4 results match your criteria: "Health Services and Clinical Care Unit[Affiliation]"
Duration of detrusor overactivity as an independent predictive factor of upper urinary tract deterioration in patients with traumatic spinal cord injury: results of a retrospective cohort study.
Spinal Cord
June 2024
Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Article Synopsis
- The study aimed to evaluate whether the duration of detrusor overactivity (DO) in cystometric tests is an independent predictor of upper urinary tract deterioration (UUTD) in patients with traumatic spinal cord injury (TSCI).
- Using a retrospective cohort design, the researchers analyzed medical records of 194 TSCI patients, focusing on the DOratio and other clinical factors to assess UUTD, defined by signs like chronic kidney disease.
- The findings indicated that a high DOratio (≥0.33) was significantly associated with an increased risk of UUTD, suggesting its potential as an independent predictor, though further prospective studies are needed to confirm these results.
Do individuals from an SCI-specialized rehabilitation facility have fewer secondary health conditions than those from a non-SCI-specialized rehabilitation facility? Analysis of the InSCI database from a middle-income country.
J Spinal Cord Med
January 2024
Health Services and Clinical Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland.
Objectives: To determine whether attending an SCI-specialized rehabilitation facility (SSRF) is independently associated with having fewer secondary health conditions (SHCs) in middle-income country contexts.
Study Design: Cross-sectional observational study.
Setting: Four rehabilitation facilities in Thailand (one SSRF and three non-SSRF).
Minimal clinically important difference (MCID) and minimal detectable change (MDC) of Spinal Cord Ability Ruler (SCAR).
Spinal Cord
December 2023
Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Study Design: Retrospective cohort study.
Objectives: To find minimal clinically important difference (MCID) and minimal detectable change (MDC) of Spinal Cord Ability Ruler (SCAR) in Thai participants with spinal cord injury (SCI).
Setting: Rehabilitation ward at Maharaj Nakorn Chiang Mai Hospital.
Performance of the Dutch clinical prediction rule for the ambulation outcome after spinal cord injury in a middle-income country clinical setting: an external validation study in the Thai retrospective cohort.
Spinal Cord
November 2023
Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Article Synopsis
- * A total of 333 patients were analyzed, revealing that 59% were able to ambulate; the CPR showed excellent discrimination with an area under the curve (auROC) of 0.93, but it underestimated outcomes, particularly in patients with specific injury classifications (AIS grade D).
- * The findings suggest that while the original Dutch CPR is effective for predicting ambulation outcomes across different populations, it may require adjustments to improve accuracy in certain groups, particularly those with non-tra