Soft collar for acute cervical spine injury immobilisation -patient experiences and outcomes: A single centre mixed methods study

Abstract

BackgroundCervical collars are used as standard care for neck immobilisation after cervical spine injury. Although evidence for the most effective type of collar is lacking, there is evidence regarding adverse patient outcomes when managed in a semi or rigid collar. In response to the evidence of complications and adverse effects when using a hard collar, a large Australian adult trauma hospital that specializes in spinal care, changed its policy from hard to soft collars when managing acute cervical spine injury. ObjectiveThe aim of this study was to investigate patients’ experiences and outcomes when wearing a soft collar for acute cervical spine injury management in hospital. MethodA single centre mixed method sequential study design was used. ResultsMedical records from 136 patients were examined and no adverse events resulting from collar use were recorded. Interviews with 20 patients revealed that they understood the value of wearing a soft collar. The soft collars were considered supportive and well tolerated, with good adherence to recommendations for use. ConclusionsUnderstanding the patients’ experiences informs better care management. This study suggests that soft collars are well tolerated, do not result in pressure injuries or other adverse events and are suitable for managing acute cervical spine injury.