Evidence map›Paper›PMID 30967602›Full record

SynthesisSpinal cord2019

Falls after spinal cord injury: a systematic review and meta-analysis of incidence proportion and contributing factors.

Alia Khan, Clara Pujol, Mark Laylor, Nikola Unic, Maureen Pakosh, Jaclyn Dawe, Kristin E Musselman

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Spinal cord, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
–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

57 citing papers in PubMed, 3 syntheses or guidelines 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

7 authors.

Alia KhanSCI Mobility Lab, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Clara PujolSCI Mobility Lab, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Mark LaylorDepartment of Kinesiology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON, Canada.ORCID http://orcid.org/0000-0002-4306-1052
Nikola UnicSCI Mobility Lab, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Maureen PakoshLibrary & Information Services, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Jaclyn DaweSCI Mobility Lab, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Kristin E MusselmanSCI Mobility Lab, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada. Kristin.Musselman@uhn.ca.ORCID http://orcid.org/0000-0001-8336-8211

Funding

Craig H. Neilsen Foundation 440070
6 · The paper itself

Abstract

introductionFalls are detrimental to the well-being of individuals with spinal cord injury (SCI). To establish effective fall prevention initiatives, a comprehensive understanding of falls after SCI is needed.

objectivesTo report the incidence proportion of falls and summarize the factors contributing to falls in individuals with SCI. STUDY

designSystematic review and meta-analysis.

methodsEight databases were searched. Abstracts/full articles were screened by two researchers independently. Data concerning study design, participant characteristics, and the incidence proportion, factors, and consequences of falls were extracted. Risk of bias was assessed using a domain-based approach that considered sampling and measurement bias. The incidence proportions of falls were pooled for ambulators and wheelchair users separately using random-effects meta-analyses, and compared descriptively for inpatients and community-dwelling individuals. Fall-related factors were organized according to the Biological, Behavioral, Social & Economic and Environmental Model of fall risk.

resultsThe search resulted in 1706 articles; 24 unique studies were included. The risk of sampling bias was high. All but one study focused on community-dwelling individuals; 78% (95% confidence interval 73-83%, I

conclusionsFalls are frequent among community-dwelling individuals with SCI. A variety of biological, behavioral, and environmental factors contribute to falls, some of which are modifiable and may be addressed through SCI-specific fall prevention initiatives.

Indexed as

Spinal Cord InjuriesAccidental FallsHumansIncidenceRisk Factors

Identifiers

PMID30967602

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.