Evidence map›Paper›PMID 34306456›Full record

ArticleAmerican journal of translational research2021

Synchronized and integrated prehospital treatment for acute cervical spinal cord injury.

Yanlin Yin, Xinming Yang, Ye Tian, Ying Zhang, Peinan Zhang, Yongli Jia, Yao Yao, Xiuyu Du, Tianmin Li, Xiaodong Li

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Research Progress on Biomaterials for Spinal Cord Repair.International journal of nanomedicine · 2025
    Review
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

10 authors at 1 institution in 1 country.

Yanlin YinDepartment of Orthopedics, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Xinming YangDepartment of Orthopedics, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Ye TianDepartment of Orthopedics, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Ying ZhangDepartment of Orthopedics, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Peinan ZhangDepartment of Orthopedics, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Yongli JiaDepartment of Orthopedics, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Yao YaoDepartment of Orthopedics, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Xiuyu DuDepartment of Trauma, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Tianmin LiDepartment of General Practice, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Xiaodong LiDepartment of Imaging, The First Affiliated Hospital of Hebei North University Zhangjiakou, Hebei Province, China.
Hebei North University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the effect of synchronized and integrated prehospital treatment strategies for on-site first aid, rescue transport and prehospital first aid in patients with acute cervical spinal cord injury.

methodsA prospective non-randomized controlled study was designed to include patients with acute cervical spinal cord injury. A total of 50 patients were included in a Control group (before the implementation of synchronized and integrated prehospital treatment), and 50 patients were included in an Observation Group (after the implementation of synchronized and integrated prehospital treatment). We compared the timeliness of prehospital treatment, the proportion of patients received methylprednisolone treatment within 3 h after injury, the changes in Japanese Orthopaedic Association (JOA) score during transport, the incidence of adverse events, the clinical outcomes, the number of prehospital deaths, the case number of paralysis and the recovery of postoperative neural function between the two groups.

resultsCompared with the Control group, the Observation group showed significantly shorter time from injury to admission, from injury to receiving methylprednisolone pulse therapy, as well as from injury to receiving dehydrating agents and diuretics (all P<0.001). The proportion of patients received methylprednisolone treatment within 3 h after injury was significantly higher in the Observation group than that in the Control group (P<0.05). There was no significant change in the JOA score in the Observation group before and after the transport, while the score was significantly lower in the Control group after the transport (P<0.001). The JOA score was higher in the Observation group than that in the Control group at admission (P<0.001). The Observation group also showed decreased incidences of adverse events, mortality, and paralysis rate (all P<0.05) as well as better recovery of postoperative neural function (P<0.001) when compared with the Control group.

conclusionSynchronized and integrated prehospital treatment has a significant effect in patients with acute cervical spinal cord injury through shortening the admission time, reducing the risk of adverse events, and improving the rescue effect and the prognosis of neural function.

Indexed as

Acute cervical spinal cord injuryclinical outcomeneural functionon-site treatmentprehospital first aid

Identifiers

PMID34306456
PMCPMC8290651
OpenAlexW3183382010

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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.