PLoS ONE, 2017 · DOI: https://doi.org/10.1371/journal.pone.0184253 · Published: September 1, 2017
This study looked at factors that increase the risk of patients being readmitted to the hospital within 14 days with a new diagnosis of traumatic spinal cord injury (tSCI) after initially being hospitalized for trauma. The study found that patients with less severe injuries, those transferred from other hospitals, and those treated by surgeons who may not specialize in neurotrauma were more likely to be readmitted with a new tSCI diagnosis. These findings suggest that delayed diagnosis of tSCI is not uncommon, especially in patients with less obvious injuries, and that improving diagnostic accuracy and timeliness is crucial.
Implement and validate evidence-based decision rules to improve the diagnostic quality of traumatic thoracolumbar SCI.
Educate all surgeons involved in trauma care to recognize occult signs of tSCI, especially in patients with brain, chest, or extremity injuries.
Improve the screening and diagnostic capabilities at lower-level hospitals to minimize the risk of transferring patients with undiagnosed tSCI.