Surgical Blood Pressure and Expected Motor Recovery in Individuals with Traumatic Spinal Cord Injury

DOI:10.34945/F58C7H

DATASET CITATION

Ehsanian R., Haefeli J., Crew J. D., Dirlikov B., Bresnahan J. C., Beattie M. S., Ferguson A. R., McKenna S. L. (2021) Surgical Blood Pressure and Expected Motor Recovery in Individuals with Traumatic Spinal Cord Injury. Open Data Commons for Spinal Cord Injury. ODC-SCI: 536 http://doi.org/10.34945/F58C7H

ABSTRACT

STUDY PURPOSE: Mean arterial blood pressure (MAP) during surgical intervention for individuals with spinal cord injury (SCI) was used to assess associations with motor recovery during the acute phase (post-surgery to rehabilitation discharge).

DATA COLLECTED: Retrospective data were abstracted for 25 patients with Spinal Cord injury admitted to SCVMC Trauma Service as well as SCVMC Physical Medicine & Rehabilitation Department. Abstracted data included: Sex, Cause of Injury, Number of unique Vasopressors, Level of Injury, American Spinal Injury Association Impairment Scale (AIS) Grade, AIS motor score, Age, Time to surgery, Days between American Spinal Injury Association (ASIA) exam, Rehabilitation Length of Stay, Acute Length of Stay, and Mean Arterial Blood Pressure. AIS motor score changes were assessed at the earliest postoperative assessment and at discharge from acute rehabilitation. MAP was measured by an arterial line blood pressure monitor during spinal stabilization surgery.

DATA USAGE NOTES: Recovery trajectories may be impacted by deviations from normotensive states (i.e., hypertension and hypotension) during surgery in individuals with SCI.

KEYWORDS

Spinal Cord Injury; Mean Arterial Pressure; Motor Recovery; ISNCSCI; Trauma; Spinal Cord Ischemia; Intra-operative MAP

PROVENANCE / ORIGINATING PUBLICATIONS

• Ehsanian, R., Haefeli, J., Quach, N. et al. Exploration of surgical blood pressure management and expected motor recovery in individuals with traumatic spinal cord injury. Spinal Cord 58, 377–386 (2020). doi: 10.1038/s41393-019-0370-5

DATASET INFO

Contact: McKenna Stephen (stephen.mckenna@hhs.sccgov.org)

Lab:

ODC-SCI Accession:536

Records in Dataset: 400

Fields per Record: 17

Last updated: 2021-01-22

Date published: 2021-01-22

Downloads: 28

Files: 2

LICENSE

Creative Commons Attribution License (CC-BY 4.0)

FUNDING AND ACKNOWLEDGEMENTS

DoD/CDMRP SCIRP Translational Partnership Award Number W81XWH-13-1-0297 (PI: MB), NIH/NINDS R01NS067092 (PI: ARF), Wings for Life Foundation (PI: ARF)

CONTRIBUTORS

Ehsanian, Reza [ORCID:0000-0002-0848-2134]

Rehabilitation Research Center, Santa Clara Valley Medical Center, San Jose, CA, USA. Department of Neurosurgery, Stanford University, Stanford, CA, USA. Division of Physical Medicine and Rehabilitation, Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, NM, USA.

Haefeli, Jenny [ORCID:0000-0002-3546-728X]

Brain and Spinal Injury Center, Department of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA.

Quach, Nhung

Rehabilitation Research Center, Santa Clara Valley Medical Center, San Jose, CA, USA.

Kosarchuk, Jacob

Eastern Virginia Medical School, Norfolk, VA, USA.

Torres, Dolores

Brain and Spinal Injury Center, Department of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA.

Stuck, Ellen D.

Brain and Spinal Injury Center, Department of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA.

Endo, Jessica

Brain and Spinal Injury Center, Department of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA.

Crew, James D. [ORCID:0000-0003-2677-8382]

Department of Physical Medicine and Rehabilitation, Santa Clara Valley Medical Center, San Jose, CA, USA.

Dirlikov, Benjamin [ORCID:0000-0002-9987-5178]

Rehabilitation Research Center, Santa Clara Valley Medical Center, San Jose, CA, USA.

Bresnahan, Jacqueline C. [ORCID:0000-0003-2243-7054]

Brain and Spinal Injury Center, Department of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA. Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA.

Beattie, Michael S. [ORCID:0000-0001-9463-3631]

Brain and Spinal Injury Center, Department of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA. Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA.

Ferguson, Adam R. [ORCID:0000-0001-7102-1608]

Brain and Spinal Injury Center, Department of Neurosurgery, University of California, San Francisco, San Francisco, CA, USA. Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA.

McKenna, Stephen L. [ORCID:0000-0003-2030-8988]

Department of Neurosurgery, Stanford University, Stanford, CA, USA. Department of Physical Medicine and Rehabilitation, Santa Clara Valley Medical Center, San Jose, CA, USA.