Evidence map›Paper›PMID 35377296›Full record

ArticleThe journal of spinal cord medicine2024

Healthcare utilization and outcomes of spinal cord injured veterans with stage 3-4 pressure injuries.

Dominique Van Beest, Shannon J Koh, Yi-Ting Tzen, Jijia Wang, Dindi Moore-Matthews, Jennifer S Kargel, James B Cutrell, Roger J Bedimo, Bridget R Bennett, Wei-Han Tan

Erratum issuedOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of spinal cord medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-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

5 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Dominique Van BeestPhysical Medicine & Rehabilitation, VA North Texas Health Care System, Dallas, Texas, USA.
Shannon J KohInfectious Disease, Texas Health Resources, Dallas, Texas, USA.
Yi-Ting TzenPhysical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Jijia WangPhysical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Dindi Moore-MatthewsInfectious Disease, VA North Texas Health Care System, Dallas, Texas, USA.
Jennifer S KargelPlastic Surgery, VA North Texas Health Care System, Dallas, Texas, USA.
James B CutrellInfectious Disease, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Roger J BedimoInfectious Disease, VA North Texas Health Care System, Dallas, Texas, USA.
Bridget R BennettPhysical Medicine & Rehabilitation, VA North Texas Health Care System, Dallas, Texas, USA.
Wei-Han TanPhysical Medicine & Rehabilitation, VA North Texas Health Care System, Dallas, Texas, USA.
The University of Texas Southwestern Medical Center · USVA North Texas Health Care System · USTexas Health Resources Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPressure injuries (PI) are a significant source of morbidity for individuals with spinal cord injury/disease (SCI/D). They are also associated with significant healthcare resource utilization including prolonged hospitalizations. However, the long-term outcomes in terms of wound recurrence-free survival, hospital readmission rates, and all-cause mortality in this population remain largely unknown.

objectiveTo examine the clinical characteristics, healthcare utilization and outcomes of SCI Veterans hospitalized at the VA North Texas Health Care System (VANTHCS) SCI inpatient unit with stage 3 and 4 PI, and compare these between those who received a myocutaneous flap surgery (flap patients (FP)) and those treated medically (non-flap patients (NFP)).

methodsA retrospective chart review was conducted of all adult patients admitted to the VANTHCS SCI/D unit with stage 3 or 4 pelvic PI between 1/1/2013 and 12/31/2018. Healthcare utilization and outcome information was extracted for pre-specified time points.

results78 patients met criteria (113 hospitalizations; 27 FP; 51 NFP). Average length of stay (LOS) was 122 days; FP had a significantly higher LOS than NFP (P = 0.01). Average number of consults was 24. Estimated cost per hospitalization was $175,198. Readmission rate within 30 days was 12.39%. The mortality rate within 1 year of discharge was 21.57% for NFP, as opposed to 3.70% in the FP group. Only 5.00% of NFP wounds were healed at discharged with sustained healing at 1 year, significantly less than FP wounds (55.26%, P < 0.01).

conclusionsDespite the high investment in terms of healthcare utilization, outcomes in terms of wound healing are poor. Additionally, nearly 22% of NFP died within one year of discharge. This calls into question the utility of prolonged hospitalizations for PI in the SCI/D population in terms of wound treatment efficacy, healthcare costs, and patient morbidity/mortality.

Indexed as

Pressure UlcerSpinal Cord InjuriesVeteransAdultAgedFemaleHospitalizationHumansLength of StayMaleMiddle AgedPatient Acceptance of Health CarePatient ReadmissionRetrospective StudiesHealthcare utilizationMyocutaneous flap surgeryOutcomesPressure injuriesPressure injurySpinal cord injury

Identifiers

PMID35377296
PMCPMC11044724
OpenAlexW4224863588

What OpenQuestion holds

Textmetadata
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.