Adherence to international guidelines in neurocritical care of cervical traumatic spinal cord injury-a retrospective study

This study examines the impact of implementing updated guidelines for managing traumatic spinal cord injuries (SCI) on patient care and outcomes. The focus is on adherence to these guidelines, particularly concerning spinal cord perfusion, early surgery, and prevention of blood clots. The study compares patient management and outcomes before and after the introduction of the updated guidelines in 2013.

• 1
  After the implementation of the 2013 guidelines, mean arterial blood pressure (MAP) was significantly higher in patients.
• 2
  The median time to surgery was significantly shorter after the implementation of the 2013 guidelines.
• 3
  Despite improved adherence to treatment goals, neurological outcome was not improved after implementation of the revised guidelines.