TY - JOUR
T1 - Quality of in-hospital care in traumatic spinal column and cord injuries (TSC/SCI) in I.R Iran
AU - Sadeghi-Naini, Mohsen
AU - Jazayeri, Seyed Behnam
AU - Kankam, Samuel Berchi
AU - Ghodsi, Zahra
AU - Baigi, Vali
AU - Zeinaddini Meymand, Arman
AU - Pourrashidi, Ahmad
AU - Azadmanjir, Zahra
AU - Dashtkoohi, Mohammad
AU - Zendehdel, Kazem
AU - Pirnejad, Habibollah
AU - Fakharian, Esmaeil
AU - O'Reilly, Gerard M
AU - Vaccaro, Alex R
AU - Shakeri, Aidin
AU - Yousefzadeh-Chabok, Shahrokh
AU - Babaei, Mohammadreza
AU - Kouchakinejad-Eramsadati, Leila
AU - Haji Ghadery, Abdolkarim
AU - Aryannejad, Armin
AU - Piri, Seyed Mohammad
AU - Azarhomayoun, Amir
AU - Sadeghi-Bazargani, Homayoun
AU - Daliri, Salman
AU - Lotfi, Mohammad Sajjad
AU - Pourandish, Yasaman
AU - Bagheri, Laleh
AU - Rahimi-Movaghar, Vafa
N1 - © 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2024/4
Y1 - 2024/4
N2 - 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.
AB - 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.
UR - https://www.scopus.com/pages/publications/85178251432
U2 - 10.1007/s00586-023-08010-x
DO - 10.1007/s00586-023-08010-x
M3 - Article
C2 - 37999768
SN - 0940-6719
VL - 33
SP - 1585
EP - 1596
JO - European Spine Journal
JF - European Spine Journal
IS - 4
ER -
