Current Practice of Acute Spinal Cord Injury Management: A Global Survey of Members from the AO Spine.
Publication/Presentation Date
3-1-2024
Abstract
STUDY DESIGN: Cross-sectional, international survey.
OBJECTIVES: To examine current international practices as well as knowledge, adoption, and barriers to guideline implementation for acute spinal cord injury (SCI) management.
METHODS: A survey was distributed to members of AO Spine. The questionnaire was structured to obtain demographic data and preferred acute SCI practices surrounding steroid use, hemodynamic management, and timing of surgical decompression.
RESULTS: 593 members completed the survey including orthopaedic surgeons (54.3%), neurosurgeons (35.6%), and traumatologists (8.4%). Most (61.2%) respondents were from low and middle-income countries (LMICs). 53.6% of physicians used steroids for the treatment of acute SCIs. Respondents from LMICs were more likely to administer steroids than HICs (178 vs. 78;
CONCLUSION: This survey highlights challenges in the implementation of standardized global practices in the management of acute SCI. Future research efforts will need to refine SCI guidelines and address barriers to guideline implementation.
Volume
14
Issue
2
First Page
546
Last Page
560
ISSN
2192-5682
Published In/Presented At
Hejrati, N., Moghaddamjou, A., Pedro, K., Alvi, M. A., Harrop, J. S., Guest, J. D., Kwon, B. K., & Fehlings, M. G. (2024). Current Practice of Acute Spinal Cord Injury Management: A Global Survey of Members from the AO Spine. Global spine journal, 14(2), 546–560. https://doi.org/10.1177/21925682221116888
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
36036628
Department(s)
Administration and Leadership
Document Type
Article