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594 results on '"Noonan, Vanessa K."'

5. Is the level of consent to a national research registry associated with patient outcomes following traumatic spinal cord injury? A population-based study from the Rick Hansen Spinal Cord Injury Registry (RHSCIR)

Author

Dionne, Antoine, Mac-Thiong, Jean-Marc, Hong, Heather A., Kurban, Dilnur, Xu, Jijie, Humphreys, Suzanne, Bailey, Chris, Barthelemy, Dorothy, Christie, Sean, Fourney, Daryl, Linassi, A Gary, Loyola-Sanchez, Adalberto, Paquet, Jerome, Sreenivasan, Vidya, Townson, Andrea, Tsai, Eve, Noonan, Vanessa K., and Richard-Denis, Andréane

Published
2024
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6. Using the Standing and Walking Assessment Tool at Discharge Predicts Community Outdoor Walking Capacity in Persons With Traumatic Spinal Cord Injury

Author

Hong, Heather A., Walden, Kristen, Laskin, James J., Wang, Di, Kurban, Dilnur, Cheng, Christiana L., Guilbault, Lindsey, Dagley, Erica, Wong, Chelsea, McCullum, Shane, Gagnon, Dany H., Lemay, Jean-Francois, Noonan, Vanessa K., and Musselman, Kristin E.

Subjects
Spinal cord injuries, Health
Abstract

Objective. The Standing and Walking Assessment Tool (SWAT) standardizes the timing and content of walking assessments during inpatient rehabilitation by combining 12 stages ranging from lowest to highest function (0, 0.5, 1A, 1B, 1C, 2A, 2B, 2C, 3A, 3B, 3C, and 4) with 5 standard measures: the Berg Balance Scale, the modified Timed 'Up & Go' test, the Activities-specific Balance Confidence Scale, the modified 6-Minute Walk Test, and the 10-Meter Walk Test (10MWT). This study aimed to determine if the SWAT at rehabilitation discharge could predict outdoor walking capacity 1-year after discharge in people with traumatic spinal cord injury. Methods. This retrospective study used data obtained from the Rick Hansen Spinal Cord Injury Registry from 2014 to 2020. Community outdoor walking capacity was measured using the Spinal Cord Independence Measure III (SCIM III) outdoor mobility score obtained 12 ([+ or -]4) months after discharge. Of 206 study participants, 90 were community nonwalkers (ie, SCIM III score 0-3), 41 were community walkers with aids (ie, SCIM III score 4-6), and 75 were independent community walkers (ie, SCIM III score 7-8). Bivariate, multivariable regression, and an area under the receiver operating characteristic curve analyses were performed. Results. At rehabilitation discharge, 3 significant SWAT associations were confirmed: 0-3A with community nonwalkers, 3B/higher with community walkers with and without an aid, and 4 with independent community walkers. Moreover, at discharge, a higher (Berg Balance Scale, Activities-specific Balance Confidence Scale), faster (modified Timed 'Up & Go,' 10MWT), or further (10MWT) SWAT measure was significantly associated with independent community walking. Multivariable analysis indicated that all SWAT measures, except the 10MWT were significant predictors of independent community walking. Furthermore, the Activities-Specific Balance Confidence Scale had the highest area under the receiver operating characteristic score (0.91), demonstrating an excellent ability to distinguish community walkers with aids from independent community walkers. Conclusion. The SWAT stage and measures at discharge can predict community outdoor walking capacity in persons with traumatic spinal cord injury. Notably, a patient's confidence in performing activities plays an important part in achieving walking ability in the community. Impact. The discharge SWAT is useful to optimize discharge planning. Keywords: Ambulation, Functional Outcome, Prediction, Rehabilitation, SCIM III, Spinal Cord Injury, Standing and Walking Assessment Tool, Introduction Validated outcome measures allow rehabilitation professionals to evaluate an individual's functional ability, plan treatment, and set appropriate rehabilitation goals. (1,2) They enable clinicians to objectively monitor progress and assess [...]

Published
2023
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11. Using Clinical Vignettes and a Modified Expert Delphi Panel to Determine Parameters for Identifying Non-Traumatic Spinal Cord Injury in Health Administrative and Electronic Medical Record Databases

Author

Senthinathan, Arrani, Cronin, Shawna M., Ho, Chester, New, Peter W., Guilcher, Sara JT., Noonan, Vanessa K., Craven, B. Catherine, Christie, Sean, Wai, Eugene K., Tsai, Eve C., Sreenivasan, Vidya, Wilson, Jefferson, Fehlings, Michael G., Welk, Blayne, and Jaglal, Susan B.

Published
2023
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12. An international survey of the structure and process of care for traumatic spinal cord injury in acute and rehabilitation facilities: lessons learned from a pilot study

Author

Abedi, Aidin, Biering-Sørensen, Fin, Chhabra, Harvinder S., D’Andréa Greve, Julia Maria, Khan, Nasser M., Koskinen, Eerika, Kwan, Kenny Yat Hong, Liu, Nan, Middleton, James W., Moslavac, Sasa, Rahimi-Movaghar, Vafa, O’Connell, Colleen, Previnaire, Jean G., Patel, Alpesh, Scivoletto, Giorgio, Sharwood, Lisa N., Townson, Andrea, Urquhart, Susan, Vainionpää, Aki, Zaman, Atiq Uz, Noonan, Vanessa K., and Cheng, Christiana L.

Published
2022
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14. Bowel and Bladder Dysfunction after SCI: A Comparison between India and Canada.

Author

Hirsch, Aliza, Tyagi, Nishu, Goel, Shakti, Chhabra, Harvinder Singh, Fallah, Nader, Noonan, Vanessa K., Sehrawat, Shikha, Saini, Aditya, Barnwal, Aniket, and Krassioukov, Andrei V.

Abstract

The inclusion of people living with spinal cord injury (SCI) in research has allowed for an informed understanding of priorities of recovery of which bowel dysfunction and bladder dysfunction have been continuously identified. Research has also demonstrated the global disparities in SCI outcomes particularly when comparing high- and low-income countries. Currently, there is a lack of direct comparison between countries when assessing SCI outcomes. This is an exploratory study to better understand bowel and bladder dysfunction amongst individuals with SCI in India and Canada. Data from 33 participants were analyzed. Participants completed an online questionnaire assessing demographic information and the Neurogenic Bowel Dysfunction (NBD) score, Wexner score, Neurogenic Bladder Symptom Score (NBSS), and the Incontinence Quality of Life Instrument (I-QOL). Continuous data were compared using t tests. For not normally distributed data, the independent Mann-Whitney U test was used. Categorical variables were evaluated for association using Fisher's exact or chi-square test, depending on the sample size. Independent Mann-Whitney U test demonstrated that the Canadian participants had poorer bowel function with higher total NBD scores (p =.007) and less frequent bowel movements (p =.036), and they were more likely to experience uneasiness, headaches, and perspiration during bowel movements (p <.001). NBSS results indicated a small but significantly higher proportion of the Indian participants were unsatisfied or unhappy with their bladder function (p =.049). The distribution of Wexner and I-QOL scores were the same across countries. Potential explanations for differences include lifestyle, management, financial resources, patient and caregiver education, and societal pressures, which are all heavily influenced by cultural, geographical, and economic circumstances. [ABSTRACT FROM AUTHOR]

Published
2024
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22. Pattern of neurological recovery in persons with an acute cervical spinal cord injury over the first 14 days post injury

Author

Fallah, Nader, primary, Noonan, Vanessa K., additional, Waheed, Zeina, additional, Charest-Morin, Raphaele, additional, Dandurand, Charlotte, additional, Cheng, Christiana, additional, Ailon, Tamir, additional, Dea, Nicolas, additional, Paquette, Scott, additional, Street, John T., additional, Fisher, Charles, additional, Dvorak, Marcel F., additional, and Kwon, Brian K., additional

Published
2023
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23. Enabling knowledge translation: implementation of a web-based tool for independent walking prediction after traumatic spinal cord injury

Author

Hakimjavadi, Ramtin, primary, Hong, Heather A., additional, Fallah, Nader, additional, Humphreys, Suzanne, additional, Kingwell, Stephen, additional, Stratton, Alexandra, additional, Tsai, Eve, additional, Wai, Eugene K., additional, Walden, Kristen, additional, Noonan, Vanessa K., additional, and Phan, Philippe, additional

Published
2023
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27. Healthcare provider characteristics that influence the implementation of individual-level patient-centered outcome measure (PROM) and patient-reported experience measure (PREM) data across practice settings: a protocol for a mixed methods systematic review with a narrative synthesis

Author

Wolff, Angela C., Dresselhuis, Andrea, Hejazi, Samar, Dixon, Duncan, Gibson, Deborah, Howard, A. Fuchsia, Liva, Sarah, Astle, Barbara, Reimer-Kirkham, Sheryl, Noonan, Vanessa K., and Edwards, Lisa

Published
2021
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30. Pattern of neurological recovery in persons with an acute cervical spinal cord injury over the first 14 days post injury.

Author

Fallah, Nader, Noonan, Vanessa K., Waheed, Zeina, Charest-Morin, Raphaele, Dandurand, Charlotte, Cheng, Christiana, Ailon, Tamir, Dea, Nicolas, Paquette, Scott, Street, John T., Fisher, Charles, Dvorak, Marcel F., and Kwon, Brian K.

Subjects
SPINAL cord injuries, CERVICAL cord, NEUROLOGIC examination, WOUNDS & injuries
Abstract

Introduction: Following a traumatic spinal cord injury (SCI) it is critical to document the level and severity of injury. Neurological recovery occurs dynamically after injury and a baseline neurological exam offers a snapshot of the patient's impairment at that time. Understanding when this exam occurs in the recovery process is crucial for discussing prognosis and acute clinical trial enrollment. The objectives of this study were to: (1) describe the trajectory of motor recovery in persons with acute cervical SCI in the first 14 days post-injury; and (2) evaluate if the timing of the baseline neurological assessment in the first 14 days impacts the amount of motor recovery observed. Methods: Data were obtained from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) site in Vancouver and additional neurological data was extracted from medical charts. Participants with a cervical injury (Cl-Tl) who had a minimum of three exams (including a baseline and discharge exam) were included. Data on the upper-extremity motor score (UEMS), total motor score (TMS) and American Spinal Injury Association (ASIA) Impairment Scale (AIS) were included. A linear mixed-effect model with additional variables (AIS, level of injury, UEMS, time, time², and TMS) was used to explore the pattern and amount of motor recovery over time. Results: Trajectories of motor recovery in the first 14 days post-injury showed significant improvements in both TMS and UEMS for participants with AIS B, C, and D injuries, but was not different for high (CI-4) vs. low (C5-T1) cervical injuries or AIS A injuries. The timing of the baseline neurological examination significantly impacted the amount of motor recovery in participants with AIS B, C, and D injuries. Discussion: Timing of baseline neurological exams was significantly associated with the amount of motor recovery in cervical AIS B, C, and D injuries. Studies examining changes in neurological recovery should consider stratifying by severity and timing of the baseline exam to reduce bias amongst study cohorts. Future studies should validate these estimates for cervical AIS B, C, and D injuries to see if they can serve as an "adjustment factor" to control for differences in the timing of the baseline neurological exam. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Impact of Specialized Versus Non-Specialized Acute Hospital Care on Survival Among Patients With Acute Incomplete Traumatic Spinal Cord Injuries: A Population-Based Observational Study from British Columbia, Canada

Author

Dvorak, Marcel F., primary, Evaniew, Nathan, additional, Chen, Melody, additional, Waheed, Zeina, additional, Rotem-Kohavi, Naama, additional, Fallah, Nader, additional, Noonan, Vanessa K., additional, Fisher, Charles, additional, Charest-Morin, Raphaële, additional, Dea, Nicolas, additional, Ailon, Tamir, additional, Street, John, additional, and Kwon, Brian K., additional

Published
2023
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35. The impact of spine stability on cervical spinal cord injury with respect to demographics, management, and outcome: a prospective cohort from a national spinal cord injury registry

Author

Paquet, Jérôme, Rivers, Carly S., Kurban, Dilnur, Finkelstein, Joel, Tee, Jin W., Noonan, Vanessa K., Kwon, Brian K., Hurlbert, R. John, Christie, Sean, Tsai, Eve C., Ahn, Henry, Drew, Brian, Bailey, Christopher S., Fourney, Daryl R., Attabib, Najmedden, Johnson, Michael G., Fehlings, Michael G., Parent, Stefan, and Dvorak, Marcel F.

Published
2018
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43. Impact of Trauma System Structure on Injury Outcomes: A Systematic Review and Meta-Analysis

Author

Moore, Lynne, Champion, Howard, Tardif, Pier-Alexandre, Kuimi, Brice-Lionel, O’Reilly, Gerard, Leppaniemi, Ari, Cameron, Peter, Palmer, Cameron S., Abu-Zidan, Fikri M., Gabbe, Belinda, Gaarder, Christine, Yanchar, Natalie, Stelfox, Henry Thomas, Coimbra, Raul, Kortbeek, John, Noonan, Vanessa K., Gunning, Amy, Gordon, Malcolm, Khajanchi, Monty, Porgo, Teegwendé V., Turgeon, Alexis F., Leenen, Luke, and On behalf of the International Injury Care Improvement Initiative

Published
2018
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44. Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline

Author

Martin Ginis, Kathleen A., van der Scheer, Jan W., Latimer-Cheung, Amy E., Barrow, Andy, Bourne, Chris, Carruthers, Peter, Bernardi, Marco, Ditor, David S., Gaudet, Sonja, de Groot, Sonja, Hayes, Keith C., Hicks, Audrey L., Leicht, Christof A., Lexell, Jan, Macaluso, Steven, Manns, Patricia J., McBride, Christopher B., Noonan, Vanessa K., Pomerleau, Pierre, Rimmer, James H., Shaw, Robert B., Smith, Brett, Smith, Karen M., Steeves, John D., Tussler, Dot, West, Christopher R., Wolfe, Dalton L., and Goosey-Tolfrey, Victoria L.

Published
2018
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48. The Importance of Prospective Registries and Clinical Research Networks in the Evolution of Spinal Cord Injury Care

Author

Kelly-Hedrick, Margot, primary, Abd-El-Barr, Muhammad, additional, Aarabi, Bizhan, additional, Curt, Armin, additional, Howley, Susan P, additional, Harrop, James Shields, additional, Kirshblum, Steven, additional, Neal, Christopher J., additional, Noonan, Vanessa K, additional, Park, Christine, additional, Ugiliweneza, Beatrice, additional, Tator, Charles, additional, Toups, Elizabeth G., additional, Fehlings, Michael G, additional, Williamson, Theresa, additional, and Guest, James, additional

Published
2022
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