国际脊髓损伤:脊柱干预及手术操作基础数据集
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摘要
研究设计调查专家意见、反馈及共识。目的描述国际脊髓损伤(SCI)脊柱干预及手术操作基础数据集的开发及其中包含的变量。设置国际工作组。方法成立专家委员会以选择及确定数据项目。将数据集送至相关的委员会及组织征求意见。考虑所有的建议后,国际脊髓协会及美国脊柱损伤协会认可了最终版本。结果数据集包括9个变量:1干预/操作的日期及开始时间;2非手术卧床休息及外固定;3脊柱闭合性干预,手法治疗和/或脊柱复位;4手术流程—入路;5干预完成或手术结束的日期及时间;6手术流程—切开复位;7手术流程—对神经的直接减压;8手术流程—固定及融合—节段数量;9手术流程—固定及融合—节段水平。所有变量均用数字或字符进行编码。本文中各项脊柱干预及操作均得以编码(变量1~7),各脊柱节段水平亦得以描述(变量8~9)。应用临床病例举例说明如何完成该数据集。结论开发国际脊髓损伤脊柱干预及手术操作基础数据集的目的为便于各研究、中心及国家之间对脊柱干预及手术操作进行比较。
Study design Survey of expert opinion,feedback and final consensus.Objective To describe the development and the variables included in the International Spinal Cord Injury(SCI) Spinal Interventions and Surgical Procedures Basic Data set.Setting International working group.Methods A committee of experts was established to select and define data elements.The data set was then disseminated to the appropriate committees and organizations for comments.All suggested revisions were considered and both the International Spinal Cord Society and the American Spinal Injury Association endorsed the final version.Results The data set consists of nine variables:(1) Intervention/Procedure Date and start time(2) Non-surgical bed rest and external immobilization,(3) Spinal intervention-closed manipulation and/or reduction of spinal elements,(4) Surgical procedure-approach,(5) Date and time of the completion of the intervention or surgical closure;(6) Surgical procedure-open reduction,(7) Surgical procedure-direct decompression of neural elements,and(8 and 9) Surgical procedure-stabilization and fusion(spinal segment number and level).All variables are coded using numbers or characters.Each spinal intervention and procedure is coded(variables 1 through 7) and the spinal segment level is described(variables 8 and 9).Sample clinical cases were developed to illustrate how to complete it.Conclusion The International SCI Spinal Interventions and Surgical Procedures Basic Data Set was developed to facilitate comparisons of spinal interventions and surgical procedures among studies,centers and countries.
Study design Survey of expert opinion,feedback and final consensus.Objective To describe the development and the variables included in the International Spinal Cord Injury(SCI) Spinal Interventions and Surgical Procedures Basic Data set.Setting International working group.Methods A committee of experts was established to select and define data elements.The data set was then disseminated to the appropriate committees and organizations for comments.All suggested revisions were considered and both the International Spinal Cord Society and the American Spinal Injury Association endorsed the final version.Results The data set consists of nine variables:(1) Intervention/Procedure Date and start time(2) Non-surgical bed rest and external immobilization,(3) Spinal intervention-closed manipulation and/or reduction of spinal elements,(4) Surgical procedure-approach,(5) Date and time of the completion of the intervention or surgical closure;(6) Surgical procedure-open reduction,(7) Surgical procedure-direct decompression of neural elements,and(8 and 9) Surgical procedure-stabilization and fusion(spinal segment number and level).All variables are coded using numbers or characters.Each spinal intervention and procedure is coded(variables 1 through 7) and the spinal segment level is described(variables 8 and 9).Sample clinical cases were developed to illustrate how to complete it.Conclusion The International SCI Spinal Interventions and Surgical Procedures Basic Data Set was developed to facilitate comparisons of spinal interventions and surgical procedures among studies,centers and countries.
引文