Observational studySpinal cord series and cases2025
Traumatic spinal cord injury, benefits of early transfer to a spinal injury centre.
Observational study in Spinal cord series and cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 authors.
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Abstract
STUDY
designRetrospective observational study.
objectiveThe study aims to evaluate the effects of early transfer of individuals with traumatic spinal cord injuries to a specialist spinal injury centre, focusing on the duration of hospital and intensive care stays, as well as the incidence of medical complications.
settingRegional Spinal Injuries Centre, UK. PATIENTS AND
methodsAll patients with traumatic SCI admitted over a 4-year period to our Regional Spinal Injury Centre were included in this study. A total of 104 patients were divided into 2 groups: those referred within 48 h (34 patients) and those referred later after the injury but within 2 months of injury (70 patients). There were no differences in the number of patients with tetraplegia or paraplegia or in the average age or sex between the two groups. there is no significant difference in the incidence of associated injuries between the 2 groups.
resultsPatients who were transferred early stayed less in the ICU than did those who were transferred late (9 and 25 days, respectively; p < 0.05). The percentage of patients requiring ICU stay was also significantly lower (from 41-9%; p < 0.001); 24% of patients in the early group had medical complications, while 45% of patients in the delayed group had these complications (p < 0.05). The average length of hospital stay ( ± SD), including rehabilitation, in the early admission group was 121 (86.9) days, while that in the delayed admission group was 188 (84.9) days (p < 0.0001).
conclusionEarlier admission of traumatic SCI patients to a spinal injury centre is associated with shorter acute care period, shorter total hospital stay and reduced preventable complications.
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