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Injury. 2002 Sep;33(7):575-8.

Failure to administer methylprednisolone for acute traumatic spinal cord injury-a prospective audit of 100 patients from a regional spinal injuries unit.

Author information

1
Specialist Registrar, Trauma and Orthopaedics, South West Thames, UK. sean.molloy@btinternet.com

Abstract

OVERVIEW:

The National Acute Spinal Cord Injury Studies (NASCIS II and III) and the Cochrane review advocate the administration of high dose methylprednisolone following acute traumatic spinal cord injury.

OBJECTIVE:

To determine the actual use and correct implementation of the NASCIS protocols in patients referred to a regional spinal injuries unit.

DESIGN:

Observational study on the timing and correct dosage of methylprednisolone. The admission Frankel grade, American Spinal Injury Association (ASIA) neurological classification were recorded prospectively.

SUBJECTS:

The 100 consecutive patients with complete or incomplete spinal cord injuries (Frankel grade A-D) were studied over a 2 years period.

MAIN OUTCOME MEASURE:

Correct administration of methylprednisolone according to the NASCIS protocols.

RESULTS:

During the study period only 25% of the patients admitted to our spinal injuries unit received methylprednisolone at the referring hospital according to the NASCIS protocols. An additional 10 patients were given methylprednisolone incorrectly.

CONCLUSION:

Evidence based medicine is not being practiced in the management of patients with acute spinal cord injury.

PMID:
12208059
[Indexed for MEDLINE]

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