Evidence map›Paper›PMID 34281782›Full record

ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2021

Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran: A qualitative study from the perspective of neurosurgeons.

Masoud SohrabiAsl, Zahra Ghodsi, Roya Habibi Arejan, Zahra Azadmanjir, Mahdi Sharif-Alhoseini, Moein Khormali, Maryam Shojaei, Abbas Rahimiforoushani, Alireza Khoshnevisan, Alexander R Vaccaro and 2 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 52% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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 5 institutions in 4 countries.

Masoud SohrabiAslSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Zahra GhodsiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Roya Habibi ArejanSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Rehabilitation Office, State Welfare Organization of Iran, Tehran, Iran.
Zahra AzadmanjirSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Health Information Management Department, Tehran University of Medical Sciences.
Mahdi Sharif-AlhoseiniSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Moein KhormaliSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Maryam ShojaeiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Abbas RahimiforoushaniDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Alireza KhoshnevisanDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran Iran.
Alexander R VaccaroDepartment of Orthopaedics and Neurosurgery, Thomas Jefferson University and the Rothman Institute, Philadelphia, PA, USA.
Michael G FehlingsDepartment of Surgery, University of Toronto, Senior Scientist Krembil Brain Institute and McEwen Centre for Regenerative Medicine, Toronto Western Hospital, University Health Network, Canada.
Vafa Rahimi-MovagharSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran Iran; Universal Scientific Education and Research Network (USERN), Tehran, Iran; Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran; Visiting Professor, Spine Program, University of Toronto, Toronto, Canada; Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: v_rahimi@sina.tums.ac.ir.
Tehran University of Medical Sciences · IRHealth Information Management · BEThomas Jefferson University · USToronto Western Hospital · CAUniversity of Tehran · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe median time from the event leading to the spinal cord injury (SCI) to the time of decompressive surgery is estimated to be 6.9 days in Iran, which is much longer than the proposed ideal time (less than 24 h) in published guidelines. The current qualitative study aimed to determine the reasons for the observed decompression surgery delay in Iran from the perspective of neurosurgeons.

methodsThis qualitative study is designed to perform content analysis on the gathered data from face-to-face semi-structured interviews with 12 Iranian neurosurgeons.

resultsThe findings of the current study suggest that patient-related factors constitute more than half of the codes extracted from the interviews. Overall, the type of injury, presence of polytrauma, and surgeons' wrong attitude are the main factors causing delayed spinal cord decompression in Iranian patients from the perspective of neurosurgeons. Other notable factors include delay in transferring patients to the trauma center, delay in availability of necessary equipment, and scarce medical personnel.

conclusionIn the perspective of neurosurgeons, the type of injury, presence of polytrauma, and surgeons' wrong attitude are the leading reasons for delayed decompressive surgery of individuals with SCI in Iran.

Indexed as

NeurosurgeonsSpinal Cord InjuriesDecompressionHumansIranDecompressionIranNeurosurgeonsQualitative researchSpinal cord injuriesSurgical

Identifiers

PMID34281782
PMCPMC8606607
OpenAlexW3179174448

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.