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  4. Impact of multiple injuries on functional and neurological outcomes of patients with spinal cord injury

Impact of multiple injuries on functional and neurological outcomes of patients with spinal cord injury

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2013 · DOI: 10.1186/1757-7241-21-42 · Published: May 30, 2013

Spinal Cord InjuryTraumaRehabilitation

Simple Explanation

This study investigates how multiple injuries affect the recovery of patients with spinal cord injuries (SCI). It compares patients with SCI who have other injuries to those who only have the spinal cord injury. The researchers examined factors like functional status (ability to perform daily tasks) and neurological status (nerve function) at the time of admission to rehabilitation and at the time of discharge. The study found that while patients with multiple injuries initially seemed to have worse outcomes, these differences disappeared after considering the severity and type of spinal cord injury. This suggests that the spinal cord injury itself is the main factor influencing recovery, not the presence of other injuries.

Study Duration
1996 to 2011
Participants
245 patients with traumatic SCI (202 males and 43 females)
Evidence Level
Not specified

Key Findings

  • 1
    SCI patients with and without multiple injuries differed significantly with regard to the level and completeness of the lesion.
  • 2
    Overall, patients with multiple injuries had worse functional status at admission and discharge than monotraumatic subjects.
  • 3
    Multiple injuries do not affect the neurological or rehabilitative prognosis of spinal cord injuries.

Research Summary

This study aimed to compare the outcomes of SCI subjects with or without multiple injuries, examining functional and neurological status at admission and discharge. The results showed that while patients with multiple injuries initially had worse functional status, these differences were not significant after adjusting for neurological features. The conclusion is that multiple injuries do not significantly affect the neurological or rehabilitative prognosis of spinal cord injuries, with the severity of the spinal cord injury itself being the primary determinant of outcomes.

Practical Implications

Rehabilitation Focus

Rehabilitation programs should primarily focus on the characteristics of the spinal cord injury (level and completeness) rather than being overly influenced by the presence of other injuries.

Resource Allocation

Healthcare resources can be allocated based on the severity of the spinal cord injury, as multiple injuries do not independently worsen the prognosis.

Patient Counseling

Patients with spinal cord injuries and multiple injuries can be reassured that their overall recovery potential is primarily determined by the spinal cord injury itself.

Study Limitations

  • 1
    Retrospective nature of the study
  • 2
    Stratification of lesion levels could be misleading
  • 3
    Categorization of multiple injuries dichotomously (yes or no)

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