Methylprednisolone for the Treatment of Patients with Acute Spinal Cord Injuries: A Propensity Score-Matched Cohort Study from a Canadian Multi-Center Spinal Cord Injury Registry





Evaniew N, Noonan VK, Fallah N, Kwon B, Rivers CS, Ahn H, Bailey CS, Christie SD, Fourney DR, Hurlbert RJ, Linassi AG, Fehlings MG, Dvorak MF, and The RHSCIR Network. Journal of Neurotrauma. November 1, 2015 doi: 10.1089/neu.2015.3963









Summary: In a matched case-control analysis using national RHSCIR data, no evidence was found that methylprednisolone improves neurologic outcome following traumatic spinal cord injury as found in the controversial and much criticized 1990 NASCIS-II trial. This supports the downgrade of methylprednisolone as a treatment recommendation to a treatment option, and the evidence that it may increase odds of complications.



Propelled by the genuine compassion and commitment of Canadian rehab professionals, the Environmental Scan Atlas: Capturing Capacity in Canadian SCI Rehabilitation examines the complexities of SCI rehab, describes the current state of practice and maps the actions required to standardize and transform practice by 2020.
Craven CB, Kurban D, Farahani F, Rivers CS, Ho C, Linassi AG, Gagnon DH, O'Connell C, Ethans K, Bouyer LJ, Noonan VK; RHSCIR Network. J Spinal Cord Med. 2017 Sep 12:1-15. doi: 10.1080/10790268.2017.1368962. [Epub ahead of print]

Summary: Funding for rehabilitation and planning for length of hospital stay of an individual with a spinal cord injury is currently based on severity of injury. However, this is not always an accurate predictor for length of stay.
This participants' report is also the first activity within a comprehensive knowledge translation plan. In addition to academic journal articles, knowledge translation activities include providing data and support to SCI advocacy groups and its Canadian branches to ensure that results from the survey can be used for advocacy, nationally and in provincial jurisdictions.