CAJ | 학술논문

研究设计调查专家意见、反馈及共识。目的描述国际脊髓损伤(SCI)脊柱干预及手术操作基础数据集的开发及其中包含的变量。设置国际工作组。方法成立专家委员会以选择及确定数据项目。将数据集送至相关的委员会及组织征求意见。考虑所有的建议后，国际脊髓协会及美国脊柱损伤协会认可了最终版本。结果数据集包括9个变量：①干预/操作的日期及开始时间；②非手术卧床休息及外固定；③脊柱闭合性干预，手法治疗和/或脊柱复位；④手术流程—入路；⑤干预完成或手术结束的日期及时间；⑥手术流程—切开复位；⑦手术流程—对神经的直接减压；⑧手术流程—固定及融合—节段数量；⑨手术流程—固定及融合—节段水平。所有变量均用数字或字符进行编码。本文中各项脊柱干预及操作均得以编码(变量1~7)，各脊柱节段水平亦得以描述(变量8~9)。应用临床病例举例说明如何完成该数据集。结论开发国际脊髓损伤脊柱干预及手术操作基础数据集的目的为便于各研究、中心及国家之间对脊柱干预及手术操作进行比较。
연구설계조사전가의견、반궤급공식。목적묘술국제척수손상(SCI)척주간예급수술조작기출수거집적개발급기중포함적변량。설치국제공작조。방법성립전가위원회이선택급학정수거항목。장수거집송지상관적위원회급조직정구의견。고필소유적건의후，국제척수협회급미국척주손상협회인가료최종판본。결과수거집포괄9개변량：①간예/조작적일기급개시시간；②비수술와상휴식급외고정；③척주폐합성간예，수법치료화/혹척주복위；④수술류정—입로；⑤간예완성혹수술결속적일기급시간；⑥수술류정—절개복위；⑦수술류정—대신경적직접감압；⑧수술류정—고정급융합—절단수량；⑨수술류정—고정급융합—절단수평。소유변량균용수자혹자부진행편마。본문중각항척주간예급조작균득이편마(변량1~7)，각척주절단수평역득이묘술(변량8~9)。응용림상병례거례설명여하완성해수거집。결론개발국제척수손상척주간예급수술조작기출수거집적목적위편우각연구、중심급국가지간대척주간예급수술조작진행비교。
Study design Survey of expert opinion, feedback and final consensus. Objective To describe the development and the vari-ables included in the International Spinal Cord Injury (SCI) Spinal Interventions and Surgical Procedures Basic Data set. Setting Internation-al working group. Methods A committee of experts was established to select and define data elements. The data set was then disseminated to the appropriate committees and organizations for comments. All suggested revisions were considered and both the International Spinal Cord Society and the American Spinal Injury Association endorsed the final version. Results The data set consists of nine variables:(1) In-tervention/Procedure Date and start time (2) Non-surgical bed rest and external immobilization, (3) Spinal intervention-closed manipulation and/or reduction of spinal elements, (4) Surgical procedure-approach, (5) Date and time of the completion of the intervention or surgical clo-sure;(6) Surgical procedure-open reduction, (7) Surgical procedure-direct decompression of neural elements, and (8 and 9) Surgical proce-dure-stabilization and fusion (spinal segment number and level). All variables are coded using numbers or characters. Each spinal interven-tion and procedure is coded (variables 1 through 7) and the spinal segment level is described (variables 8 and 9). Sample clinical cases were developed to illustrate how to complete it. Conclusion The International SCI Spinal Interventions and Surgical Procedures Basic Data Set was developed to facilitate comparisons of spinal interventions and surgical procedures among studies, centers and countries.