Evidence map›Paper›PMID 37919383›Full record

ArticleSpinal cord2024

The impact of COVID-19 and associated lockdowns on traumatic spinal cord injury incidence: a population based study.

Euan J McCaughey, Frederick K Ho, Daniel F Mackay, Jill P Pell, Peter Humburg, Mariel Purcell

Open access · hybridAbstract read
In one paragraph

Article in Spinal cord, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. 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

6 authors at 3 institutions in 2 countries.

Euan J McCaugheyQueen Elizabeth National Spinal Injuries Unit, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK. 0508354m@student.gla.ac.uk.ORCID 0000-0001-6596-110X
Frederick K HoCollege of Medicine, Veterinary & Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.ORCID 0000-0001-7190-9025
Daniel F MackayCollege of Medicine, Veterinary & Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
Jill P PellCollege of Medicine, Veterinary & Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
Peter HumburgNeuroscience Research Australia, Randwick, NSW, 2031, Australia.ORCID 0000-0002-3331-6496
Mariel PurcellQueen Elizabeth National Spinal Injuries Unit, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK.
University of Glasgow · GBUNSW Sydney · AUInstitute for Research and Innovation in Social Services · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designNatural experiment

objectivesTo determine whether COVID-19 restrictions were associated with changes in the incidence of traumatic spinal cord injury (TSCI) in Scotland.

settingThe Queen Elizabeth National Spinal Injuries Unit (QENSIU), the sole provider of treatment for TSCI in Scotland.

methodsTime series analysis of all admissions for TSCI between 1st January 2015 and 31st August 2022.

resultsOver the 8-year study period, 745 patients were admitted to the QENSIU with a TSCI. Interrupted time series analysis showed that level 3 and 4 COVID-19 lockdown restrictions (the most severe levels) were associated with lower incidence of TSCI (RR 0.63, CI% CI 0.47, 0.82, p < 0.001). The associations were stronger in people aged over 45 (additive interaction p = 0.001), males (additive interaction p = 0.01) and non-tetraplegia (additive interaction p = 0.002). The incidence of TSCI due to deliberate self-harm was higher (0.41 versus 0.23 per month) during restrictions.

conclusionsOverall, TSCI incidence reduced in Scotland when lockdowns were implemented, presumably due to lower engagement in risky activities. The increase in TSCI due to deliberate self-harm may reflect increased mental health problems and social isolation and should be anticipated and targeted in future pandemics. The change in incidence during the COVID-19 pandemic may have an economic impact and see a temporary reduction in the burden on health and social care. The results of this study will be useful for resource planning in future pandemics.

Indexed as

COVID-19Spinal Cord InjuriesSpinal InjuriesAgedCommunicable Disease ControlHumansIncidenceMalePandemicsResearch Design

Identifiers

PMID37919383
PMCPMC10783541
OpenAlexW4388214985

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.