An Evaluation of International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) Performance Within the Canadian SCI Network.
To describe the performance of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) examination in individuals with traumatic spinal cord injury (TSCI) and nontraumatic spinal cord injury (NTSCI) across Canadian acute and rehabilitation facilities, evaluating t...
| Publicado en: | Topics in Spinal Cord Injury Rehabilitation Vol. 31; no. 3; pp. 15 - 37 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
Summer2025
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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=187499932&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187499932 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10820744 0OF jtl: Topics in Spinal Cord Injury Rehabilitation issn: 10820744 maglogo: N pubinfo: dt: Summer2025 vid: 31 iid: 3 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 187499932 187499932 187499932 10.46292/sci25-00011 187499932 ppf: 15 ppct: 22 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: An Evaluation of International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) Performance Within the Canadian SCI Network. aug: au: Hong, Heather A. Parsons, Jessica Xu, Jijie Walden, Kristen Fallah, Nader Cheng, Christiana L. Attabib, Najmedden Christie, Sean D. Craven, B. Catharine Fehlings, Michael G. Fourney, Daryl R. Ho, Chester Julien, Lisa Kwon, Brian K. Linassi, Gary A. Loyola-Sanchez, Adalberto Moganathas, Saranjan Paquet, Jerome Sreenivasan, Vidya Mac-Thiong, Jean-Marc affil: Praxis Spinal Cord Institute, Vancouver, British Columbia, Canada sug: subj: Spinal Cord Injuries Classification Spinal Cord Injuries Organizations Neurologic Examination Standards Acute Care Rehabilitation Centers Time Factors Outcome Assessment Human Funding Source Canada Male Female Middle Age Spinal Cord Injuries Diagnosis Spinal Cord Injuries Physiopathology International Agencies Protocols Patient Care Evaluation Quality of Health Care Neurologic Examination Methods Registries, Disease Prospective Studies Patient Admission Patient Discharge Algorithms Clinical Assessment Tools Bivariate Statistics Age Factors Severity of Injury Length of Stay Pain Retrospective Design Hospitalization Comparative Studies Descriptive Statistics T-Tests Wilcoxon Rank Sum Test Chi Square Test Fisher's Exact Test Data Analysis Software Data Analysis, Statistical Medical Records Documentation Middle Aged: 45-64 years Male Female ab: To describe the performance of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) examination in individuals with traumatic spinal cord injury (TSCI) and nontraumatic spinal cord injury (NTSCI) across Canadian acute and rehabilitation facilities, evaluating timing, completeness, and classification accuracy. Using the Rick Hansen Spinal Cord Injury Registry (2015-2022), participants were analyzed across 6 cohorts: (A) TSCI-acute-admission (n = 4461), (B) TSCI-acute-discharge (n = 972), (C) TSCI-rehabilitation-admission (n = 2673), (D) TSCI-rehabilitation-discharge (n = 2316), (E) NTSCI-rehabilitation-admission (n = 728), and (F) NTSCI-rehabilitation-discharge (n = 619). ISNCSCI data included performed (yes/no), timing (≤72 hours, ≤7 days, and >7 days of admission/discharge), completeness, missing items, and worksheet used (yes/no). Classification accuracy between the clinician-determined and algorithm-generated ASIA Impairment Scale and neurological level of injury classification was evaluated. Descriptive and bivariate statistics were used to analyze cohorts. Overall, 70% of participants had at least one examination performed, with 76% performed ≤72 hours, 91% ≤7 days, and 9% >7 days. However, 45% were partially complete, primarily missing sensory scores and rectal components ≤7 days. Comparison of TSCI and NTSCI during rehabilitation showed that NTSCI cohorts had significantly more exams at admission and fewer at discharge, with more complete exams. Moreover, age at injury, injury type, mechanism, severity, length of stay, and pain influenced examination performance. This study highlights the need for greater consistency in ISNCSCI examination performance and identifies patient-level barriers to completion. Determining the most effective standardized approach for ISNCSCI use across SCI care, addressing modifiable human/organizational factors, and ensuring comprehensive clinical training will improve the quality of this assessment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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