Table 4.
Can-SCIP domain summary – Section 1.
| Recommendations for the components of the Ideal SCI care system | Total recommendations | Recommendation derivation | Level of evidence | ||||
|---|---|---|---|---|---|---|---|
| Adopted as is | Revised | Newly derived | Level A | Level B | Level C | ||
| PRE-HOSPITAL AND EMERGENCY | 39 | 15 | 24 | 0 | 2 | 19 | 18 |
| Extrication & Transportation of Patients with Acute Cervical SCI | 10 | 2 | 8 | 0 | 0 | 9 | 1 |
| Assessment and Management in Pre-Hospital Settings | 2 | 1 | 1 | 0 | 0 | 0 | 2 |
| Assessment for Thoracic or Lumbosacral SCI | 1 | 1 | 0 | 0 | 0 | 0 | 1 |
| When to Carry Out Full In-Line Spinal Immobilization | 2 | 1 | 1 | 0 | 0 | 0 | 2 |
| How to Carry Out Full In-Line Spinal Immobilization | 2 | 1 | 1 | 0 | 0 | 1 | 1 |
| Receiving Information in Hospital Settings | 2 | 1 | 1 | 0 | 0 | 0 | 2 |
| Emergency Department Assessment and Management | 12 | 7 | 5 | 0 | 2 | 8 | 2 |
| Neurological Exam Following Acute Cervical SCI | 1 | 0 | 1 | 0 | 0 | 1 | 0 |
| Recording Information in Hospital Settings | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| Timing of Decompressive Surgery (≤24 h After Injury) in Patients with Acute Spinal Cord Injury | 3 | 1 | 2 | 0 | 0 | 0 | 3 |
| Providing Information on Transfer from an Emergency Department | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| Communication with Tertiary Services | 2 | 0 | 2 | 0 | 0 | 0 | 2 |
| DIAGNOSTIC IMAGING | 18 | 11 | 5 | 2 | 6 | 2 | 10 |
| Introductory Recommendations | 2 | 0 | 2 | 0 | 0 | 0 | 2 |
| Suspected Spinal Cord or Cervical Column Injury | 4 | 3 | 1 | 0 | 0 | 0 | 4 |
| Suspected Thoracic or Lumbosacral Column Injury Only | 2 | 0 | 2 | 0 | 0 | 2 | 0 |
| Diagnostic of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma | 2 | 2 | 0 | 0 | 1 | 0 | 1 |
| Radiographic Assessment in Awake, Asymptomatic Patient | 4 | 3 | 0 | 1 | 3 | 0 | 1 |
| Radiographic Assessment in Obtunded or Unevaluable Patient | 4 | 3 | 0 | 1 | 2 | 0 | 2 |
| EARLY ACUTE CARE | 9 | 2 | 3 | 4 | 2 | 4 | 3 |
| Early Medical Management | 6 | 1 | 1 | 4 | 0 | 3 | 3 |
| Role of the Registered Dietitian | 1 | 0 | 1 | 0 | 0 | 1 | 0 |
| Nutrition Assessment: Energy Needs in the Acute Phase | 1 | 1 | 0 | 0 | 1 | 0 | 0 |
| Preventing Pressure Injuries During the Acute Care Phase | 1 | 0 | 1 | 0 | 1 | 0 | 0 |
| EDUCATION AND SUPPORT OF PEOPLE WITH SCI AND THEIR FAMILIES ACROSS THE CONTINUUM | 6 | 0 | 6 | 0 | 0 | 0 | 6 |
| CROSS CONTINUUM EDUCATION OF CLINICIANS AND STAFF WORKING WITH PEOPLE WITH SCI | 4 | 1 | 2 | 1 | 1 | 2 | 1 |
| SPECIALIZED INPATIENT REHABILITATION | 8 | 2 | 2 | 4 | 1 | 0 | 7 |
| COMMUNITY-BASED REHABILITATION | 7 | 0 | 0 | 6 | 0 | 0 | 7 |
| Community-Based Rehabilitation | 3 | 1 | 1 | 1 | 0 | 0 | 3 |
| Community Care | 4 | 0 | 0 | 4 | 0 | 0 | 4 |
| VOCATIONAL REHABILITATION | 2 | 0 | 0 | 2 | 1 | 0 | 1 |
| COMPREHENSIVE HEALTH & WELLNESS | 3 | 0 | 0 | 3 | 0 | 0 | 3 |
| TOTAL | 96 | 32 | 43 | 21 | 13 | 27 | 56 |