Evidence map›Paper›PMID 27852160›Full record

SynthesisThe journal of spinal cord medicine2017

Predictors of functional outcomes in adults with traumatic spinal cord injury following inpatient rehabilitation: A systematic review.

Faisal AlHuthaifi, Joseph Krzak, Timothy Hanke, Lawrence C Vogel

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The journal of spinal cord medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
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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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Faisal AlHuthaifia Midwestern University, College of Health Sciences , Doctor of Health Sciences Program , Downers Grove , IL , USA.
Joseph Krzakb Midwestern University, College of Health Sciences, Physical Therapy Program , Downers Grove , IL , USA.
Timothy Hankeb Midwestern University, College of Health Sciences, Physical Therapy Program , Downers Grove , IL , USA.
Lawrence C Vogelc Shriners Hospitals for Children®- Chicago , Chicago , IL , USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextDespite functional improvements during rehabilitation, variable functional outcomes were reported when patients with Spinal Cord Injury (SCI) return to society. Higher functioning individuals at discharge can experience a decrease in independent mobility (i.e. Motor Functional Independence Measure (mFIM) Score) by one-year follow-up. However, functional gains after discharge have also been reported and associated with recovery.

objectiveTo identify, categorize and rank predictors of mFIM score for patients with SCI following inpatient rehabilitation, both at the time of discharge and at one-year follow-up.

methodsData sources included CINAHL, PubMed, ERIC, Google Scholar, and Medline for literature published from February 2000 to February 2015. Quality and risk of bias of included studies was assessed using the Risk of Bias Assessment Instrument for Prognostic Factor Studies (QUIPS). Significant predictors of mFIM score were categorized using the domains of the International Classification of Function and Disability model ICF and ranked based on how frequently they were significant predictors of mFIM score.

resultsTwenty-seven predictors of mFIM score spanning the ICF domains were identified among seven studies. At discharge, variables in the Body Structure and Function domain were the most consistent predictors of mFIM score. At one-year follow-up, variables in the Activity and Participation domain were the most consistent predictors of mFIM score. Contextual factors were the least frequent predictors at both discharge and one-year follow-up.

conclusionThis systematic-review assists clinicians setting realistic goals that maximize functional independence at the time of discharge and after reintegrating to society.

Indexed as

Motor ActivityAdultFemaleHumansInpatientsMaleSpinal Cord InjuriesTrauma Severity IndicesFIMFollow-upICFmFIMMotor outcomesPredictorsRehabilitationSpinal cord injury

Identifiers

PMID27852160
PMCPMC5472016

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.