Variability in time to surgery for patients with acute thoracolumbar spinal cord injuries.

ABSTRACT: There are limited data pertaining to current practices in timing of surgical decompression for acute thoracolumbar spinal cord injury (SCI). We conducted a retrospective cohort study to evaluate variability in timing between- and within-trauma centers in North America; and to identify patient- and hospital-level factors associated with treatment delay. Adults with acute thoracolumbar SCI who underwent decompressive surgery within five days of injury at participating trauma centers in the American College of Surgeons Trauma Quality Improvement Program were included. Mixed-effects regression with a random intercept for trauma center was used to model the outcome of time to surgical decompression and assess risk-adjusted variability in surgery timeliness across centers. 3,948 patients admitte

SUBMITTER: Badhiwala JH 

PROVIDER: S-EPMC8233434 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature