Document Type
Article
Publication Date
3-1-2025
Abstract
STUDY DESIGN: A retrospective study.
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).
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.
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%).
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.
Recommended Citation
Zeinaddini-Meymand, Arman; Baigi, Vali; Mousavi-Nasab, Mohammad Mehdi; Shool, Sina; Sadeghi-Naini, Mohsen; Azadmanjir, Zahra; Jazayeri, Seyed Behnam; Berchi Kankam, Samuel; Dashtkoohi, Mohammad; Shakeri, Aidin; Fakharian, Esmail; Kouchakinejad-Eramsadati, Leila; Pirnejad, Habibollah; Sadeghi-Bazargani, Homayoun; Bagheri, Laleh; Pourandish, Yasaman; Amiri, Malihe; Pour-Rashidi, Ahmad; Harrop, James; and Rahimi-Movaghar, Vafa, "Pre-Hospital and Post-Hospital Quality of Care in Traumatic Spinal Column and Cord Injuries in Iran" (2025). Department of Neurosurgery Faculty Papers. Paper 258.
https://jdc.jefferson.edu/neurosurgeryfp/258
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
PubMed ID
37732722
Language
English
Included in
Health Services Administration Commons, Neurology Commons, Surgery Commons, Wounds and Injuries Commons
Comments
This article is the author's final published version in Global Spine Journal, Volume 15, Issue 2, March 2025, Pages 603 - 614.
The published version is available at https://doi.org/10.1177/21925682231202425.
Copyright © The Author(s)