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Can I read Current Practice of Acute Spinal Cord Injury Management: A Global Survey of Members from the AO Spine on EtoBox?

Current Practice of Acute Spinal Cord Injury Management: A Global Survey of Members from the AO Spine by Nader Hejrati; Ali Moghaddamjou; Karlo Pedro; Mohammed Ali Alvi; James S. Harrop; James D. Guest; Brian K. Kwon; Michael G. Fehlings is a Medicine article available to read on EtoBox.

What is Current Practice of Acute Spinal Cord Injury Management: A Global Survey of Members from the AO Spine about?

## Study Design Cross-sectional, international survey. ## Objectives To examine current international practices as well as knowledge, adoption, and barriers to guideline implementation for acute spinal cord injury (SCI) management. ## Methods A survey was distributed to members of AO Spine. The questionnaire was structured to obtain demographic data and preferred acute SCI practices surrounding steroid use, hemodynamic management, and timing of surgical decompression. ## Results 593 members completed the survey including orthopaedic surgeons (54.3%), neurosurgeons (35.6%), and traumatologists (8.4%). Most (61.2%) respondents were from low and middle-income countries (LMICs). 53.6% of physicians used steroids for the treatment of acute SCIs. Respondents from LMICs were more likely to administer steroids than HICs (178 vs. 78; __P__ < .001). 331 respondents (81.5%) answered that patients would receive mean arterial pressure (MAP) targeted treatment. In LMICs, SCI patients were less likely to be provided with MAP-targeted treatment (76.9%) as compared to HICs (89%; __P__ < .05). The majority of respondents (87.8%) reported that patients would benefit from early decompression. Despite

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Author
Nader Hejrati; Ali Moghaddamjou; Karlo Pedro; Mohammed Ali Alvi; James S. Harrop; James D. Guest; Brian K. Kwon; Michael G. Fehlings
Publisher
SAGE Publications
Published
2022
Language
EN
Field
Medicine (Health Sciences)

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