Division of Neuro-rehabilitation, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Spinal Cord. 2010 Jun;48(6):477-82. doi: 10.1038/sc.2009.160. Epub 2009 Dec 22.
Prospective, population-based study. This paper is part of the Stockholm Thessaloniki Acute Traumatic Spinal Cord Injury Study (STATSCIS).
To characterize patient populations and to compare acute management after traumatic spinal cord injury (TSCI).
The Greater Thessaloniki region in Greece and the Greater Stockholm region in Sweden.
Inception cohorts with acute TSCI that were hospitalized during the study period, that is September 2006 to October 2007, were identified. Overall, 81 out of 87 cases consented to inclusion in Thessaloniki and 47 out of 49 in Stockholm. Data from Thessaloniki were collected through physical examinations, medical record reviews and communication with TSCI cases and medical teams. Data from Stockholm were retrieved from the Nordic Spinal Cord Injury Registry.
There were no significant differences between study groups with regard to core clinical characteristics. In contrast, there were significant differences in (1) transfer logistics from the scene of trauma to a tertiary-level hospital (number of intermediate admissions, modes of transportation and duration of transfer) and (2) acute key therapeutic interventions, that is, the use of mechanical ventilation (49% in Thessaloniki versus 20% in Stockholm), and performance of tracheostomy (36% in Thessaloniki versus 15% in Stockholm); spinal surgery was performed significantly more often and earlier in Stockholm than in Thessaloniki.
Despite largely similar core clinical characteristics, Stockholm and Thessaloniki cases underwent significantly different acute management, most probably to be attributed to adaptations to the differing regional approaches of care one following a systematic approach of SCI care and the other not.
前瞻性、基于人群的研究。本文是斯德哥尔摩-塞萨洛尼基急性外伤性脊髓损伤研究（STATSCIS）的一部分。
描述患者人群，并比较外伤性脊髓损伤（TSCI）后的急性管理。
希腊大塞萨洛尼基地区和瑞典大斯德哥尔摩地区。
确定在研究期间住院的急性 TSCI 发病队列，即 2006 年 9 月至 2007 年 10 月。共有 87 例 Thessaloniki 病例中 81 例同意纳入，49 例 Stockholm 病例中 47 例同意纳入。Thessaloniki 的数据通过体格检查、病历回顾以及与 TSCI 病例和医疗团队的沟通收集。Stockholm 的数据从北欧脊髓损伤登记处检索。
两组患者的核心临床特征无显著差异。相比之下，两组患者在以下方面存在显著差异：（1）从创伤现场转送至三级医院的转院流程（中间转院次数、转运用途和转院时间）和（2）急性关键治疗干预，即使用机械通气（Thessaloniki 49%，Stockholm 20%）和施行气管切开术（Thessaloniki 36%，Stockholm 15%）；Stockholm 比 Thessaloniki 更频繁、更早地进行脊柱手术。
尽管核心临床特征基本相似，但斯德哥尔摩和塞萨洛尼基的病例接受了明显不同的急性管理，这很可能归因于对不同区域护理方法的调整，一个遵循系统性 SCI 护理方法，另一个不遵循。
