Evidence map›Paper›PMID 32917948›Full record

Trial reportSpinal cord2021

A community-based intervention to prevent serious complications and death 2 years after discharge in people with spinal cord injury in Bangladesh (CIVIC): a randomised trial.

Mohammad Sohrab Hossain, Lisa A Harvey, Md Shofiqul Islam, Md Akhlasur Rahman, Stephen Muldoon, Fin Biering-Sorensen, Stephen Jan, Hueiming Liu, Qiang Li, Ian D Cameron and 4 more

Open access · hybridAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Spinal cord, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 15 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

14 authors at 5 institutions in 3 countries.

Mohammad Sohrab HossainCentre for the Rehabilitation of the Paralysed, Chapain, Savar, Dhaka, 1343, Bangladesh.
Lisa A HarveyJohn Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Royal North Shore Hospital, St Leonards, 2065, NSW, Australia. l.harvey@usyd.edu.au.ORCID http://orcid.org/0000-0002-4365-0236
Md Shofiqul IslamCentre for the Rehabilitation of the Paralysed, Chapain, Savar, Dhaka, 1343, Bangladesh.ORCID http://orcid.org/0000-0001-8085-7976
Md Akhlasur RahmanCentre for the Rehabilitation of the Paralysed, Chapain, Savar, Dhaka, 1343, Bangladesh.
Stephen MuldoonMuldoon Rehabilitation, 72 Liscreevin Road, Lisnarick, Co Fermanagh, BT94 1PZ, Northern Ireland.
Fin Biering-SorensenDepartment for Spinal Cord Injuries, University of Copenhagen, Havnevej 25, DK-3100, Hornbæk, Denmark.
Stephen JanThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, PO Box M201, Missenden Road, Camperdown, 2050, NSW, Australia.
Hueiming LiuThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, PO Box M201, Missenden Road, Camperdown, 2050, NSW, Australia.ORCID http://orcid.org/0000-0001-9077-8673
Qiang LiThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, PO Box M201, Missenden Road, Camperdown, 2050, NSW, Australia.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Royal North Shore Hospital, St Leonards, 2065, NSW, Australia.
Valerie TaylorCentre for the Rehabilitation of the Paralysed, Chapain, Savar, Dhaka, 1343, Bangladesh.
Richard I LindleyThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, PO Box M201, Missenden Road, Camperdown, 2050, NSW, Australia.ORCID http://orcid.org/0000-0002-0104-5679
Laurent BillotThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, PO Box M201, Missenden Road, Camperdown, 2050, NSW, Australia.ORCID http://orcid.org/0000-0002-4975-9793
Robert D HerbertNeuroscience Research Australia (NeuRA), Barker Street, Randwick, 2031, NSW, Australia.
The University of Sydney · AUUNSW Sydney · AUCentre for the Rehabilitation of the Paralysed · BDNeuroscience Research Australia · AUUniversity of Copenhagen · DK

Funding

Department of Health | National Health and Medical Research Council (NHMRC) APP1080259
6 · The paper itself

Abstract

STUDY

designRandomised controlled trial.

objectivesTo determine the effectiveness of a sustainable community-based intervention designed to prevent serious complications and death 2 years after discharge in people with spinal cord injury in Bangladesh.

settingBangladesh.

methodsA pragmatic randomised controlled trial was undertaken. People who had sustained a spinal cord injury in the preceding 2 years, were wheelchair-dependent, and were about to be discharged from hospital in Bangladesh were recruited and randomised to an Intervention or Control group using a concealed allocation procedure stratified by level of lesion (tetraplegia/paraplegia). Participants in the Intervention group received 36 phone calls and three home visits over the first 2 years following discharge. All participants received usual post-discharge care. Survival status and date of death were determined by blinded assessors 2 years after randomisation.

resultsBetween July 2015 and March 2018, 410 participants were randomised (204 to Intervention, 206 to Control). There was no loss to follow up. At 2 years, 15 (7.4%) participants in the Intervention group and 16 (7.8%) participants in the Control group had died (hazard ratio from unadjusted Cox model = 0.93 [95% CI, 0.46 to 1.89]; p from log rank test 0.85). There were no clinically important or statistically significant average causal effects of intervention on the incidence or severity of complications.

conclusionA program of community-based care for people with recent spinal cord injury in Bangladesh involving frequent phone contact and occasional in-person contact with a health professional after discharge from hospital is no better at preventing death at 2 years than usual care.

Indexed as

Spinal Cord InjuriesWheelchairsAftercareBangladeshHumansPatient Discharge

Identifiers

PMID32917948
PMCPMC8189918
OpenAlexW3084967081

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.