Classifying incomplete spinal cord injury syndromes: algorithms based on the International Standards for Neurological and Functional Classification of Spinal Cord Injury Patients.
OBJECTIVE: To develop an objective and uniform means for classifying patients with incomplete spinal cord injury (SCI) according to SCI syndromes. DESIGN: Criteria for assigning the syndromes (defined by the International Standards for Neurological and Functional Classification of SCI Patients) were...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 81; no. 5; pp. 644 - 653 |
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| Autores principales: | , , , , |
| Formato: | algorithm pictorial research tables/charts Journal Article |
| Publicado: |
W B Saunders
2000 May
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107119480&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107119480 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: 2000 May vid: 81 iid: 5 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 107119480 107119480 2000041931 NLM10807106 107119480 ppf: 644 ppct: 9 formats: tig: atl: Classifying incomplete spinal cord injury syndromes: algorithms based on the International Standards for Neurological and Functional Classification of Spinal Cord Injury Patients. aug: au: Hayes KC Hsieh JTC Wolfe DL Potter PJ Delaney GA affil: Parkwood Hospital, 801 Commissioners Rd E, London, Ontario, Canada N6C 5J1 sug: subj: Algorithms Spinal Cord Injuries Classification Neurologic Examination Canada Syndrome Classification Female Male Spinal Cord Injuries Rehabilitation Rehabilitation Centers Funding Source Human Female Male ab: OBJECTIVE: To develop an objective and uniform means for classifying patients with incomplete spinal cord injury (SCI) according to SCI syndromes. DESIGN: Criteria for assigning the syndromes (defined by the International Standards for Neurological and Functional Classification of SCI Patients) were operationalized by means of sensory and motor scores and were incorporated into a set of six independent algorithms and two composite algorithms. SETTING: A regional SCI rehabilitation center in Canada. PATIENTS: SCI patients (n = 56) with incomplete injuries (American Spinal Injury Association classes B, C, D) and stable neurologic deficits. RESULTS: Individual algorithms allowed the highest classification rate but with some patients meeting the criteria for more than one syndrome. A composite, differential allocation algorithm, with selected thresholds at decision nodes, yielded a classification rate approximating that of the individual algorithms but without double classifications. CONCLUSIONS: The composite algorithm provided an objective and standardized means of assigning patients to syndromes based on clinically measurable sensory and motor scores. The thresholds used to implement criteria and the order of decision nodes greatly influenced the outcomes and may be adjusted to suit the needs of the classification, that is, embracing liberal or stringent criteria. Controversy remains about the interpretation of some syndromes, and many patients remain unclassifiable because of mixed clinical presentation. Copyright © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation pubtype: Academic Journal doctype: algorithm pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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