1.Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons.
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
Chinese Journal of Traumatology 2021;24(6):356-359
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.
Decompression
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Humans
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Iran
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Neurosurgeons
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Spinal Cord Injuries/surgery*
2.National Spinal Cord Injury Registry of Iran (NSCIR-IR) - a critical appraisal of its strengths and weaknesses.
Mahdi SHARIF-ALHOSEINI ; Zahra AZADMANJIR ; Mohsen SADEGHI-NAINI ; Zahra GHODSI ; Khatereh NAGHDI ; Mahdi MOHAMMADZADEH ; Amir AZARHOMAYOUN ; Kazem ZENDEHDEL ; Moein KHORMALI ; Farideh SADEGHIAN ; Seyed Behzad JAZAYERI ; Mojtaba SEHAT ; Habibollah PIRNEJAD ; Edward C BENZEL ; Gerard O'REILLY ; Michael G FEHLINGS ; Alexander R VACCARO ; Vafa RAHIMI-MOVAGHAR
Chinese Journal of Traumatology 2019;22(5):300-303
The National Spinal Cord Injury Registry of Iran (NSCIR-IR) is a not-for-profit, hospital-based, and prospective observational registry that appraises the quality of care, long-term outcomes and the personal and psychological burden of traumatic spinal cord injury in Iran. Benchmarking validity in every registry includes rigorous attention to data quality. Data quality assurance is essential for any registry to make sure that correct patients are being enrolled and that the data being collected are valid. We reviewed strengths and weaknesses of the NSCIR-IR while considering the methodological guidelines and recommendations for efficient and rational governance of patient registries. In summary, the steering committee, funded and maintained by the Ministry of Health and Medical Education of Iran, the international collaborations, continued staff training, suitable data quality, and the ethical approval are considered to be the strengths of the registry, while limited human and financial resources, poor interoperability with other health systems, and time-consuming processes are among its main weaknesses.