Evidence map›Paper›PMID 32341478›Full record

ArticleSpinal cord2020

Spinal cord injury and development of pressure injury during acute rehabilitation in Norway: a national retrospective cross-sectional study.

Ingebjørg Irgens, Jana M Hoff, Rolf Jelnes, Marcalee Alexander, Johan K Stanghelle, Magne Thoresen, Tiina Rekand

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In one paragraph

Article in Spinal cord, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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 at 4 institutions in 4 countries.

Ingebjørg IrgensSunnaas Rehabilitation Hospital, Bjørnemyrveien 11, 1450, Nesoddtangen, Norway. Ingebjorg.irgens@sunnaas.no.
Jana M HoffDepartment of Neurology/Spinal Cord Unit, Haukeland University Hospital, Jonas Lies vei 71, 5053, Bergen, Norway.
Rolf JelnesMedical Center, Hospital Sønderjylland, Kresten Philipsens Vej 15, 6200, Aabenraa, Denmark.
Marcalee AlexanderTelerehabilitation International Birmingham, Birmingham, AL, 35242, USA.
Johan K StanghelleSunnaas Rehabilitation Hospital, Bjørnemyrveien 11, 1450, Nesoddtangen, Norway.
Magne ThoresenDepartment of Biostatistics, University of Oslo, PO Box 1122 Blindern, 0318, Oslo, Norway.
Tiina RekandDepartment of Neurology/Spinal Cord Unit, Haukeland University Hospital, Jonas Lies vei 71, 5053, Bergen, Norway.ORCID http://orcid.org/0000-0002-2506-9501
University of Oslo · NOHaukeland University Hospital · NOSpaulding Rehabilitation Hospital · USSygehus Sønderjylland · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA national, retrospective, cross-sectional study.

objectivesTo analyze the prevalence of pressure injury (PI), and characteristics associated with PI development in the hospitalized population of persons with a newly acquired spinal cord injury (SCI) between 2004 and 2014.

settingAll three specialized Spinal Cord Units in Norway.

methodsDemographic data related to prevalence and potential risk factors were retrieved from the electronic medical record (EMR). Statistical analyses were performed, using IBM SPSS Statistics, version 23.

resultsWe identified 1012 individuals with a new SCI. Mean age at injury was 48 years (SD 19). The period prevalence of PI was 16% (95% CI = 0.14-0.19), and identified PI associations were complete SCI (OR = 0.1), being injured abroad (OR = 2.4), bowel (OR = 13), and bladder (OR = 9.2) dysfunction; comorbidities like diabetes mellitus 1 (OR = 7.9), diagnosed depression (OR = 3.8), ventilator support (OR = 3.0), drug abuse (OR = 3.0), and concurrent traumatic brain injury (OR = 1.7). Individuals in the age group of 15-29 years had higher odds of PI compared with middle-aged individuals (45-59 years).

conclusionPI is a serious complication after SCI. The association between depression or comorbidity and PI occurrence should be investigated more thoroughly. We recommend implementation of a simple follow-up program regarding observation and prevention of PI. Increased awareness of factors that could contribute to PI will help to focus on better prevention and early recognition of PI. This will contribute to more optimal rehabilitation.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleMiddle AgedNeurological RehabilitationNorwayPressure UlcerRehabilitation Centers

Identifiers

PMID32341478
OpenAlexW3020343405

What OpenQuestion holds

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Registered trials

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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.