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10.1177/2192568217706367 http://scihub22266oqcxt.onion/10.1177/2192568217706367 C5684850!5684850 !29164024     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29164024 &cmd=llinks): Failed to open stream: HTTP request failed! 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A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing (?24 Hours Versus 24 Hours) of Decompressive Surgery |pdf=|usr=}}{{29164024 }} gab.com Text A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing ( 24 Hours Versus 24 Hours) of Decompressive Surgery JO: Global Spine J http://www.kidney.de/pget.php?&tw=1&pmid=29164024 #FOAvip OBJECTIVE: To develop recommendations on the timing of surgical decompression in patients with traumatic spinal cord injury (SCI) and central cord syndrome. METHODS: A systematic review of the literature was conducted to address key relevant questions. A multidisciplinary guideline development group used this information, along with their clinical expertise, to develop recommendations for the timing of surgical decompression in patients with SCI and central cord syndrome. Based on GRADE, a strong recommendation is worded as "we recommend," whereas a weak recommendation is presented as "we suggest." RESULTS: Conclusions from the systematic review included (1) isolated studies reported statistically significant and clinically important improvements following early decompression at 6 months and following discharge from inpatient rehabilitation; (2) in one study on acute central cord syndrome without instability, a marginally significant improvement in total motor scores was reported at 6 and 12 months in patients managed with early versus late surgery; and (3) there were no significant differences in length of acute care/rehabilitation stay or in rates of complications between treatment groups. Our recommendations were: "We suggest that early surgery be considered as a treatment option in adult patients with traumatic central cord syndrome" and "We suggest that early surgery be offered as an option for adult acute SCI patients regardless of level." Quality of evidence for both recommendations was considered low. CONCLUSIONS: These guidelines should be implemented into clinical practice to improve outcomes in patients with acute SCI and central cord syndrome by promoting standardization of care, decreasing the heterogeneity of management strategies, and encouraging clinicians to make evidence-informed decisions. Twit Text FOAVip A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing ( 24 Hours Versus 24 Hours) of Decompressive Surgery ????Global Spine J http://www.kidney.de/pget.php?&tw=1&pmid=29164024 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29164024 #FOAvip English Wikipedia <ref>{{Cite pmid|29164024 }}</ref> A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing (?24 Hours Versus 24 Hours) of Decompressive Surgery #MMPMID29164024 Fehlings MG ; Tetreault LA ; Wilson JR ; Aarabi B ; Anderson P ; Arnold PM ; Brodke DS ; Burns AS ; Chiba K ; Dettori JR ; Furlan JC ; Hawryluk G ; Holly LT ; Howley S ; Jeji T ; Kalsi-Ryan S ; Kotter M ; Kurpad S ; Marino RJ ; Martin AR ; Massicotte E ; Merli G ; Middleton JW ; Nakashima H ; Nagoshi N ; Palmieri K ; Singh A ; Skelly AC ; Tsai EC ; Vaccaro A ; Yee A ; Harrop JS Global Spine J 2017[Sep]; 7 (3 Suppl ): 195S-202S PMID29164024 show ga OBJECTIVE: To develop recommendations on the timing of surgical decompression in patients with traumatic spinal cord injury (SCI) and central cord syndrome. METHODS: A systematic review of the literature was conducted to address key relevant questions. A multidisciplinary guideline development group used this information, along with their clinical expertise, to develop recommendations for the timing of surgical decompression in patients with SCI and central cord syndrome. Based on GRADE, a strong recommendation is worded as "we recommend," whereas a weak recommendation is presented as "we suggest." RESULTS: Conclusions from the systematic review included (1) isolated studies reported statistically significant and clinically important improvements following early decompression at 6 months and following discharge from inpatient rehabilitation; (2) in one study on acute central cord syndrome without instability, a marginally significant improvement in total motor scores was reported at 6 and 12 months in patients managed with early versus late surgery; and (3) there were no significant differences in length of acute care/rehabilitation stay or in rates of complications between treatment groups. Our recommendations were: "We suggest that early surgery be considered as a treatment option in adult patients with traumatic central cord syndrome" and "We suggest that early surgery be offered as an option for adult acute SCI patients regardless of level." Quality of evidence for both recommendations was considered low. CONCLUSIONS: These guidelines should be implemented into clinical practice to improve outcomes in patients with acute SCI and central cord syndrome by promoting standardization of care, decreasing the heterogeneity of management strategies, and encouraging clinicians to make evidence-informed decisions. äA Clinical Practice Guideline for the Management of Patients With Acut(epmc).pdf DeepDyve Pubget Overpricing