Acute spinal cord compression (SCC) is rare, difficult to diagnose, and likely to result in devastating, irreversible neurological outcomes if not treated in a timely manner. This project aimed to 1) identify clinician perceptions and impressions of SCC diagnostic indicators and risk factors; 2) coalesce SCC diagnostic indicators and risk factors described in the literature; and 3) compare the above elements. The goal of this project is to optimize the SCC alert within the electronic health record system and to update the emergency department’s protocol.
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References
1.
AdamsRSalam-AdamsM. Chronic nontraumatic diseases of the spinal cord. Neurol Clin1991; 9:605-23.
2.
Helweg-LarsenS. Clinical outcome in metastatic spinal cord compression. A prospective study of 153 patients, Acta Neurol Scand, 1996, vol. 94 (pg. 269-75)
3.
LevackPGrahamJCollieD. Scottish Cord Compression Study Group. Don't wait for a sensory level– listen to the symptoms: a prospective audit of the delays in diagnosis of malignant cord compression, Clin Oncol (R Coll Radiol), 2002, vol. 14 (pg. 472-80)
4.
McKinleyWOSeelRTHardmanJT. Nontraumatic spinal cord injury: incidence, epidemiology, and functional outcome. Arch Phys Med Rehabil1999; 80:619-23.
5.
National Institute for Health and Care Excellence: Metastatic spinal cord compression: diagnosis and management of patients at risk of or with metastatic spinal cord compression. Full guideline.
