Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons
Purpose: The median time from the event leading to the spinal cord injury (SCI) to the time of decompressive surgery is estimated to be 6.9 days in Iran, which is much longer than the proposed ideal time (less than 24 h) in published guidelines. The current qualitative study aimed to determine the r...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | Chinese Journal of Traumatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127521001127 |
| _version_ | 1818856556268093440 |
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| author | Masoud SohrabiAsl Zahra Ghodsi Roya Habibi Arejan Zahra Azadmanjir Mahdi Sharif-Alhoseini Moein Khormali Maryam Shojaei Abbas Rahimiforoushani Alireza Khoshnevisan Alexander R. Vaccaro Michael G. Fehlings Vafa Rahimi-Movaghar |
| author_facet | Masoud SohrabiAsl Zahra Ghodsi Roya Habibi Arejan Zahra Azadmanjir Mahdi Sharif-Alhoseini Moein Khormali Maryam Shojaei Abbas Rahimiforoushani Alireza Khoshnevisan Alexander R. Vaccaro Michael G. Fehlings Vafa Rahimi-Movaghar |
| author_sort | Masoud SohrabiAsl |
| collection | DOAJ |
| description | Purpose: The median time from the event leading to the spinal cord injury (SCI) to the time of decompressive surgery is estimated to be 6.9 days in Iran, which is much longer than the proposed ideal time (less than 24 h) in published guidelines. The current qualitative study aimed to determine the reasons for the observed decompression surgery delay in Iran from the perspective of neurosurgeons. Methods: This qualitative study is designed to perform content analysis on the gathered data from face-to-face semi-structured interviews with 12 Iranian neurosurgeons. Results: The findings of the current study suggest that patient-related factors constitute more than half of the codes extracted from the interviews. Overall, the type of injury, presence of polytrauma, and surgeons' wrong attitude are the main factors causing delayed spinal cord decompression in Iranian patients from the perspective of neurosurgeons. Other notable factors include delay in transferring patients to the trauma center, delay in availability of necessary equipment, and scarce medical personnel. Conclusion: In the perspective of neurosurgeons, the type of injury, presence of polytrauma, and surgeons' wrong attitude are the leading reasons for delayed decompressive surgery of individuals with SCI in Iran. |
| first_indexed | 2024-12-19T08:26:22Z |
| format | Article |
| id | doaj.art-70146f486a17420c867170ff7551db59 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-12-19T08:26:22Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-70146f486a17420c867170ff7551db592022-12-21T20:29:16ZengElsevierChinese Journal of Traumatology1008-12752021-11-01246356359Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeonsMasoud SohrabiAsl0Zahra Ghodsi1Roya Habibi Arejan2Zahra Azadmanjir3Mahdi Sharif-Alhoseini4Moein Khormali5Maryam Shojaei6Abbas Rahimiforoushani7Alireza Khoshnevisan8Alexander R. Vaccaro9Michael G. Fehlings10Vafa Rahimi-Movaghar11Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Rehabilitation Office, State Welfare Organization of Iran, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Health Information Management Department, Tehran University of Medical SciencesSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran IranDepartment of Orthopaedics and Neurosurgery, Thomas Jefferson University and the Rothman Institute, Philadelphia, PA, USADepartment of Surgery, University of Toronto, Senior Scientist Krembil Brain Institute and McEwen Centre for Regenerative Medicine, Toronto Western Hospital, University Health Network, CanadaSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran Iran; Universal Scientific Education and Research Network (USERN), Tehran, Iran; Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran; Visiting Professor, Spine Program, University of Toronto, Toronto, Canada; Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.Purpose: The median time from the event leading to the spinal cord injury (SCI) to the time of decompressive surgery is estimated to be 6.9 days in Iran, which is much longer than the proposed ideal time (less than 24 h) in published guidelines. The current qualitative study aimed to determine the reasons for the observed decompression surgery delay in Iran from the perspective of neurosurgeons. Methods: This qualitative study is designed to perform content analysis on the gathered data from face-to-face semi-structured interviews with 12 Iranian neurosurgeons. Results: The findings of the current study suggest that patient-related factors constitute more than half of the codes extracted from the interviews. Overall, the type of injury, presence of polytrauma, and surgeons' wrong attitude are the main factors causing delayed spinal cord decompression in Iranian patients from the perspective of neurosurgeons. Other notable factors include delay in transferring patients to the trauma center, delay in availability of necessary equipment, and scarce medical personnel. Conclusion: In the perspective of neurosurgeons, the type of injury, presence of polytrauma, and surgeons' wrong attitude are the leading reasons for delayed decompressive surgery of individuals with SCI in Iran.http://www.sciencedirect.com/science/article/pii/S1008127521001127Spinal cord injuriesDecompressionSurgicalNeurosurgeonsIranQualitative research |
| spellingShingle | Masoud SohrabiAsl Zahra Ghodsi Roya Habibi Arejan Zahra Azadmanjir Mahdi Sharif-Alhoseini Moein Khormali Maryam Shojaei Abbas Rahimiforoushani Alireza Khoshnevisan Alexander R. Vaccaro Michael G. Fehlings Vafa Rahimi-Movaghar Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons Chinese Journal of Traumatology Spinal cord injuries Decompression Surgical Neurosurgeons Iran Qualitative research |
| title | Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons |
| title_full | Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons |
| title_fullStr | Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons |
| title_full_unstemmed | Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons |
| title_short | Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons |
| title_sort | reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in iran a qualitative study from the perspective of neurosurgeons |
| topic | Spinal cord injuries Decompression Surgical Neurosurgeons Iran Qualitative research |
| url | http://www.sciencedirect.com/science/article/pii/S1008127521001127 |
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