Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons

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 r...

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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Spinal cord injuries Decompression Surgical Neurosurgeons Iran Qualitative research Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/70146f486a17420c867170ff7551db59
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spelling	oai:doaj.org-article:70146f486a17420c867170ff7551db592021-11-18T04:43:44ZReasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons1008-127510.1016/j.cjtee.2021.07.001https://doaj.org/article/70146f486a17420c867170ff7551db592021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1008127521001127https://doaj.org/toc/1008-1275Purpose: 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.Masoud SohrabiAslZahra GhodsiRoya Habibi ArejanZahra AzadmanjirMahdi Sharif-AlhoseiniMoein KhormaliMaryam ShojaeiAbbas RahimiforoushaniAlireza KhoshnevisanAlexander R. VaccaroMichael G. FehlingsVafa Rahimi-MovagharElsevierarticleSpinal cord injuriesDecompressionSurgicalNeurosurgeonsIranQualitative researchMedicine (General)R5-920ENChinese Journal of Traumatology, Vol 24, Iss 6, Pp 356-359 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Spinal cord injuries Decompression Surgical Neurosurgeons Iran Qualitative research Medicine (General) R5-920
spellingShingle	Spinal cord injuries Decompression Surgical Neurosurgeons Iran Qualitative research Medicine (General) R5-920 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 Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons
description	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.
format	article
author	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
author_facet	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
author_sort	Masoud SohrabiAsl
title	Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons
title_short	Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons
title_full	Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons
title_fullStr	Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons
title_full_unstemmed	Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons
title_sort	reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in iran: a qualitative study from the perspective of neurosurgeons
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/70146f486a17420c867170ff7551db59
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Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons

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