Evidence map›Paper›PMID 28245734›Full record

ArticleJournal of neurotrauma2017

Understanding Length of Stay after Spinal Cord Injury: Insights and Limitations from the Access to Care and Timing Project.

Anthony S Burns, Argelio Santos, Christiana L Cheng, Elaine Chan, Nader Fallah, Derek Atkins, Marcel F Dvorak, Chester Ho, Henry Ahn, Jerome Paquet and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurotrauma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Foodservice Models and Nutrition Practices in Spinal Facilities: Insights and Opportunities for Improvement From a Pilot Multinational Survey.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  4. Observational
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  9. Article
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  15. Article
  16. Editorial: Community reintegration after spinal cord injury.Frontiers in rehabilitation sciences · 2022
    Article
  17. Article
  18. Discrete-Event Simulation Modeling in Healthcare: A Comprehensive Review.International journal of environmental research and public health · 2021
    Review
  19. Article
  20. Article
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

12 authors at 4 institutions in 1 country.

Anthony S Burns1 Division of Physiatry, Department of Medicine, University of Toronto , Toronto Ontario, Canada .
Argelio Santos2 Rick Hansen Institute , Vancouver, British Columbia, Canada .
Christiana L Cheng2 Rick Hansen Institute , Vancouver, British Columbia, Canada .
Elaine Chan2 Rick Hansen Institute , Vancouver, British Columbia, Canada .
Nader Fallah2 Rick Hansen Institute , Vancouver, British Columbia, Canada .
Derek Atkins3 Operations and Logistics Division, Sauder School of Business, University of British Columbia , Vancouver, British Columbia, Canada .
Marcel F Dvorak4 Department of Orthopaedics, University of British Columbia , Vancouver, British Columbia, Canada .
Chester Ho5 Division of Physical Medicine & Rehabilitation, Department of Clinical Neurosciences, University of Calgary , Calgary, Alberta, Canada .
Henry Ahn6 University of Toronto Spine Program , Toronto, Ontario, Canada .
Jerome Paquet7 Université Laval , Québec, Canada .
Brian K Kwon4 Department of Orthopaedics, University of British Columbia , Vancouver, British Columbia, Canada .
Vanessa K Noonan2 Rick Hansen Institute , Vancouver, British Columbia, Canada .
Praxis Spinal Cord Institute · CAUniversity of British Columbia · CAUniversité Laval · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Costs associated with initial hospitalization following spinal cord injury (SCI) are substantial, and a major driver of costs is the length of stay (LOS); that is, the time that the injured individual remains hospitalized prior to community reintegration. Our aim was to study the factors and variables that contribute to LOS following traumatic SCI. Modeling (process mapping of the SCI healthcare delivery system in Canada and discrete event simulation) and regression analysis using a national registry of individuals with acute traumatic SCI in Canada, existing databases, and peer-reviewed literature were used to examine the driver of LOS following traumatic SCI. In different jurisdictions, there is considerable variation in the definitions and methods used to determine LOS following SCI. System LOS can be subdivided into subcomponents, and progression through these is not unidirectional. Modeling reveals that healthcare organization and processes are important contributors to differences in LOS independent of patient demographics and injury characteristics. Future research is required to identify and improve understanding of contributors to LOS following traumatic SCI. This will help enhance system performance. Work in this area will be facilitated by the adoption of common terminology and definitions, as well as by the use of simulations and modeling.

Indexed as

Spinal Cord InjuriesCanadaHumansLength of Staydelivery of healthcarehealth services researchLOSSCI

Identifiers

PMID28245734
PMCPMC5653133
OpenAlexW2592862011

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.