ArticleTopics in spinal cord injury rehabilitation2012
Guideline-recommended management of community-acquired pneumonia in veterans with spinal cord injury.
Article in Topics in spinal cord injury rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Prognostic Factors Associated with Pneumonia in Patients with Traumatic Brain Injury: A Systematic Review and Meta-analysis.Neurocritical care · 2026Pooled it
- Infections in the spinal cord-injured population: a systematic review.Spinal cord · 2017Pooled it
- Identifying prescribers of antibiotics in a primary care spinal cord injury cohort.Spinal cord series and cases · 2024Article
- Identifying Patterns of Primary Care Antibiotic Prescribing for a Spinal Cord Injury (SCI) Cohort Using an Electronic Medical Records (EMR) Database.Topics in spinal cord injury rehabilitation · 2023Article
- Effects of CNS Injury-Induced Immunosuppression on Pulmonary Immunity.Life (Basel, Switzerland) · 2021Review
- Initial assessment and management of respiratory infections in persons with spinal cord injuries and disorders in the COVID-19 era.Journal of the American College of Emergency Physicians open · 2020Review
- Incidence of post-traumatic pneumonia in poly-traumatized patients: identifying the role of traumatic brain injury and chest trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Antibiotic Choice for Children Hospitalized With Pneumonia and Adherence to National Guidelines.Pediatrics · 2015Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPneumonia is a leading cause of death in persons with spinal cord injuries and disorders (SCI/D), but little is known about guideline-based management for this disease in persons with SCI/D.
objectivesThe goal of this study was to describe guideline-based medical care for community-acquired pneumonia (CAP) in veterans with SCI/D.
methodsA retrospective medical record review was conducted at 7 Department of Veterans Affairs (VA) medical centers where veterans with SCI/D and CAP between 2005 and 2008 were included. Outcomes assessed were receipt of blood or sputum culture, antibiotic timeliness, appropriateness of empiric antibiotic treatment, and vaccination.
resultsIn 70 patients, 77 CAP episodes occurred and 83.1% were treated in the inpatient setting. The average age was 70.0 years and 64.9% had tetraplegia. Sputum culture was completed in 24.7% and blood culture in 59.7% of cases. Of inpatients, 79.7% had antibiotic treatment within 8 hours and 45.1% received guideline-recommended empirical antibiotics. More than 90% of inpatients received antibiotic treatment within 3 days of presentation and 78.1% received recommended treatment. The rates of pneumococcal pneumonia (89.9%) and influenza (79.7%) vaccinations were high in CAP cases.
conclusionsDiagnostic testing and early guideline-recommended treatment is variable in veterans with SCI/D and CAP. However vaccination against influenza and pneumococcal pneumonia is high. Specific guidelines for management of CAP in SCI/D patients may be needed, which reflect the unique risk factors and needs of this population. These data can be used as a benchmark for improvements in care processes for treating and managing CAP in persons with SCI/D.
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