Practice Regarding Spinal Cord Injuries | School of Training | P Value | |||||
Local | European | North American | |||||
n | % | n | % | n | % | ||
Your practice regarding giving steroids in acute spinal cord–injured patient | 0.049a | ||||||
I never give steroids | 6 | 28.6% | 9 | 42.9% | 28 | 50.0% | |
I give if injury is less than 8 h | 6 | 28.6% | 3 | 14.3% | 14 | 25.0% | |
I give if injury is less than 24 h | 8 | 38.1% | 5 | 23.8% | 8 | 14.3% | |
I give regardless of time of the injury | 1 | 4.8% | 4 | 19.0% | 6 | 10.7% | |
If you give steroids, how long do you keep the patient on it? | 0.834 | ||||||
1 dose | 1 | 6.7% | 2 | 16.7% | 4 | 14.3% | |
Up to 12 h | 0 | 0.0% | 0 | 0.0% | 1 | 3.6% | |
Up to 24 h | 8 | 53.3% | 6 | 50.0% | 10 | 35.7% | |
Up to 48 h | 6 | 40.0% | 4 | 33.3% | 13 | 46.4% | |
Steroid medication administered | 0.676 | ||||||
Dexamethasone | 5 | 33.3% | 6 | 50.0% | 11 | 39.3% | |
Methylprednisolone sodium succinate | 10 | 66.7% | 6 | 50.0% | 17 | 60.7% | |
Do you admit isolated spinal cord injury patients in the high-dependency unit? | 0.307 | ||||||
Yes, all of them | 5 | 23.8% | 4 | 19.0% | 25 | 44.6% | |
Only cervical cord injury | 10 | 47.6% | 12 | 57.1% | 18 | 32.1% | |
Depends on availability of beds | 4 | 19.0% | 4 | 19.0% | 8 | 14.3% | |
None of them | 2 | 9.5% | 1 | 4.8% | 5 | 8.9% | |
Do you aim to keep the mean arterial pressure in a certain range? | 0.044a | ||||||
Yes | 18 | 85.7% | 13 | 61.9% | 47 | 83.9% | |
No | 3 | 14.3% | 8 | 38.1% | 9 | 16.1% | |
Do you try to do early decompression? | 0.427 | ||||||
I always do decompression in less than 24 h of the injury | 11 | 52.4% | 11 | 52.4% | 36 | 64.3% | |
I believe in early decompression, but the facility does not allow this practice | 6 | 28.6% | 2 | 9.5% | 8 | 14.3% | |
Whenever operating room time is available | 2 | 9.5% | 5 | 23.8% | 8 | 14.3% | |
I don’t believe early decompression adds neurological benefit | 2 | 9.5% | 3 | 14.3% | 4 | 7.1% |
↵a P < 0.05 (significant).