Evidence map›Paper›PMID 36069842›Full record

SynthesisJournal of medical Internet research2022

Telemedicine for Preventing and Treating Pressure Injury After Spinal Cord Injury: Systematic Review and Meta-analysis.

Guilian Chen, Tong Wang, Lirong Zhong, Xinghui He, Chunxia Huang, Yingmin Wang, Kun Li

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  12. Observational
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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

7 authors.

Guilian ChenSun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0001-6587-2852
Tong WangSchool of Nursing, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-3906-9596
Lirong ZhongSun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-8579-1918
Xinghui HeSun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-9512-1301
Chunxia HuangSun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-5606-1238
Yingmin Wang *Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0003-2727-0134
Kun Li *School of Nursing, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-0092-7178

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPressure injury is a common complication after a spinal cord injury. Long-term multidisciplinary follow-up is difficult after such patients have been discharged. Telemedicine promises to provide convenient and effective support for the prevention and treatment of pressure injury, but previous attempts to demonstrate that have produced inconsistent results.

objectiveThe aim of this study is to evaluate the effectiveness of telemedicine in preventing and treating pressure injury among community-dwelling patients with spinal cord injury, and determine which telemedicine form is more effective.

methodsThis systematic review was performed according to the PRISMA-NMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Network Meta-Analysis) standards. Ten databases were searched to identify randomized controlled trials and quasi-experimental studies related to the effectiveness of telemedicine intervention in patients with spinal cord injury. Two researchers worked independently and blindly selected studies, extracted data, and assessed the risk of bias. The results were described as relative risk (RR) and weighted mean difference and 95% CI.

resultsThe 35 studies comprised 25 randomized controlled trials and 10 quasi-experimental studies involving 3131 patients. The results showed that telemedicine can significantly (P<.05) reduce the incidence of pressure injury (RR 0.24, 95% CI 0.14-0.41; P<.05; I

conclusionsTelemedicine is a feasible way to prevent pressure injury among patients with spinal cord injuries. It can decrease the incidence and severity of pressure injury and accelerate patients' healing without imposing economic burden. It is best used in tandem with other, more conventional interventions. Due to the limited quality and quantity of included studies, large-scale and well-designed randomized controlled trials are warranted.

Indexed as

Pressure UlcerSpinal Cord InjuriesTelemedicineHumansIncidenceIndependent Livinginjurymeta-analysesnetwork meta-analysespressure injurypressure injury, telemedicinereviewspinal cordspinal cord injuryspinal injurysystematic reviews

Identifiers

PMID36069842
PMCPMC9494222

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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.