Surgically managed traumatic spinal cord injury in Singapore: a descriptive study across two level one trauma centres
Study design Case Series Objectives To provide an updated understanding of the incidence of surgically managed Traumatic Spinal Cord Injury (TSCI) in Singapore and to identify factors affecting discharge disposition. Setting Patients were identified from two level one trauma centres in Singapore. Me...
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| Veröffentlicht in: | Spinal cord series and cases 2024-11, Vol.10 (1), p.74, Article 74 |
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| creator | Tan, Yong Yao Jiang, Lei Chew, Zhihong Yang, Zhen Rajaram, Rajashulakshana Tun, Mon Hnin Prasanna, Kappaganthu Venkateshi Chen, Li Tat John Soh, Reuben Chee Cheong Kumar, Shree Dinesh |
| description | Study design
Case Series
Objectives
To provide an updated understanding of the incidence of surgically managed Traumatic Spinal Cord Injury (TSCI) in Singapore and to identify factors affecting discharge disposition.
Setting
Patients were identified from two level one trauma centres in Singapore.
Methods
All patients who underwent surgical management for acute TSCI between January 2020 to December 2021 were included. Demographics, injury details, peri-operative condition, hospital length of stay (LOS) and discharge disposition were evaluated. The overall characteristics of TSCI were summarised using descriptive statistics. The difference between discharge destinations was compared using chi-square test or t test. Variables with p values |
| doi_str_mv | 10.1038/s41394-024-00686-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11550378</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3126440959</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-75ef7286f12ef94f8c04b0deb26a1f32e1fab28f28e154057628a7278881c54a3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhiMEolXpH-CALHHhkuJvO1wQqqAgVeJQOFteZxK8cuJgx4v232N2l1I4cBjNSPPMO_a8TfOc4CuCmX6dOWEdbzGtgaWWrXrUnFMsdCsJ5Y8f1GfNZc5bjDGRinRKPG3OWCcoUaI7b8pdSaN3NoQ9muxsR-jRmmyZ7OodyoufbUAuph75eVvSviZ05-fRLjHBG2RRD9klv6x-Byivpd8j61LMGa0_Igqwg4DiDCdN5GBeE-RnzZPBhgyXp3zRfP3w_sv1x_b2882n63e3rWNCrq0SMCiq5UAoDB0ftMN8g3vYUGnJwCiQwW6oHqgGIjgWSlJtFVVaa-IEt-yieXvUXcpmgv6w3QazJD_ZtDfRevN3Z_bfzBh3hhAhMFO6Krw6KaT4vUBezeSzgxDsDLFkwwjViitCWUVf_oNuY0n1fgdKco470VWKHqnDlRIM968h2Pxy1hydNdVZc3DWqDr04uE_7kd--1gBdgRybc0jpD-7_yP7E5mGsIk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3126440959</pqid></control><display><type>article</type><title>Surgically managed traumatic spinal cord injury in Singapore: a descriptive study across two level one trauma centres</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Tan, Yong Yao ; Jiang, Lei ; Chew, Zhihong ; Yang, Zhen ; Rajaram, Rajashulakshana ; Tun, Mon Hnin ; Prasanna, Kappaganthu Venkateshi ; Chen, Li Tat John ; Soh, Reuben Chee Cheong ; Kumar, Shree Dinesh</creator><creatorcontrib>Tan, Yong Yao ; Jiang, Lei ; Chew, Zhihong ; Yang, Zhen ; Rajaram, Rajashulakshana ; Tun, Mon Hnin ; Prasanna, Kappaganthu Venkateshi ; Chen, Li Tat John ; Soh, Reuben Chee Cheong ; Kumar, Shree Dinesh</creatorcontrib><description>Study design
Case Series
Objectives
To provide an updated understanding of the incidence of surgically managed Traumatic Spinal Cord Injury (TSCI) in Singapore and to identify factors affecting discharge disposition.
Setting
Patients were identified from two level one trauma centres in Singapore.
Methods
All patients who underwent surgical management for acute TSCI between January 2020 to December 2021 were included. Demographics, injury details, peri-operative condition, hospital length of stay (LOS) and discharge disposition were evaluated. The overall characteristics of TSCI were summarised using descriptive statistics. The difference between discharge destinations was compared using chi-square test or t test. Variables with p values < 0.3 were selected for multivariable analysis.
Results
Forty-four patients were included. Median age was 65. The most common SCI aetiology was fall from standing height or less (54.6%). Accidents involving personal mobility devices, bicycles and motor vehicles made up the next largest group (20.5%). Thirty-nine cases (88.6%) involved the cervical region. There were two cases of inpatient mortality. Twenty-one patients (50%) were discharged home, 21 (50%) were discharged to a community hospital (CH) or nursing home (NH). The median LOS in an acute hospital was 41 days. Multivariable logistic regression analysis revealed that functional independence measure (FIM) score on discharge was an independent factor that influenced discharge disposition (p = 0.037).
Conclusion
A public health focus on falls prevention, the development of geriatric spinal rehabilitation programs, and the consideration of a national registry are recommended for the comprehensive management of TSCI in Singapore.</description><identifier>ISSN: 2058-6124</identifier><identifier>EISSN: 2058-6124</identifier><identifier>DOI: 10.1038/s41394-024-00686-7</identifier><identifier>PMID: 39521759</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 692/499 ; Adult ; Aged ; Aged, 80 and over ; Anatomy ; Biomedical and Life Sciences ; Biomedicine ; Female ; Human Physiology ; Humans ; Length of Stay - statistics & numerical data ; Male ; Middle Aged ; Neurochemistry ; Neuropsychology ; Neurosciences ; Patient Discharge - statistics & numerical data ; Singapore - epidemiology ; Spinal cord injuries ; Spinal Cord Injuries - epidemiology ; Spinal Cord Injuries - surgery ; Trauma ; Trauma Centers</subject><ispartof>Spinal cord series and cases, 2024-11, Vol.10 (1), p.74, Article 74</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c356t-75ef7286f12ef94f8c04b0deb26a1f32e1fab28f28e154057628a7278881c54a3</cites><orcidid>0009-0003-7638-0142</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39521759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Yong Yao</creatorcontrib><creatorcontrib>Jiang, Lei</creatorcontrib><creatorcontrib>Chew, Zhihong</creatorcontrib><creatorcontrib>Yang, Zhen</creatorcontrib><creatorcontrib>Rajaram, Rajashulakshana</creatorcontrib><creatorcontrib>Tun, Mon Hnin</creatorcontrib><creatorcontrib>Prasanna, Kappaganthu Venkateshi</creatorcontrib><creatorcontrib>Chen, Li Tat John</creatorcontrib><creatorcontrib>Soh, Reuben Chee Cheong</creatorcontrib><creatorcontrib>Kumar, Shree Dinesh</creatorcontrib><title>Surgically managed traumatic spinal cord injury in Singapore: a descriptive study across two level one trauma centres</title><title>Spinal cord series and cases</title><addtitle>Spinal Cord Ser Cases</addtitle><addtitle>Spinal Cord Ser Cases</addtitle><description>Study design
Case Series
Objectives
To provide an updated understanding of the incidence of surgically managed Traumatic Spinal Cord Injury (TSCI) in Singapore and to identify factors affecting discharge disposition.
Setting
Patients were identified from two level one trauma centres in Singapore.
Methods
All patients who underwent surgical management for acute TSCI between January 2020 to December 2021 were included. Demographics, injury details, peri-operative condition, hospital length of stay (LOS) and discharge disposition were evaluated. The overall characteristics of TSCI were summarised using descriptive statistics. The difference between discharge destinations was compared using chi-square test or t test. Variables with p values < 0.3 were selected for multivariable analysis.
Results
Forty-four patients were included. Median age was 65. The most common SCI aetiology was fall from standing height or less (54.6%). Accidents involving personal mobility devices, bicycles and motor vehicles made up the next largest group (20.5%). Thirty-nine cases (88.6%) involved the cervical region. There were two cases of inpatient mortality. Twenty-one patients (50%) were discharged home, 21 (50%) were discharged to a community hospital (CH) or nursing home (NH). The median LOS in an acute hospital was 41 days. Multivariable logistic regression analysis revealed that functional independence measure (FIM) score on discharge was an independent factor that influenced discharge disposition (p = 0.037).
Conclusion
A public health focus on falls prevention, the development of geriatric spinal rehabilitation programs, and the consideration of a national registry are recommended for the comprehensive management of TSCI in Singapore.</description><subject>692/308/174</subject><subject>692/499</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomy</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Female</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Singapore - epidemiology</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - epidemiology</subject><subject>Spinal Cord Injuries - surgery</subject><subject>Trauma</subject><subject>Trauma Centers</subject><issn>2058-6124</issn><issn>2058-6124</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1v1DAQhiMEolXpH-CALHHhkuJvO1wQqqAgVeJQOFteZxK8cuJgx4v232N2l1I4cBjNSPPMO_a8TfOc4CuCmX6dOWEdbzGtgaWWrXrUnFMsdCsJ5Y8f1GfNZc5bjDGRinRKPG3OWCcoUaI7b8pdSaN3NoQ9muxsR-jRmmyZ7OodyoufbUAuph75eVvSviZ05-fRLjHBG2RRD9klv6x-Byivpd8j61LMGa0_Igqwg4DiDCdN5GBeE-RnzZPBhgyXp3zRfP3w_sv1x_b2882n63e3rWNCrq0SMCiq5UAoDB0ftMN8g3vYUGnJwCiQwW6oHqgGIjgWSlJtFVVaa-IEt-yieXvUXcpmgv6w3QazJD_ZtDfRevN3Z_bfzBh3hhAhMFO6Krw6KaT4vUBezeSzgxDsDLFkwwjViitCWUVf_oNuY0n1fgdKco470VWKHqnDlRIM968h2Pxy1hydNdVZc3DWqDr04uE_7kd--1gBdgRybc0jpD-7_yP7E5mGsIk</recordid><startdate>20241109</startdate><enddate>20241109</enddate><creator>Tan, Yong Yao</creator><creator>Jiang, Lei</creator><creator>Chew, Zhihong</creator><creator>Yang, Zhen</creator><creator>Rajaram, Rajashulakshana</creator><creator>Tun, Mon Hnin</creator><creator>Prasanna, Kappaganthu Venkateshi</creator><creator>Chen, Li Tat John</creator><creator>Soh, Reuben Chee Cheong</creator><creator>Kumar, Shree Dinesh</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0003-7638-0142</orcidid></search><sort><creationdate>20241109</creationdate><title>Surgically managed traumatic spinal cord injury in Singapore: a descriptive study across two level one trauma centres</title><author>Tan, Yong Yao ; Jiang, Lei ; Chew, Zhihong ; Yang, Zhen ; Rajaram, Rajashulakshana ; Tun, Mon Hnin ; Prasanna, Kappaganthu Venkateshi ; Chen, Li Tat John ; Soh, Reuben Chee Cheong ; Kumar, Shree Dinesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-75ef7286f12ef94f8c04b0deb26a1f32e1fab28f28e154057628a7278881c54a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>692/308/174</topic><topic>692/499</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomy</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Female</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Patient Discharge - statistics & numerical data</topic><topic>Singapore - epidemiology</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - epidemiology</topic><topic>Spinal Cord Injuries - surgery</topic><topic>Trauma</topic><topic>Trauma Centers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, Yong Yao</creatorcontrib><creatorcontrib>Jiang, Lei</creatorcontrib><creatorcontrib>Chew, Zhihong</creatorcontrib><creatorcontrib>Yang, Zhen</creatorcontrib><creatorcontrib>Rajaram, Rajashulakshana</creatorcontrib><creatorcontrib>Tun, Mon Hnin</creatorcontrib><creatorcontrib>Prasanna, Kappaganthu Venkateshi</creatorcontrib><creatorcontrib>Chen, Li Tat John</creatorcontrib><creatorcontrib>Soh, Reuben Chee Cheong</creatorcontrib><creatorcontrib>Kumar, Shree Dinesh</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Spinal cord series and cases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, Yong Yao</au><au>Jiang, Lei</au><au>Chew, Zhihong</au><au>Yang, Zhen</au><au>Rajaram, Rajashulakshana</au><au>Tun, Mon Hnin</au><au>Prasanna, Kappaganthu Venkateshi</au><au>Chen, Li Tat John</au><au>Soh, Reuben Chee Cheong</au><au>Kumar, Shree Dinesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgically managed traumatic spinal cord injury in Singapore: a descriptive study across two level one trauma centres</atitle><jtitle>Spinal cord series and cases</jtitle><stitle>Spinal Cord Ser Cases</stitle><addtitle>Spinal Cord Ser Cases</addtitle><date>2024-11-09</date><risdate>2024</risdate><volume>10</volume><issue>1</issue><spage>74</spage><pages>74-</pages><artnum>74</artnum><issn>2058-6124</issn><eissn>2058-6124</eissn><abstract>Study design
Case Series
Objectives
To provide an updated understanding of the incidence of surgically managed Traumatic Spinal Cord Injury (TSCI) in Singapore and to identify factors affecting discharge disposition.
Setting
Patients were identified from two level one trauma centres in Singapore.
Methods
All patients who underwent surgical management for acute TSCI between January 2020 to December 2021 were included. Demographics, injury details, peri-operative condition, hospital length of stay (LOS) and discharge disposition were evaluated. The overall characteristics of TSCI were summarised using descriptive statistics. The difference between discharge destinations was compared using chi-square test or t test. Variables with p values < 0.3 were selected for multivariable analysis.
Results
Forty-four patients were included. Median age was 65. The most common SCI aetiology was fall from standing height or less (54.6%). Accidents involving personal mobility devices, bicycles and motor vehicles made up the next largest group (20.5%). Thirty-nine cases (88.6%) involved the cervical region. There were two cases of inpatient mortality. Twenty-one patients (50%) were discharged home, 21 (50%) were discharged to a community hospital (CH) or nursing home (NH). The median LOS in an acute hospital was 41 days. Multivariable logistic regression analysis revealed that functional independence measure (FIM) score on discharge was an independent factor that influenced discharge disposition (p = 0.037).
Conclusion
A public health focus on falls prevention, the development of geriatric spinal rehabilitation programs, and the consideration of a national registry are recommended for the comprehensive management of TSCI in Singapore.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>39521759</pmid><doi>10.1038/s41394-024-00686-7</doi><orcidid>https://orcid.org/0009-0003-7638-0142</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2058-6124 |
| ispartof | Spinal cord series and cases, 2024-11, Vol.10 (1), p.74, Article 74 |
| issn | 2058-6124 2058-6124 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11550378 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | 692/308/174 692/499 Adult Aged Aged, 80 and over Anatomy Biomedical and Life Sciences Biomedicine Female Human Physiology Humans Length of Stay - statistics & numerical data Male Middle Aged Neurochemistry Neuropsychology Neurosciences Patient Discharge - statistics & numerical data Singapore - epidemiology Spinal cord injuries Spinal Cord Injuries - epidemiology Spinal Cord Injuries - surgery Trauma Trauma Centers |
| title | Surgically managed traumatic spinal cord injury in Singapore: a descriptive study across two level one trauma centres |
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