Practice Regarding SCIs | Number of Cases of Acute SCI You Manage per Year | P Value | |||||
<10 | 10–20 | >20 | |||||
No | % | No | % | No | % | ||
Your practice regarding giving steroids in an acute SCI patient | 0.528 | ||||||
I never give steroids | 20 | 40.0% | 9 | 39.1% | 14 | 56.0% | |
I give if injury is less than 8 h | 12 | 24.0% | 5 | 21.7% | 6 | 24.0% | |
I give if injury is less than 24 h | 11 | 22.0% | 5 | 21.7% | 5 | 20.0% | |
I give regardless of time of the injury | 7 | 14.0% | 4 | 17.4% | 0 | 0.0% | |
If you give steroids, how long do you keep the patient on it? | 0.191 | ||||||
1 dose | 6 | 20.0% | 1 | 7.1% | 0 | 0.0% | |
Up to 12 h | 0 | 0.0% | 1 | 7.1% | 0 | 0.0% | |
Up to 24 h | 13 | 43.3% | 4 | 28.6% | 7 | 63.6% | |
Up to 48 h | 11 | 36.7% | 8 | 57.1% | 4 | 36.4% | |
Steroid medication administered | 0.628 | ||||||
Dexamethasone | 13 | 43.3% | 6 | 42.9% | 3 | 27.3% | |
Methylprednisolone sodium succinate | 17 | 56.7% | 8 | 57.1% | 8 | 72.7% | |
Do you admit isolated SCI patients in high-dependency unit? | 0.029a | ||||||
Yes, all of them | 22 | 44.0% | 7 | 30.4% | 5 | 20.0% | |
Only cervical cord injury | 16 | 32.0% | 14 | 60.9% | 10 | 40.0% | |
Depends on availability of beds | 6 | 12.0% | 2 | 8.7% | 8 | 32.0% | |
None of them | 6 | 12.0% | 0 | 0.0% | 2 | 8.0% | |
Do you aim to keep the mean arterial pressure in a certain range? | 0.550 | ||||||
Yes | 41 | 82.0% | 19 | 82.6% | 18 | 72.0% | |
No | 9 | 18.0% | 4 | 17.4% | 7 | 28.0% | |
Do you try to do early decompression? | 0.324 | ||||||
I always do decompression in less than 24 h of the injury | 32 | 64.0% | 15 | 65.2% | 11 | 44.0% | |
I believe in early decompression, but the facility does not allow this practice | 6 | 12.0% | 3 | 13.0% | 7 | 28.0% | |
Whenever operating room time is available | 6 | 12.0% | 3 | 13.0% | 6 | 24.0% | |
I don't believe early decompression adds neurological benefit | 6 | 12.0% | 2 | 8.7% | 1 | 4.0% |
Abbreviations: SCI, spinal cord injury;
↵a P < 0.05 (significant).