Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jan;12(1):166-181.
doi: 10.1177/2192568220981988. Epub 2021 Jan 25.

Indicators of Quality of Care in Individuals With Traumatic Spinal Cord Injury: A Scoping Review

Sepehr Khosravi  1   2 , Amirmahdi Khayyamfar  1   2 , Milad Shemshadi  1   2 , Masoud Pourghahramani Koltapeh  1   2 , Mohsen Sadeghi-Naini  3 , Zahra Ghodsi  2 , Farhad Shokraneh  4   5 , Mohadeseh Sarbaz Bardsiri  2 , Pegah Derakhshan  1   2 , Khalil Komlakh  3 , Alex R Vaccaro  5 , Michael G Fehlings  6 , James D Guest  7 , Vanessa Noonan  8 , Vafa Rahimi-Movaghar  2   9
Affiliations

Indicators of Quality of Care in Individuals With Traumatic Spinal Cord Injury: A Scoping Review

Sepehr Khosravi et al. Global Spine J. 2022 Jan.

Abstract

Study design: Scoping review.

Objectives: To identify a practical and reproducible approach to organize Quality of Care Indicators (QoCI) in individuals with traumatic spinal cord injury (TSCI).

Methods: A comprehensive literature review was conducted in the Cochrane Central Register of Controlled Trials (CENTRAL) (Date: May 2018), MEDLINE (1946 to May 2018), and EMBASE (1974 to May 2018). Two independent reviewers screened 6092 records and included 262 full texts, among which 60 studies were included for qualitative analysis. We included studies, with no language restriction, containing at least 1 quality of care indicator for individuals with traumatic spinal cord injury. Each potential indicator was evaluated in an online, focused group discussion to define its categorization (healthcare system structure, medical process, and individuals with Traumatic Spinal Cord Injury related outcomes), definition, survey options, and scale.

Results: A total of 87 indicators were identified from 60 studies screened using our eligibility criteria. We defined each indicator. Out of 87 indicators, 37 appraised the healthcare system structure, 30 evaluated medical processes, and 20 included individuals with TSCI related outcomes. The healthcare system structure included the impact of the cost of hospitalization and rehabilitation, as well as staff and patient perception of treatment. The medical processes included targeting physical activities for improvement of health-related outcomes and complications. Changes in motor score, functional independence, and readmission rates were reported as individuals with TSCI-related outcomes indicators.

Conclusion: Indicators of quality of care in the management of individuals with TSCI are important for health policy strategists to standardize healthcare assessment, for clinicians to improve care, and for data collection efforts including registries.

Keywords: Iran; health care; health policy; quality indicators; quality of health care; registries; review; spinal cord injuries.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart of studies excluded and included for this study.
See this image and copyright information in PMC

References

    1. Guilcher SJ, Parsons D, Craven BC, Jaglal SB, Verrier M.Developing quality of care indicators for patients with traumatic and non-traumatic spinal cord injury (SCI): A feasibility study using administrative health data. J Spin Cord Med. 2015;38(6):765–776. - PMC - PubMed
    1. Wholey MH, Pugh DG, Bickel WH. Localized destructive lesions in rheumatoid spondylitis. Radiology. 1960;74:54–56. - PubMed
    1. Gupta N, Castillo-Laborde C, Landry MD. Health-related rehabilitation services: assessing the global supply of and need for human resources. BMC Health Serv Res. 2011;11(1):276. - PMC - PubMed
    1. Bickenbach J, Officer A, Shakespeare T, von Groote P. World Health O, the International Spinal Cord S. International Perspectives on Spinal Cord Injury/Edited by Jerome Bickenbach…[et al]. Geneva: World Health Organization; 2013.
    1. Stucki G, Bickenbach J. The international spinal cord injury survey and the learning health system for spinal cord injury. Am J Phys Med Rehabil. 2017;96(2 Suppl 1):S2–S4. - PubMed

Publication types

LinkOut - more resources