Traumatic Spinal Cord Injury Care in Canada: A Survey of Canadian Centers

Journal of Neurotrauma, 2017 · DOI: 10.1089/neu.2016.4928 · Published: October 15, 2017

Simple Explanation

This study examines how care is provided to individuals with traumatic spinal cord injuries (tSCI) across Canada, focusing on the structure and services available at specialized centers. The survey looked at care provision, structural attributes of facilities (like the number of beds), and the availability of specific services. While basic structures and general services were similar across facilities, the degree of specialization in care varied, highlighting the need for continued research on the impact of specialized care.

Study Duration

12-month period between 2009–2011

Participants

26 facilities (12 acute, 11 rehabilitation, and three integrated)

Evidence Level

Not specified

Key Findings

1
The number of admissions for tSCI over a 12-month period ranged from 17 to 104 (median 39) for acute facilities and 11 to 96 (median 32) for rehabilitation facilities.
2
Grouping of patients with SCI was reported by 8/15 acute and 10/14 rehabilitation facilities, indicating a common practice but not universal.
3
There were 25 different criteria reported for admission to inpatient rehabilitation facilities, with medical stability being the most common.

Research Summary

The study surveyed 26 facilities across Canada to understand the care delivery for individuals with traumatic spinal cord injuries (tSCI), focusing on structures and services provided. The survey revealed similarities in basic structure and general service provision across facilities but highlighted differences in the degree of specialization for tSCI care. Key challenges identified include resource limitations, discharge process issues, and the need for more SCI-specific knowledge among staff.

Practical Implications

Accreditation Standards

Institutions seeking accreditation under the SCI Standards of Care will need to demonstrate best practices in addressing the unique needs of SCI patients.

Referral Mechanisms

Further examination of referral mechanisms, admission criteria, and transfer agreements between acute and rehabilitation facilities is needed to ensure smooth transitions.

Discharge Barriers

Addressing discharge barriers may improve care, but there is a need for better classification and measurement of these barriers.

Study Limitations

1
Data were compiled from various sources, potentially leading to inconsistencies.
2
The data represents only one calendar year (12 months), and data sources may not perfectly align with this period.
3
Not all RHSCIR facilities were able to complete the survey, and the surveyed facilities only represent a subset of major trauma centers.

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