@article{ref1,
title="Pre-hospital and post-hospital quality of care in traumatic spinal column and cord injuries in Iran",
journal="Global spine journal",
year="2023",
author="Zeinaddini-Meymand, Arman and Baigi, Vali and Mousavi-Nasab, Mohammad Mehdi and Shool, Sina and Sadeghi-Naini, Mohsen and Azadmanjir, Zahra and Jazayeri, Seyed Behnam and Berchi Kankam, Samuel and Dashtkoohi, Mohammad and Shakeri, Aidin and Fakharian, Esmail and Kouchakinejad-Eramsadati, Leila and Pirnejad, Habibollah and Sadeghi-Bazargani, Homayoun and Bagheri, Laleh and Pourandish, Yasaman and Amiri, Malihe and Pour-Rashidi, Ahmad and Harrop, James and Rahimi-Movaghar, Vafa",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="STUDY DESIGN: A retrospective study. <br><br>OBJECTIVES: The quality of care (QoC) for spinal column/cord injury patients is a major health care concern. This study aimed to implement the QoC assessment tool (QoCAT) in the National Spinal Cord/Column Injury Registry of Iran (NSCIR-IR) to define the current state of pre- and post-hospital QoC of individuals with Traumatic Spinal Column and Spinal Cord Injuries (TSC/SCIs). <br><br>METHODS: The QoCAT, previously developed by our team to measure the QoC in patients with TSC/SCIs, was implemented in the NSCIR-IR. The pre-hospital QoC was evaluated through a retrospective analysis of NSCIR-IR registry data. Telephone interviews and follow-ups of patients with SCI evaluated the QoC in the post-hospital phase. <br><br>RESULTS: In the pre-hospital phase, cervical collars and immobilization were implemented in 46.4% and 48.5% of the cases, respectively. Transport time from the scene to the hospital was documented as <1 hour and <8 hours in 33.4% and 93.9% of the patients, respectively. Post-hospital indicators in patients with SCI revealed a first-year mortality rate of 12.5% (20/160), a high incidence of secondary complications, reduced access to electrical wheelchairs (4.2%) and modified cars (7.7%), and low employment rate (21.4%). <br><br>CONCLUSION: These findings revealed a significant delay in transport time to the first care facilities, low use of immobilization equipment indicating low pre-hospital QoC. Further, the high incidence of secondary complications, low employment rate, and low access to electrical wheelchairs and modified cars indicate lower post-hospital QoC in patients with SCI. These findings imply the need for further planning to improve the QoC for patients with TSC/SCIs.<p /> <p>Language: en</p>",
language="en",
issn="2192-5682",
doi="10.1177/21925682231202425",
url="http://dx.doi.org/10.1177/21925682231202425"
}