{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:04:34Z","timestamp":1747181074998,"version":"3.40.5"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background and Aim:<\/jats:title>\n            <jats:p>Cervical spondylotic myelopathy (CSM) causes progressive spinal cord compression and consequent functional decline. Surgical decompression is considered effective in halting disease progression, producing improvements in neurological prognosis. During hospitalization, several conditions may alter these patients' dependency levels. This study aimed to describe patients with CSM and their evolution regarding dependence in activities of daily living (ADL), from hospital admission to discharge.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Materials:<\/jats:title>\n            <jats:p>Descriptive and correlational study based on document analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Included 96 files of patients with CSM who were admitted to Neurosurgery Department. The sample was 58.3% men, with a mean age of 64.4 years. Of the participants, 96.9% had surgery, mainly an anterior cervical approach. Hygiene was the ADL involving most dependence, both at admission (39.6%) and at discharge (71.9%). Worsening of dependence levels in ADLs was found at the midterm evaluation (mean 13.34; SD 5.59) and at discharge (mean 11.59; SD 5.28) in relation to the functional condition at admission (mean 9.77; SD 6.06). Gender was not associated with any differences, but age and days of hospitalization were associated with variations in participants' dependency levels (<jats:italic toggle=\"yes\">P<\/jats:italic>&lt;.05).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>The level of dependence on ADLs increased during the hospitalization of patients with CSM.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/j.pbj.0000000000000252","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T12:01:43Z","timestamp":1718798503000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Patients with cervical spondylotic myelopathy and dependency in activities of daily living during hospitalization\u2014descriptive and correlational study"],"prefix":"10.1097","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1316-1394","authenticated-orcid":false,"given":"Salom\u00e9 Sobral","family":"Sousa","sequence":"first","affiliation":[{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Porto, Portugal"},{"name":"Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1608-9631","authenticated-orcid":false,"given":"Maria Jo\u00e3o","family":"Andrade","sequence":"additional","affiliation":[{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Porto, Portugal"},{"name":"Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7251-5829","authenticated-orcid":false,"given":"Carla S\u00edlvia","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Nursing School of Porto, Porto, Portugal"},{"name":"Center for Health Technology and Services Research (CINTESIS), Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6035-093X","authenticated-orcid":false,"given":"Sara Rodrigues","family":"Barbeiro","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9704-8083","authenticated-orcid":false,"given":"Vanessa","family":"Taveira","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1527-9940","authenticated-orcid":false,"given":"Maria Manuela Martins","family":"Martins","sequence":"additional","affiliation":[{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Porto, Portugal"},{"name":"Nursing School of Porto, Porto, Portugal"},{"name":"Center for Health Technology and Services Research (CINTESIS), Porto, Portugal"}]}],"member":"276","published-online":{"date-parts":[[2024,5]]},"reference":[{"issue":"suppl 2","key":"R1-20241001","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1007\/s00586-013-2658-z","article-title":"Predictors of outcome in patients with degenerative cervical spondylotic myelopathy undergoing surgical treatment: results of a systematic review","volume":"24","author":"Tetreault","year":"2015","journal-title":"Eur Spine J."},{"key":"R2-20241001","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s12178-016-9348-5","article-title":"Degenerative cervical myelopathy","volume":"9","author":"Kato","year":"2016","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"suppl 3","key":"R3-20241001","doi-asserted-by":"crossref","first-page":"70s","DOI":"10.1177\/2192568217701914","article-title":"A clinical practice guideline for the management of patients with degenerative cervical myelopathy: recommendations for patients with mild, moderate, and severe disease and nonmyelopathic patients with evidence of cord compression","volume":"7","author":"Fehlings","year":"2017","journal-title":"Glob Spine J"},{"key":"R4-20241001","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1080\/14737175.2020.1798231","article-title":"Multidisciplinary approach to degenerative cervical myelopathy","volume":"20","author":"Moghaddamjou","year":"2020","journal-title":"Expert Rev Neurother"},{"key":"R5-20241001","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1590\/S1413-78522012000300009","article-title":"Correla\u00e7\u00e3o clinica entre a mielopatia cervical E O \u00edndice de torg","volume":"20","author":"Lozorio","year":"2012","journal-title":"Acta Ortop Brasil"},{"key":"R6-20241001","first-page":"150","article-title":"Mielopatia cervical espondil\u00f3tica; 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