Squair J W, le Nobel G, Noonan V K, Raina G, Krassioukov A V
International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Spinal Cord. 2015 Sep;53(9):668-72. doi: 10.1038/sc.2015.54. Epub 2015 Mar 31.
Retrospective chart analysis.
To investigate the use of the International Autonomic Standards (IAS, 2009 edition) for classification of remaining autonomic function following spinal cord injury (SCI) over a 1-year period in a rehabilitation center, to determine clinical adherence to use of the IAS, and to examine the most common autonomic dysfunctions, as determined by using the IAS.
Tertiary rehabilitation hospital.
A retrospective study was conducted on the use of the IAS at admission and discharge over a 1-year period on patients admitted to an in-patient SCI unit in a tertiary rehabilitation center. We examined the consistency of the form completion, as well as the completion of separate components of the forms. Finally, we examined the prevalence of each autonomic impairment.
A total of 70 patients were admitted to the unit. The clinical adherence to the IAS was lower than the International Standards for Neurological Classification of SCI (ISNCSCI) at both admission (63% and 93%, respectively) and discharge (39% and 78%, respectively). Blood pressure dysfunction was most common among the general autonomic function disorders. However, urinary, bowel and sexual dysfunctions were present in almost all individuals with acute SCI.
The IAS is in the initial stages of being incorporated into routine admission and discharge clinical examinations of individuals with SCI. The current results suggest that the clinical adherence to the IAS is low; however, it is expected that increased education, experience, and accumulating evidence for the IAS will improve its use.
回顾性图表分析。
调查在一家康复中心，使用国际自主神经标准（IAS，2009版）对脊髓损伤（SCI）后1年内剩余自主神经功能进行分类的情况，确定临床对IAS使用的依从性，并检查使用IAS确定的最常见自主神经功能障碍。
三级康复医院。
对一家三级康复中心住院SCI病房收治的患者在1年期间入院和出院时使用IAS的情况进行回顾性研究。我们检查了表格填写的一致性以及表格各部分的填写情况。最后，我们检查了每种自主神经损伤的患病率。
共有70名患者入住该病房。在入院时（分别为63%和93%）和出院时（分别为39%和78%），临床对IAS的依从性低于脊髓损伤神经学分类国际标准（ISNCSCI）。在一般自主神经功能障碍中，血压功能障碍最为常见。然而，几乎所有急性SCI患者都存在泌尿、肠道和性功能障碍。
IAS正处于被纳入SCI患者常规入院和出院临床检查的初始阶段。目前的结果表明临床对IAS的依从性较低；然而，预计随着对IAS的教育增加、经验积累和证据增多，其使用情况将会改善。
