Evidence map›Paper›PMID 33392545›Full record

ReviewJournal of the American College of Emergency Physicians open2020

Initial assessment and management of respiratory infections in persons with spinal cord injuries and disorders in the COVID-19 era.

M Kristi Henzel, James M Shultz, Trevor A Dyson-Hudson, Jelena N Svircev, Anthony F DiMarco, David R Gater

Open access · goldAbstract readReview
In one paragraph

Review in Journal of the American College of Emergency Physicians open, 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
1.1field-weighted citation impact, top 18% 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, 11 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

6 authors at 6 institutions in 1 country.

M Kristi HenzelSpinal Cord Injury and Disorders Service Louis Stokes Cleveland Department of Veterans Affairs Medical Center Cleveland Ohio USA.
James M ShultzCenter for Disaster & Extreme Event Preparedness (DEEP Center) Department of Public Health Sciences University of Miami Leonard M. Miller School of Medicine Miami Florida USA.
Trevor A Dyson-HudsonCenter for Spinal Cord Injury Research Kessler Foundation West Orange New Jersey USA.
Jelena N SvircevDepartment of Veterans Affairs Puget Sound Health Care System Spinal Cord Injury Service Seattle Washington USA.
Anthony F DiMarcoDepartment of Physical Medicine & Rehabilitation Case Western Reserve University Cleveland Ohio USA.
David R GaterDepartment of Physical Medicine & Rehabilitation University of Miami Leonard M. Miller School of Medicine Miami Florida USA.
Case Western Reserve University · USJackson Health System · USLouis Stokes Cleveland VA Medical Center · USRutgers, The State University of New Jersey · USUniversity of Miami · USVA Puget Sound Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the COVID-19 pandemic unfolds, emergency department (ED) personnel will face a higher caseload, including those with special medical needs such as persons living with spinal cord injuries and disorders (SCI/D). Individuals with SCI/D who develop COVID-19 are at higher risk for rapid decompensation and development of acute respiratory failure during respiratory infections due to the combination of chronic respiratory muscle paralysis and autonomic dysregulation causing neurogenic restrictive/obstructive lung disease and chronic immune dysfunction. Often, acute respiratory infections will lead to significant mucus production in individuals with SCI/D, and aggressive secretion management is an important component of successful medical treatment. Secretion management techniques include nebulized bronchodilators, chest percussion/drainage techniques, manually assisted coughing techniques, nasotracheal suctioning, and mechanical insufflation-exsufflation. ED professionals, including respiratory therapists, should be familiar with the significant comorbidities associated with SCI/D and the customized secretion management procedures and techniques required for optimal medical management and prevention of respiratory failure. Importantly, protocols should also be implemented to minimize potential COVID-19 spread during aerosol-generating procedures.

Indexed as

COVID‐19paraplegiapneumoniaquadriplegiarespiratory failurespinal cord injury

Identifiers

PMID33392545
PMCPMC7771758
OpenAlexW3094129168

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.