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A clinical practice guideline for the management of acute spinal cord injury: introduction, rationale, and scope (2017)

Fehlings, Michael G.; Tetreault, Lindsay A.; Wilson, Jefferson R.; Kwon, Brian K.; Burn...

Mark

A clinical practice guideline for the management of patients with acute spinal cord injury: recommendations on the role of baseline magnetic resonance imaging in clinical decision making and outcome prediction (2017)

Fehlings, Michael G.; Martin, Allan R.; Tetreault, Lindsay A.; Aarabi, Bizhan; Anderson...

Fehlings, Michael G.; Martin, Allan R.; Tetreault, Lindsay A.; Aarabi, Bizhan; Anderson, Paul; Arnold, Paul M.; Brodke, Darrel S.; Burns, Anthony S.; Chiba, Kazuhiro; Dettori, Joseph R.; Furlan, Julio C.; Hawryluk, Gregory; Holly, Langston T.; Howley, Susan; Jeji, Tara; Kalsi-Ryan, Sukhvinder; Kotter, Mark; Kurpad, Shekar; Kwon, Brian K.; Marino, Ralph J.

Abstract:

Introduction: The objective of this guideline is to outline the role of magnetic resonance imaging (MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury (SCI). Methods: A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI. This review focused on longitudinal studies that controlled for baseline neurologic status. A multidisciplinary Guideline Development Group (GDG) used this information, their clinical expertise, and patient input to develop recommendations on the use of MRI for SCI patients. Based on GRADE (Grading of Recommendation, Assessment, Development and Evaluation), a strong recommendation is worded as "we recommend," whereas a weaker recommendation is indicated by "we suggest." Results: Based on the limited available evidence and the clinical expertise of the GDG, our recommendations were: (1) " We suggest that MRI be p...

http://hdl.handle.net/10468/5598

Mark

A clinical practice guideline for the management of patients with acute spinal cord injury: recommendations on the type and timing of rehabilitation (2017)

Fehlings, Michael G.; Tetreault, Lindsay A.; Aarabi, Bizhan; Anderson, Paul; Arnold, Pa...

A clinical practice guideline for the management of patients with acute spinal cord injury: recommendations on the type and timing of rehabilitation (2017)

Fehlings, Michael G.; Tetreault, Lindsay A.; Aarabi, Bizhan; Anderson, Paul; Arnold, Paul M.; Brodke, Darrel S.; Chiba, Kazuhiro; Dettori, Joseph R.; Furlan, Julio C.; Harrop, James S.; Hawryluk, Gregory; Holly, Langston T.; Howley, Susan; Jeji, Tara; Kalsi-Ryan, Sukhvinder; Kotter, Mark; Kurpad, Shekar; Kwon, Brian K.; Marino, Ralph J.; Martin, Allan R.

Abstract:

Introduction: The objective of this study is to develop guidelines that outline the appropriate type and timing of rehabilitation in patients with acute spinal cord injury (SCI). Methods: A systematic review of the literature was conducted to address key questions related to rehabilitation in patients with acute SCI. A multidisciplinary guideline development group used this information, and their clinical expertise, to develop recommendations for the type and timing of rehabilitation. Based on GRADE (Grading of Recommendation, Assessment, Development and Evaluation), a strong recommendation is worded as "we recommend," whereas a weaker recommendation is indicated by "we suggest. Results: Based on the findings from the systematic review, our recommendations were: (1) We suggest rehabilitation be offered to patients with acute spinal cord injury when they are medically stable and can tolerate required rehabilitation intensity (no included studies; expert opinion); (2) W...

http://hdl.handle.net/10468/5599