Table 3 MRI/spinal surgery timing, ISP/SPP monitoring and neuroprotective therapies
From: The acute phase management of spinal cord injury affecting polytrauma patients: the ASAP study
Total | |
|---|---|
n (%) | |
Spinal surgery after intracranial, hemodynamic and respiratory stabilization? | |
Yes | 158 (92.4) |
No | 13 (7.6) |
MRI after intracranial, hemodynamic and respiratory stabilization? | |
Yes | 160 (93.6) |
No | 11 (6.4) |
Timing of MRI in ASIA grade A-D | |
Within 3 h | 74 (43.3) |
Within 6 h | 38 (22.2) |
Within 12 h | 20 (11.7) |
Within 24 h | 20 (11.7) |
Within 48 h | 4 (2.3) |
Within 72 h | 6 (3.5) |
Other | 9 (5.3) |
Timing of spinal decompression/stabilization in ASIA grade A | |
Within 6 h | 48 (28.1) |
Within 12 h | 26 (15.2) |
Within 24 h | 54 (31.6) |
Within 48 h | 19 (11.1) |
Within 72 h | 13 (7.6) |
Other | 11 (6.4) |
Timing of spinal decompression/stabilization in ASIA grade B-D | |
Within 6 h | 58 (33.9) |
Within 12 h | 31 (18.1) |
Within 24 h | 57 (33.3) |
Within 48 h | 15 (8.8) |
Within 72 h | 8 (4.7) |
Other | 2 (1.2) |
Corticosteroids therapy in tSCI | |
Yes as NASCIS II/III | 47 (27.5) |
Yes but lower than NACSIS | 18 (10.5) |
No | 103 (60.2) |
Other | 3 (1.8) |
Monitoring of ISP/SPP in tSCI | |
Frequently | 8 (4.7) |
In few cases | 15 (8.8) |
Never | 148 (86.5) |
Is ISP/SPP monitoring useful in tSCI? | |
Yes | 87 (50.9) |
No | 84 (49.1) |
CSF drainage in tSCI | |
Yes | 35 (20.5) |
No | 136 (79.5) |
Therapeutic hypothermia in tSCI | |
Frequently | 3 (1.8) |
In few cases | 31 (18.1) |
Never | 137 (80.1) |
Is therapeutic hypothermia useful in tSCI? | |
Yes | 45 (26.3) |
No | 126 (73.7) |