11 results match your criteria: "Canada (J-MM-T); and Sainte-Justine University Hospital Research Center[Affiliation]"
Is the Level of Consent to a National Research Registry Associated With Patient Outcomes After Traumatic Spinal Cord Injury? A Population-Based Study From the Rick Hansen Spinal Cord Injury Registry.
Am J Phys Med Rehabil
February 2025
From the Faculty of Medicine, University of Montreal, Montreal, QC, Canada (AD, J-MM-T, AR-D); Hôpital du Sacré-Cœur de Montréal, Montreal, QC, Canada (AD, J-MM-T, AR-D); Sainte-Justine University Hospital Research Center, Montréal, QC, Canada (J-MM-T); Praxis Spinal Cord Institute, Vancouver, BC, Canada (HAH, DK, JX, SH, VKN); Division of Orthopaedics, Department of Surgery, Schulich School of Medicine, Western University, London, ON, Canada (CB); École de réadaptation, Université de Montréal, Montreal, QC, Canada (DB); Centre de recherche interdisciplinaire en réadaptation, Institut universitaire sur la réadaptation en déficience physique de Montréal, Montréal, QC, Canada (DB); Department of Surgery (Neurosurgery), Dalhousie University, Halifax, NS, Canada (SC); Division of Neurosurgery, University of Saskatchewan, Royal University Hospital, Saskatoon, SK, Canada (DF); Department of Physical Medicine and Rehabilitation, University of Saskatchewan, The Rehabiliation Centre, Saskatoon, SK, Canada (AGL); Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AL, Canada (AL-S); CHU de Québec, Quebec, QC, Canada (JP); The Ottawa Hospital Rehabilitation Centre, Ottawa, ON, Canada (VS); Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC, Canada (AT); and The Ottawa Hospital, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada (ET).
Article Synopsis
- The study assessed how consenting to the Rick Hansen Spinal Cord Injury Registry (RHSCIR) affected patients' outcomes after spinal cord injuries, including hospital stay length, mortality, complications, and discharge location.
- A retrospective analysis was done using data from 2014-2019, comparing three groups: those who provided full consent, those who declined follow-up interviews but accepted some data collection, and those who didn't consent at all.
- Results showed that participants who declined full consent experienced longer hospital stays, more complications like pneumonia and pressure injuries, and were less likely to be discharged home compared to those who consented fully.
Does Improvement in American Spinal Injury Association Impairment Scale Grade Correlate With Functional Recovery in All Patients With a Traumatic Spinal Cord Injury?
Am J Phys Med Rehabil
February 2024
From the Hôpital du Sacré-Cœur de Montréal, Montreal, Canada (PMM, AR-D, AD, J-MM-T); Department of Biomedical Sciences, Faculty of Medicine, University of Montreal, Montreal, Canada (PMM, AD); Department of Surgery, Faculty of Medicine, University of Montreal, Montreal, Canada (MB, J-MM-T); Department of Community Health Sciences, University of Sherbrooke, Longueuil, Canada (MB); Sainte-Justine University Hospital Research Center, Montréal, Canada (MB, J-MM-T); and Department of Medicine, Faculty of Medicine, University of Montreal, Montreal, Canada (AR-D).
Objective: The aim of the study is to determine what improvement on the American Spinal Injury Impairment Scale correlates with functional status after a traumatic spinal cord injury.
Design: We performed an observational cohort study, analyzing prospective data from 168 patients with traumatic spinal cord injury admitted to a single level 1 trauma center. A multivariable analysis was performed to assess the relationship between functional status (from the Spinal Cord Independence Measure) at 1-year follow-up and American Spinal Injury Impairment Scale grade (baseline and 1-yr follow-up), while taking into account covariables describing the sociodemographic status, trauma severity, and level of neurological injury.
Does Wait Time During Acute Care for Transfer to Rehabilitation Admission Impact the Outcomes After a Traumatic Spinal Cord Injury?: A Retrospective Cohort Study.
Am J Phys Med Rehabil
December 2022
From the Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Université de Montréal, Pavillon Roger-Gaudry, Montreal, Quebec, Canada (AR-D); Centre de recherche du CIUSSS Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada (AR-D, J-MM-T); Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montreal, Montreal, Québec, Canada (AR-D); Faculty of Medicine, University of Montreal, Pavillon Roger-Gaudry, Montreal, Quebec, Canada (AD, ÉB-M, PJK, GM); Department of Orthopaedic Surgery, Faculty of Medicine, Université de Montréal, Pavillon Roger-Gaudry, Montreal, Quebec, Canada (J-MM-T); and Sainte-Justine University Hospital Research Center, Montreal, Quebec, Canada (J-MM-T).
Background: The objective of this study was to determine the impact of wait time in acute care for inpatient functional rehabilitation admission on the inpatient functional rehabilitation length of stay and functional outcome after a traumatic spinal cord injury.
Methods: A retrospective cohort including 277 patients admitted to a single level 1 spinal cord injury acute care center was completed. Partial correlations were used between wait time (in days) for transfer to inpatient functional rehabilitation, the inpatient functional rehabilitation length of stay, and the Spinal Cord Independence Measure total score in the chronic period, adjusting for confounding variables.
Protocol for rapid onset of mobilisation in patients with traumatic spinal cord injury (PROMPT-SCI) study: a single-arm proof-of-concept trial of early in-bed leg cycling following acute traumatic spinal cord injury.
BMJ Open
November 2021
Department of Neurological Surgery, University of Louisville, Louisville, Kentucky, USA.
Introduction: Activity-based therapy (ABT) is an important aspect of rehabilitation following traumatic spinal cord injury (SCI). Unfortunately, it has never been adapted to acute care despite compelling preclinical evidence showing that it is safe and effective for promoting neurological recovery when started within days after SCI. This article provides the protocol for a study that will determine the feasibility and explore potential benefits of early ABT in the form of in-bed leg cycling initiated within 48 hours after the end of spinal surgery for SCI.
View Article and Find Full Text PDFEarly Clinical Prediction of Independent Outdoor Functional Walking Capacity in a Prospective Cohort of Traumatic Spinal Cord Injury Patients.
Am J Phys Med Rehabil
November 2021
From the Faculty of Medicine, Department of Medicine, University of Montreal, Montreal, Quebec, Canada (SJ, J-MM-T, AD, AR-D); CIUSSS du Nord-de-l'Île de Montréal (Hôpital du Sacré-Coeur de Montréal), Montreal, Quebec, Canada (J-MM-T, JB, AR-D); Faculty of Medicine, Department of Surgery, University of Montreal, Montreal, Quebec, Canada (J-MM-T); Sainte-Justine University Hospital Research Center, Montréal, Quebec, Canada (J-MM-T); Faculty of Medicine, Université Laval, Pavillon Ferdinand-Vandry, Québec City, Québec, Canada (M-CJ); and Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Québec, Canada (AR-D).
Objective: The first objective was to identify a method for early prediction of independent outdoor functional walking 1 yr after a traumatic spinal cord injury using the motor and sensory function derived from the International Standards for Neurological Classification of Spinal Cord Injury assessment during acute care. Then, the second objective was to develop a clinically relevant prediction rule that would be accurate, easy to use, and quickly calculated in clinical setting.
Design: A prospective cohort of 159 traumatic spinal cord injury patients was analyzed.
Who Recovers Independent Bowel Management During the First Year After a Traumatic Spinal Cord Injury?: A Case-Control Study.
Am J Phys Med Rehabil
April 2022
From the Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada (AD, J-MM-T, VL, ARD); Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada (J-MM-T, ARD); and Sainte-Justine University Hospital Research Center, Montreal, Quebec, Canada (J-MM-T).
Objectives: The aims of the study were (1) to document the characteristics of patients with impaired bowel functioning during the subacute and chronic phases and (2) to identify factors associated with recovery of independent bowel functioning during the first year after traumatic spinal cord injury in patients who present impaired bowel functioning during the subacute phase, when bowel rehabilitation is completed.
Design: This is a case-control study on 123 adult traumatic spinal cord injury patients. Bowel function assessments using item 7 of the Spinal Cord Independence Measure III were obtained 3 mos after traumatic spinal cord injury and during the early chronic phase.
Early Predictors of Neurological Outcomes After Traumatic Spinal Cord Injury: A Systematic Review and Proposal of a Conceptual Framework.
Am J Phys Med Rehabil
July 2021
From the Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada (PMM, AR-D, J-MM-T); Department of Surgery, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada (MB, J-MM-T); Sainte-Justine University Hospital Research Center, Montreal, Quebec, Canada (MB, J-MM-T); Department of Community Health Sciences, Faculty of Medicine and Health Sciences, Centre de recherche Charles-Le Moyne Saguenay-Lac-St-Jean sur les innovation de santé, Université de Sherbrooke, Longueuil, Quebec, Canada (MB); and Department of Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada (AR-D).
Background: Neurological outcomes after traumatic spinal cord injury are variable and depend on patient-, trauma-, and treatment-related factors as well as on spinal cord injury characteristics, imaging, and biomarkers.
Objective: The aims of the study were to identify and classify the early predictors of neurological outcomes after traumatic spinal cord injury.
Data Sources: The Medline, PubMed, Embase, and the Cochrane Central Database were searched using medical subject headings.
The Functional Impact of the Absence of a Bulbocavernosus Reflex in the Postoperative Period After a Motor-Complete Traumatic Spinal Cord Injury.
Am J Phys Med Rehabil
August 2020
From the Faculty of Medicine, Department of Medicine, University of Montreal, Montreal, Quebec, Canada (NG, B-HN, AR-D); Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada (J-MM-T, AR-D); Sainte-Justine University Hospital Research Center, Montréal, Quebec, Canada (J-MM-T); Faculty of Medicine, Department of Surgery, University of Montreal, Montreal, Quebec, Canada (J-MM-T); and Institut de réadaptation Gingras-Lindsay de Montréal, Montréal, Quebec, Canada (B-HN).
Article Synopsis
- The study aimed to understand how the absence of the bulbocavernosus reflex after spinal cord injury surgery affects recovery over 6-12 months.
- Researchers examined data from 66 patients, comparing those with and without the reflex to see its impact on functional outcomes using specific measurement scales.
- Results showed that while individuals with the reflex fared better in certain recovery metrics, the differences weren't statistically significant, indicating the need for further research with a larger sample to better understand these outcomes.
Relationships Between Specific Functional Abilities and Health-Related Quality of Life in Chronic Traumatic Spinal Cord Injury.
Am J Phys Med Rehabil
January 2019
From the Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada (JG, AR-D, CT, J-MM-T); Department of Surgery, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada (JG, J-MM-T); and Sainte-Justine University Hospital Research Center, Montréal, Quebec, Canada (J-MM-T).
Objective: The objective of this study was to explore the relationships between specific functional abilities assessed from the third version of the Spinal Cord Injury Measure and health-related quality of life after a traumatic spinal cord injury.
Design: A prospective cohort of 195 patients who had sustained a traumatic spinal cord injury from C1 to L1 and consecutively admitted to a single level 1 spinal cord injury-specialized trauma center between April 2010 and September 2016 was studied. Correlation coefficients were calculated between Spinal Cord Injury Measure scores and Short Form 36 version 2 summary scores (physical component score; mental component score).
Costs and Length of Stay for the Acute Care of Patients with Motor-Complete Spinal Cord Injury Following Cervical Trauma: The Impact of Early Transfer to Specialized Acute SCI Center.
Am J Phys Med Rehabil
July 2017
From the Hôpital du Sacré-Coeur (AR-D, CT, J-MM-T); Faculty of Medicine, University of Montreal (AR-D, DEF, ÉB-M, J-MM-T); Hôpital Sainte-Justine (J-MM-T), Montréal; and Centre for Interdisciplinary Research in Rehabilitation, Québec (DEF), Québec, Canada.
Objective: Acute spinal cord injury (SCI) centers aim to optimize outcome following SCI. However, there is no timeframe to transfer patients from regional to SCI centers in order to promote cost-efficiency of acute care. Our objective was to compare costs and length of stay (LOS) following early and late transfer to the SCI center.
View Article and Find Full Text PDFDoes the Acute Care Spinal Cord Injury Setting Predict the Occurrence of Pressure Ulcers at Arrival to Intensive Rehabilitation Centers?
Am J Phys Med Rehabil
April 2016
From the Hôpital du Sacré-Coeur, Montréal, Canada (AR-D, CT, SP, J-MM-T); Faculty of Medicine, University of Montreal, Montreal, Canada (AR-D, ÉB-M, SP, J-MM-T); Hôpital Sainte-Justine, Montreal, Canada (SP, J-MM-T); and Institut de Réadaptation Gingras-Lindsay de Montreal, Montreal, Canada (AR-D).
Objective: The objective of this study was to evaluate the impact of acute care in specialized spinal cord injury (SCI) trauma centers on the prevalence of pressure ulcers (PU) upon arrival at a functional rehabilitation center after a traumatic SCI.
Design: This is a retrospective cohort study among 123 patients with traumatic SCI referred to intensive functional rehabilitation between January 1, 2009, and December 31, 2011. Group 1 (n = 90) was referred from a level 1 specialized SCI trauma center and group 2 (n = 33) was referred from seven trauma centers not specialized in SCI.