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Indicators of Quality of Care in Individuals With Traumatic Spinal Cord Injury: A Scoping Review Publisher



Khosravi S1, 2 ; Khayyamfar A1, 2 ; Shemshadi M1, 2 ; Koltapeh MP1, 2 ; Sadeghinaini M3 ; Ghodsi Z2 ; Shokraneh F4, 5 ; Bardsiri MS2 ; Derakhshan P1, 2 ; Komlakh K3 ; Vaccaro AR5 ; Fehlings MG6 ; Guest JD7 ; Noonan V8 Show All Authors
Authors
  1. Khosravi S1, 2
  2. Khayyamfar A1, 2
  3. Shemshadi M1, 2
  4. Koltapeh MP1, 2
  5. Sadeghinaini M3
  6. Ghodsi Z2
  7. Shokraneh F4, 5
  8. Bardsiri MS2
  9. Derakhshan P1, 2
  10. Komlakh K3
  11. Vaccaro AR5
  12. Fehlings MG6
  13. Guest JD7
  14. Noonan V8
  15. Rahimimovaghar V2, 9
Show Affiliations
Authors Affiliations
  1. 1. Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Neurosurgery Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. King’s Technology Evaluation Centre, London Institute of Healthcare Engineering, School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom
  5. 5. The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, United States
  6. 6. Department of Surgery, University of Toronto, Division of Neurosurgery, Krembil Neuroscience Centre, University Health Network, Toronto, ON, Canada
  7. 7. Department of Neurological Surgery, University of Miami, Miami, FL, United States
  8. 8. Rick Hansen Institute, University of British Columbia, Vancouver, BC, Canada
  9. 9. Universal Scientific Education and Research Network (USERN), Tehran, Iran

Source: Global Spine Journal Published:2022


Abstract

Study Design: Scoping review. Objectives: To identify a practical and reproducible approach to organize Quality of Care Indicators (QoCI) in individuals with traumatic spinal cord injury (TSCI). Methods: A comprehensive literature review was conducted in the Cochrane Central Register of Controlled Trials (CENTRAL) (Date: May 2018), MEDLINE (1946 to May 2018), and EMBASE (1974 to May 2018). Two independent reviewers screened 6092 records and included 262 full texts, among which 60 studies were included for qualitative analysis. We included studies, with no language restriction, containing at least 1 quality of care indicator for individuals with traumatic spinal cord injury. Each potential indicator was evaluated in an online, focused group discussion to define its categorization (healthcare system structure, medical process, and individuals with Traumatic Spinal Cord Injury related outcomes), definition, survey options, and scale. Results: A total of 87 indicators were identified from 60 studies screened using our eligibility criteria. We defined each indicator. Out of 87 indicators, 37 appraised the healthcare system structure, 30 evaluated medical processes, and 20 included individuals with TSCI related outcomes. The healthcare system structure included the impact of the cost of hospitalization and rehabilitation, as well as staff and patient perception of treatment. The medical processes included targeting physical activities for improvement of health-related outcomes and complications. Changes in motor score, functional independence, and readmission rates were reported as individuals with TSCI-related outcomes indicators. Conclusion: Indicators of quality of care in the management of individuals with TSCI are important for health policy strategists to standardize healthcare assessment, for clinicians to improve care, and for data collection efforts including registries. © The Author(s) 2021.
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