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B - What Does the E-Scan Tell Us

1 2 3 4 5 Program, Site, Corporation City Spinal Cord Injury Program, GF Strong Rehabilitaon Centre, Vancouver Coastal Health Ter ary Neurological Rehabilita on, Foothills Medical Centre, Alberta Health Services Spinal Cord Injury Program, Glenrose Rehabilitaon Hospital, Alberta Health Services Spinal Cord Injury Program, Saskatoon City Hospital, Saskatoon Health Region and University of Saskatchewan Spinal Cord Injury Program, Health Sciences Centre Winnipeg, Winnipeg Regional Health Authority Regional SCI Rehabilita on Program, Parkwood Hospital, St. Joseph’s Health Care Spinal Cord Injury Rehabilita on Program, Hamilton Health Sciences, Regional Rehabilitaon Centre Brain and Spinal Cord Rehab Program, Toronto Rehabilitaon Instute - University Health Network Physical Medicine and Rehabilita on Program, St. Mary’s of the Lake Hospital, Providence Care Physical Medicine and Rehabilita on, The OŠawa Hospital Programme lésions médullaires, Instut de réadaptaon Gingras-Lindsay de Montréal Programme pour les personnes présentant une pathologie du système locomoteur, Centre de réadaptaon Lucie-Bruneau, Programme des myélopathies, Instut de réadaptaon en déficience physique de Québec New Brunswick Provincial SCI Program, Stan Cassidy Centre for Rehabilitaon, Horizon Health Network Spinal Cord Rehabilita on Program, Nova Scoa Rehabilitaon Centre, Queen Elizabeth II Health Sciences Centre, Capital Health Spinal Cord Rehabilita on Unit, Leonard A. Miller Centre, Eastern Health Vancouver Calgary Edmonton Saskatoon Winnipeg London Hamilton Toronto Kingston OŠawa Montréal Montréal Québec City Fredericton Halifax St. John’s 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 What Happens from the Time of Injury to Rehabilitation Admission? Improved emergency care - often to address respiratory complications which may be an indication of SCI severity - aggressive treatment, and robust rehabilitation can minimize damage to the nervous system, and assist with the restoration of functional abilities. In the acute setting, surgery is often necessary to relieve compression of the spinal tissue, caused by bones broken or dislocated, during the injury. The Surgical Timing in Acute Spinal Cord Injury Study (STASCIS), a recent prospective multicenter study, suggests that performing decompression surgery early (less than 24 hours following injury) can improve outcomes for patients with bone fragments or other tissues pressing on the spinal cord.4 Patients are usually treated in acute, designated trauma centres, staffed with spine surgeons and health professionals, who are trained to address the many consequences of the injury, until they are medically stable. They are then admitted to specialized rehabilitation centres where customized services are provided. These specialized rehabilitation centres are where individuals learn how to optimize their neurological recovery, become functionally independent in daily activities; and utilize strategies to improve their health status and wellbeing. 6 7 8 12 10 11 13 14 15 Canadian SCI Rehabilitation Sites 9 E-Scan Data Site Site 0 125 250 500 km Who is Admitted to Inpatient Rehabilitation and Why? Sixteen tertiary rehabilitation sites in Canada provide extensive rehabilitation for individuals with SCI. Of these, thirteen participated in the 16 E-Scan Demographic and Impairment data collection. Changing trends in the etiology of SCI, and associated volumes of patients requiring rehabilitation services, are altering the landscape of admissions to specialized rehabilitation facilities, the services offered, lengths of stay and discharge disposition. The location of SCI rehabilitation sites mirrors other health services in Canada, which are concentrated around urban, academic health science centres. This leaves rural and northern areas of the country underserviced. WHAT DOES THE E-SCAN TELL US 37


B - What Does the E-Scan Tell Us
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