Geomapping of Traumatic Spinal Cord Injury in Canada and Factors Related to Triage Pattern.Journal of neurotrauma · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
CONTEXT/
objectiveEarly surgery in individuals with traumatic spinal cord injury (T-SCI) can improve neurological recovery and reduce complications, costs and hospitalization. Patient-related and healthcare-related factors could influence surgical delay. This study aimed at determining factors contributing to surgical delay in individuals with T-SCI.
designProspective cohort study.
settingSingle Level I trauma center in Québec, Canada.
participantsOne hundred and forty-four patients who sustained a T-SCI.
interventionsNone. OUTCOME MEASURES: Socio-demographic and clinical administrative data were collected during the pre-operative period. The cohort was stratified in early surgery, or ES (<24 hours post-trauma) and late surgery, or LS (≥ 24 hours post-trauma) groups. A multivariate logistic regression analysis using patient- and healthcare-related factors was carried out to identify the main predictors of LS.
results93 patients had ES (15.6 ± 4.7 hours post-trauma), which is 31 hours earlier than the 51 patients in the LS group (46.9 ± 30.9 hours; P < 10
conclusionsA dedicated team for surgical treatment of individuals with T-SCI, involving direct transfer to the SCI center, faster surgery planning and access to the operating room in hospitals dealing with emergencies from all subspecialties could improve surgical delay and increase the rate of patients undergoing ES.
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