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Quality of In-Hospital Care in Traumatic Spinal Column and Cord Injuries (Tsc/Sci) in I.R Iran Publisher Pubmed



Sadeghinaini M1 ; Jazayeri SB2 ; Kankam SB2, 3 ; Ghodsi Z2, 4 ; Baigi V1 ; Zeinaddini Meymand A2 ; Pourrashidi A5 ; Azadmanjir Z2, 4 ; Dashtkoohi M2, 16 ; Zendehdel K6 ; Pirnejad H7, 8 ; Fakharian E9 ; Oreilly GM10, 11, 12 ; Vaccaro AR13 Show All Authors
Authors
  1. Sadeghinaini M1
  2. Jazayeri SB2
  3. Kankam SB2, 3
  4. Ghodsi Z2, 4
  5. Baigi V1
  6. Zeinaddini Meymand A2
  7. Pourrashidi A5
  8. Azadmanjir Z2, 4
  9. Dashtkoohi M2, 16
  10. Zendehdel K6
  11. Pirnejad H7, 8
  12. Fakharian E9
  13. Oreilly GM10, 11, 12
  14. Vaccaro AR13
  15. Shakeri A14
  16. Yousefzadehchabok S15
  17. Babaei M2, 16
  18. Kouchakinejaderamsadati L15
  19. Haji Ghadery A2, 17
  20. Aryannejad A18
  21. Piri SM2
  22. Azarhomayoun A2
  23. Sadeghibazargani H19
  24. Daliri S20
  25. Lotfi MS21
  26. Pourandish Y22
  27. Bagheri L23
  28. Rahimimovaghar V2, 4, 24, 25, 26
Show Affiliations
Authors Affiliations
  1. 1. Department of Neurosurgery, Lorestan University of Medical Sciences, Khoram-Abad, Iran
  2. 2. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. International Neurosurgery Group (ING), Universal Scientific Education and Research Network (Usern), Tehran, Iran
  4. 4. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
  8. 8. Erasmus School of Health Policy and Management (ESHPM), Erasmus University Rotterdam, Rotterdam, Netherlands
  9. 9. Trauma Research Center, Kashan University of Medical Sciences, IR, Kashan, Iran
  10. 10. School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
  11. 11. Emergency and Trauma Centre, The Alfred, Melbourne, Australia
  12. 12. National Trauma Research Institute, The Alfred, Melbourne, Australia
  13. 13. Department of Orthopedics and Neurosurgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, United States
  14. 14. Neurosurgical Surgery Department, Arak University of Medical Sciences, Arak, Iran
  15. 15. Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
  16. 16. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  17. 17. Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran, Iran
  18. 18. Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
  19. 19. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  20. 20. Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
  21. 21. The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  22. 22. Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran
  23. 23. Shahid Rahnemoun Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  24. 24. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  25. 25. Universal Scientific Education and Research Network (USERN), Tehran, Iran
  26. 26. Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran

Source: European Spine Journal Published:2024


Abstract

Purpose: This study aimed to implement the Quality of Care (QoC) Assessment Tool from the National Spinal Cord/Column Injury Registry of Iran (NSCIR-IR) to map the current state of in-hospital QoC of individuals with Traumatic Spinal Column and Cord Injuries (TSCCI). Methods: The QoC Assessment Tool, developed from a scoping review of the literature, was implemented in NSCIR-IR. We collected the required data from two primary sources. Questions regarding health system structures and care processes were completed by the registrar nurse reviewing the hospital records. Questions regarding patient outcomes were gathered through patient interviews. Results: We registered 2812 patients with TSCCI over six years from eight referral hospitals in NSCIR-IR. The median length of stay in the general hospital and intensive care unit was four and five days, respectively. During hospitalization 4.2% of patients developed pressure ulcers, 83.5% of patients reported satisfactory pain control and none had symptomatic urinary tract infections. 100%, 80%, and 90% of SCI registration centers had 24/7 access to CT scans, MRI scans, and operating rooms, respectively. Only 18.8% of patients who needed surgery underwent a surgical operation in the first 24 h after admission. In-hospital mortality rate for patients with SCI was 19.3%. Conclusion: Our study showed that the current in-hospital care of our patients with TSCCI is acceptable in terms of pain control, structure and length of stay and poor regarding in-hospital mortality rate and timeliness. We must continue to work on lowering rates of pressure sores, as well as delays in decompression surgery and fatalities. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023.
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