{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:54:03Z","timestamp":1792007643497,"version":"4.4.0"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8]]},"abstract":"OBJECTIVE<\/jats:title>Patients with traumatic spinal cord injury (TSCI) are at risk of developing neurogenic shock that causes hypotension and thereby secondary injury to the spinal cord due to ischemia. Hemodynamic treatment of patients with acute TSCI remains inadequately elucidated. Guidelines for management are divergent and based on limited evidence. To this end, the authors evaluated whether mean arterial blood pressure (MABP) during the prehospital and initial hospital phases of TSCI treatment is correlated with long-term neurological outcome.<\/jats:p><\/jats:sec>METHODS<\/jats:title>The authors performed a retrospective cohort study based on a chart review of MABP data collected during the prehospital transport, in the operating room (OR), and in the neurointensive care unit (NICU) during the first 7 days after trauma. Data from the NICU were divided into two periods: days 1\u20132 and days 3\u20137. Data were analyzed using Spearman\u2019s rank correlation to evaluate for any correlation between MABP and changes in the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) score 1 year postinjury. In the analysis, the MABP target value was 80 mm Hg. Hypotension was treated with metaoxedrin or norepinephrine. Statistically significant differences were evaluated using Spearman\u2019s rank correlation coefficient.<\/jats:p><\/jats:sec>RESULTS<\/jats:title>The chart review yielded 129 patients treated for TSCI. The inclusion period was 2010\u20132017. For the prehospital transport measurements of MABP, the Spearman\u2019s rank correlation coefficient was a rho of 0.5662 (p < 0.001), for OR measurements it was a rho of 0.6818 (p < 0.001), and for the NICU measurements it was a rho of 0.4611 (p < 0.001); for NICU unit days 1\u20132 and days 3\u20137, the Spearman\u2019s rank correlation coefficient was a rho of 0.2209 (p = 0.0681).<\/jats:p><\/jats:sec>CONCLUSIONS<\/jats:title>Continuous MABP levels exceeding 80 mm Hg have a significant impact on neurological outcome\u2014from earliest possible stabilization in the prehospital care, through hospital admission, the surgical phase, and into the first 2 days in the NICU.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2020.1.spine191005","type":"journal-article","created":{"date-parts":[[2020,3,20]],"date-time":"2020-03-20T23:08:08Z","timestamp":1584745688000},"page":"256-260","source":"Crossref","is-referenced-by-count":20,"title":["Initial blood pressure is important for long-term outcome after traumatic spinal cord injury"],"prefix":"10.3171","volume":"33","author":[{"given":"Mette","family":"Haldrup","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, CENSE-Spine, Aarhus University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stig","family":"Dyrskog","sequence":"additional","affiliation":[{"name":"Department of Neuro-Intensive Care, Aarhus University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias M\u00f8ller","family":"Thygesen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, CENSE-Spine, Aarhus University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Kirkegaard","sequence":"additional","affiliation":[{"name":"Department of Prehospial Care, Region Midt; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helge","family":"Kasch","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Spinal Cord Injury Center of Western Denmark, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikkel Mylius","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, CENSE-Spine, Aarhus University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1038\/sj.sc.3102007","article-title":"Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: spontaneous recovery after spinal cord injury and statistical power needed for therapeutic clinical trials","volume":"45","author":"Fawcett JW","year":"2007","unstructured":"Fawcett JW, Curt A, Steeves JD, Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: spontaneous recovery after spinal cord injury and statistical power needed for therapeutic clinical trials. 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