Evidence map›Paper›PMID 27269706›Full record

ArticleArchives of physical medicine and rehabilitation2016

Association Between Time to Rehabilitation and Outcomes After Traumatic Spinal Cord Injury.

Kurt R Herzer, Yuying Chen, Allen W Heinemann, Marlis González-Fernández

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  6. Review
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  11. Review
  12. Article
  13. Spontaneous Functional Recovery from Incomplete Spinal Cord Injury.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kurt R HerzerMedical Scientist Training Program, Johns Hopkins School of Medicine, Baltimore, MD. Electronic address: kherzer@jhmi.edu.
Yuying ChenDepartment of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL.
Allen W HeinemannCenter for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Marlis González-FernándezDepartment of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
Medicare Spending and the Health and Health Behaviors of Older AmericansR36AG051727 · NIA · JOHNS HOPKINS UNIVERSITY · PI HERZER, KURT R · 2015 to 2015
$65k
NIA NIH HHS R36 AG051727NIGMS NIH HHS T32 GM007309
6 · The paper itself

Abstract

objectiveTo examine the relations between time to rehabilitation after spinal cord injury (SCI) and rehabilitation outcomes at discharge and 1-year postinjury.

designRetrospective cohort study.

settingFacilities designated as Spinal Cord Injury Model Systems.

participantsPatients (N=3937) experiencing traumatic SCI between 2000 and 2014, who were 18 years or older, and who were admitted to a model system within 24 hours of injury.

interventionsNot applicable.

main outcome measuresRasch-transformed FIM motor score at discharge and 1-year postinjury, discharge to a private residence, and the Craig Handicap Assessment and Reporting Technique (CHART) Physical Independence and Mobility scores at 1-year postinjury.

resultsAfter accounting for health status, a 10% increase in time to rehabilitation was associated with a 1.50 lower FIM motor score at discharge (95% confidence interval [CI], -2.43 to -0.58; P=.001) and a 3.92 lower CHART Physical Independence score at 1-year postinjury (95% CI, -7.66 to -0.19; P=.04). Compared to the mean FIM motor score (37.5) and mean CHART Physical Independence score (74.7), the above-mentioned values represent relative declines of 4.0% and 5.3%, respectively. There was no association between time to rehabilitation and discharge to a private residence, 1-year FIM motor score, or the CHART mobility score.

conclusionsEarlier rehabilitation after traumatic SCI may improve patients' functional status at discharge.

Indexed as

AdolescentAdultFemaleHumansMaleMiddle AgedPhysical Therapy ModalitiesRecovery of FunctionRetrospective StudiesSocioeconomic FactorsSpinal Cord InjuriesTime-to-TreatmentTrauma Severity IndicesTreatment OutcomeYoung AdultModels, econometricOutcome assessment (health care)RehabilitationSpinal cord injuries

Identifiers

PMID27269706
PMCPMC5096835

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.