Literature DB >> 20025148

Computerized classification of neurologic injury based on the international standards for classification of spinal cord injury.

Ross S Chafetz1, Seyla Prak, M J Mulcahey.   

Abstract

BACKGROUND/
OBJECTIVE: To develop and test a computer program to accurately score International Standards for Classification of Spinal Cord Injury (ISCSCI) examinations.
METHODS: A computer program was written following the algorithm published in the ISCSCI 2003 manual. Two methods were used to test the computer program's accuracy. First, 94 hand-scored examinations representing 25 different patients were entered into the program. Differences between hand-scored examinations and computer-scored examinations were evaluated for accuracy. Second, all case examples from the ISCSCI manual were entered into the computer program to verify its accuracy.
RESULTS: Of the 94 hand-scored examinations, the computer detected all incorrectly scored examinations. Furthermore, the computer scoring agreed with every examination's scores that were correctly calculated by hand. Of the hand-scored examinations, 10% of sensory total scores and 4% of motor scores were incorrect. For sensory level and motor level, there were errors in 9% and 26% of hand-scored examinations, respectively; 13% of hand-scored examinations had incorrectly assigned ASIA Impairment Scale classification.
CONCLUSION: This study showed that the computer program we developed was effective in correctly scoring ISCSCI examinations and was able to detect errors in hand-scored examinations.

Entities:  

Mesh:

Year:  2009        PMID: 20025148      PMCID: PMC2792458          DOI: 10.1080/10790268.2009.11754554

Source DB:  PubMed          Journal:  J Spinal Cord Med        ISSN: 1079-0268            Impact factor:   1.985


  16 in total

1.  International standards for neurological classification of spinal cord injury.

Authors:  Ralph J Marino; Tarcisio Barros; Fin Biering-Sorensen; Stephen P Burns; William H Donovan; Daniel E Graves; Michael Haak; Lesley M Hudson; Michael M Priebe
Journal:  J Spinal Cord Med       Date:  2003       Impact factor: 1.985

Review 2.  Pharmacological approaches to repair the injured spinal cord.

Authors:  Darryl C Baptiste; Michael G Fehlings
Journal:  J Neurotrauma       Date:  2006 Mar-Apr       Impact factor: 5.269

3.  International Standards for Neurological and Functional Classification of Spinal Cord Injury. American Spinal Injury Association.

Authors:  F M Maynard; M B Bracken; G Creasey; J F Ditunno; W H Donovan; T B Ducker; S L Garber; R J Marino; S L Stover; C H Tator; R L Waters; J E Wilberger; W Young
Journal:  Spinal Cord       Date:  1997-05       Impact factor: 2.772

4.  Predicting recovery of motor complete quadriplegic patients. 24 hour v 72 hour motor index scores.

Authors:  D M Blaustein; R Zafonte; D Thomas; G J Herbison; J F Ditunno
Journal:  Am J Phys Med Rehabil       Date:  1993-10       Impact factor: 2.159

5.  Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord Injury Study.

Authors:  M B Bracken; M J Shepard; T R Holford; L Leo-Summers; E F Aldrich; M Fazl; M Fehlings; D L Herr; P W Hitchon; L F Marshall; R P Nockels; V Pascale; P L Perot; J Piepmeier; V K Sonntag; F Wagner; J E Wilberger; H R Winn; W Young
Journal:  JAMA       Date:  1997-05-28       Impact factor: 56.272

6.  Metric properties of the ASIA motor score: subscales improve correlation with functional activities.

Authors:  Ralph J Marino; Daniel E Graves
Journal:  Arch Phys Med Rehabil       Date:  2004-11       Impact factor: 3.966

7.  A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal-cord injury. Results of the Second National Acute Spinal Cord Injury Study.

Authors:  M B Bracken; M J Shepard; W F Collins; T R Holford; W Young; D S Baskin; H M Eisenberg; E Flamm; L Leo-Summers; J Maroon
Journal:  N Engl J Med       Date:  1990-05-17       Impact factor: 91.245

8.  A test of the 1992 International Standards for Neurological and Functional Classification of Spinal Cord Injury.

Authors:  M E Cohen; J F Ditunno; W H Donovan; F M Maynard
Journal:  Spinal Cord       Date:  1998-08       Impact factor: 2.772

9.  Intra-rater agreement of the anorectal exam and classification of injury severity in children with spinal cord injury.

Authors:  L Vogel; A Samdani; R Chafetz; J Gaughan; R Betz; M J Mulcahey
Journal:  Spinal Cord       Date:  2009-02-03       Impact factor: 2.772

10.  The interobserver reliability of the revised American Spinal Injury Association standards for neurological classification of spinal injury patients.

Authors:  M M Priebe; W P Waring
Journal:  Am J Phys Med Rehabil       Date:  1991-10       Impact factor: 2.159

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  5 in total

1.  Achieving assessor accuracy on the International Standards for Neurological Classification of Spinal Cord Injury.

Authors:  A J Armstrong; J M Clark; D T Ho; C J Payne; S Nolan; L M Goodes; L A Harvey; R Marshall; M P Galea; S A Dunlop
Journal:  Spinal Cord       Date:  2017-06-20       Impact factor: 2.772

2.  International standards for neurological classification of spinal cord injury: impact of the revised worksheet (revision 02/13) on classification performance.

Authors:  Christian Schuld; Steffen Franz; Karin Brüggemann; Laura Heutehaus; Norbert Weidner; Steven C Kirshblum; Rüdiger Rupp
Journal:  J Spinal Cord Med       Date:  2016-06-14       Impact factor: 1.985

Review 3.  _ 2009 review and revisions of the international standards for the neurological classification of spinal cord injury.

Authors:  William P Waring; Fin Biering-Sorensen; Stephen Burns; William Donovan; Daniel Graves; Amitabh Jha; Linda Jones; Steven Kirshblum; Ralph Marino; M J Mulcahey; Ronald Reeves; William M Scelza; Mary Schmidt-Read; Adam Stein
Journal:  J Spinal Cord Med       Date:  2010       Impact factor: 1.985

4.  Using a limited number of dermatomes as a predictor of the 56-dermatome test of the international standards for neurological classification of spinal cord injury in the pediatric population.

Authors:  Laura Krisa; M J Mulcahey; John P Gaughan; Brian Smith; Lawrence C Vogel
Journal:  Top Spinal Cord Inj Rehabil       Date:  2013

5.  Development and validation of a computerized algorithm for International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI).

Authors:  K Walden; L M Bélanger; F Biering-Sørensen; S P Burns; E Echeverria; S Kirshblum; R J Marino; V K Noonan; S E Park; R K Reeves; W Waring; M F Dvorak
Journal:  Spinal Cord       Date:  2015-09-01       Impact factor: 2.772

  5 in total

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