MedPath

The Austrian Spinal Cord Injury Study

Conditions
Traumatic Spinal Cord Injury
Registration Number
NCT03109782
Lead Sponsor
Paracelsus Medical University
Brief Summary

Traumatic spinal cord injury (tSCI) is a debilitating disease that leads to neurological deficits and often has long-term effects including severe lifelong disability. Given the devastating personal and economic consequences of SCI, it is critical to collect high-quality, prospective data. SCI has not been systemically assessed in Austria, and data regarding the etiology, incidence and prevalence are missing or significantly limited. More importantly to the individuals suffering from SCI, health care for SCI patients in Austria is not concentrated in specialized SCI centers but fragmented, which might result in a less effective recovery and rehabilitation of patients. Accordingly, the Paracelsus Medical University Salzburg (PMU) and the Austrian Social Insurance for Occupational Risks (AUVA) initiated the Austrian Spinal Cord Injury Study (ASCIS) at the beginning of 2012. ASCIS is defined as an organized network that uses observational methods to collect uniform longitudinal clinical data that can provide insight into current patient care parameters and evaluates the outcome of SCI patients. ASCIS was initiated with the aim to develop a registry for patients with tSCI in Austria as a base for addressing research questions, improving patient outcomes and establishing a platform for future clinical trials. Furthermore, a major goal of ASCIS is to get knowledge about the natural recovery after spinal cord lesion in a larger population of patients in the sense of a historical control group and bring new standardized assessment tools to the clinical setting. Due to the involvement of acute trauma hospitals and rehabilitation centers, ASCIS is uniquely positioned to capture detailed hospital-related information on the (very)-acute, rehabilitation and chronic phases of tSCI patients. Additionally, ASCIS is cooperation partner of the European Multi-Center Study about Spinal Cord Injury (EMSCI).

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1000
Inclusion Criteria
  • Patients suffering from paresis or plegia after trauma
  • First ASCIS assessment possible within the first 3 days after incidence
  • Patient capable and willing of giving written informed consent
  • No cognitive impairment which would preclude an informed consent (including severe traumatic brain injury)
Exclusion Criteria
  • Nontraumatic paresis or plegia (e.g. disc-herniation, tumor, AV-malformation, myelitis)
  • Previously known dementia or severe reduction of intelligence, leading to reduced capabilities of cooperation or giving consent
  • Peripheral nerve lesion above the level of lesion (e.g. Plexus brachialis impairment)
  • Previously known polyneuropathy
  • Severe craniocerebral injury

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in American Spinal Injury Association Impairment Scale (AIS)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Secondary Outcome Measures
NameTimeMethod
Change in 6 Minute Walking Test (6MWT)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Change in American Spinal Injury Association Motor Score (ASIAMS)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Change in American Spinal Injury Association Sensory Score (ASIASS)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Change in Spinal Cord Independency Measure (SCIM)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Change in Walking Index for Spinal Cord Injury (WISCI II)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Change in Timed Up and Go Test (TuG)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Change in 10 Meter Timed Walk (10MTW)Between day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury
Change in quality of life using the Short Form 36 (SF-36) questionnaireBetween day of trauma (0 day), 1-3 days, 14-40 days, 3 months, 6 months, 1 year and 2-3 years after injury

Trial Locations

Locations (18)

Academic Hospital Feldkirch, Department for Trauma Surgery and Sports Traumatology

๐Ÿ‡ฆ๐Ÿ‡น

Feldkirch, Austria

Trauma Center Salzburg, Teaching Hospital of the Paracelsus Medical University Salzburg

๐Ÿ‡ฆ๐Ÿ‡น

Salzburg, Austria

University Clinic Salzburg, Department of Orthopaedics and Traumatology, Paracelsus Medical University

๐Ÿ‡ฆ๐Ÿ‡น

Salzburg, Austria

University Clinic Graz, Department of Orthopaedics and Traumatology, Medical University Graz

๐Ÿ‡ฆ๐Ÿ‡น

Graz, Austria

SMZ Ost Donauspital, Department of Traumatology

๐Ÿ‡ฆ๐Ÿ‡น

Vienna, Austria

Hospital Wiener Neustadt, Department of Traumaotlogy

๐Ÿ‡ฆ๐Ÿ‡น

Wiener Neustadt, Austria

Hospital Klagenfurt, Department of Trauma Surgery and Sports Traumatology

๐Ÿ‡ฆ๐Ÿ‡น

Klagenfurt, Austria

Hospital Horn, Department of Traumatology

๐Ÿ‡ฆ๐Ÿ‡น

Horn, Austria

Trauma Center Klagenfurt

๐Ÿ‡ฆ๐Ÿ‡น

Klagenfurt, Austria

University Clinic Linz, Department of Orthopaedics and Traumatology, Kepler University Linz

๐Ÿ‡ฆ๐Ÿ‡น

Linz, Austria

Trauma Center Linz, Teaching Hospital of the Paracelsus Medical University Linz

๐Ÿ‡ฆ๐Ÿ‡น

Linz, Austria

University Clinic Linz, Department of Neurosurgery, Kepler University Linz

๐Ÿ‡ฆ๐Ÿ‡น

Linz, Austria

University Clinic St. Pรถlten, Department of Orthopaedics and Traumatology

๐Ÿ‡ฆ๐Ÿ‡น

St. Pรถlten, Austria

University Clinic Vienna, Department of Trauma Surgery, Medical University of Vienna

๐Ÿ‡ฆ๐Ÿ‡น

Vienna, Austria

Ordensklinikum Barmherzige Brรผder Eisenstadt, Department of Orthopaedic Surgery

๐Ÿ‡ฆ๐Ÿ‡น

Eisenstadt, Austria

Trauma Center Graz

๐Ÿ‡ฆ๐Ÿ‡น

Graz, Austria

Hospital Amstetten, Department of Traumatology

๐Ÿ‡ฆ๐Ÿ‡น

Amstetten, Austria

Lorenz Bรถhler Trauma Center Vienna

๐Ÿ‡ฆ๐Ÿ‡น

Vienna, Austria

ยฉ Copyright 2025. All Rights Reserved by MedPath