Evidence map›Paper›PMID 38088774›Full record

ArticleThe journal of spinal cord medicine2025

Predictors of catheter-free voiding after spinal cord injury.

J Patrick Mershon, Jennifer Ballinger, Victor Heh, Jessica Sciuva, Mary Charleton, Sam Colachis, Jan Schwab, Iryna Crescenze

Open access · greenAbstract read
In one paragraph

Article in The journal of spinal cord medicine, 2025. 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
–field-weighted citation impact, top 67% 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, 0 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

8 authors at 1 institution in 1 country.

J Patrick MershonDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.ORCID 0000-0003-1327-4134
Jennifer BallingerDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Victor HehDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Jessica SciuvaDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Mary CharletonDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Sam ColachisDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Jan SchwabThe Belford Center for Spinal Cord Injury, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Iryna CrescenzeDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
The Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextDespite a high prevalence of neurogenic bladder (NGB) in patients with spinal cord injury (SCI), clinicians are unable to predict long-term bladder outcomes due to variable phenotypes of bladder dysfunction. This study investigates if early bladder events, infections, and spinal cord injury characteristics during rehabilitation admission affect bladder outcomes one year after SCI.

methodsThis retrospective study included patients with SCI admitted to a tertiary rehabilitation center between 1 January 2016 and 1 January 2020. Data was collected on early bladder management, comorbidities, infections and injury characteristics; level of injury, American Spinal Injury Association Impairment Scale (AIS) classification, and International Standards for Neurological Classification of Spinal Cord Injury lower extremity motor score (LEMS).

resultsSeventy-two patients met inclusion criteria; 63% (45/72) patients had cervical SCI and 31% (22/72) were complete injuries. Twenty-two percent (16/72) did not use an internal catheter to empty the bladder, improving to 41% (29/72) at one year. On multivariate logistic regression accounting for age, sex, Charlson comorbidity index, LEMS, and infections during admission, higher LEMS (OR 1.104, 95%, CI 1.037-1.176, P = 0.002) associated with catheter-free voiding (CFV) at one year while male sex (OR 0.091, 95% CI 0.012-0.713, P = 0.0225), and non-urologic infections (OR 0.088, 95% CI 0.010-0.768, P = 0.0279) were negatively associated.

conclusionsPreserved LEMS early after SCI associates with CFV at one year while male sex and early non-urologic infections such as pneumonia are associated with persistent urinary retention. This can be used to counsel SCI patients on expected bladder recovery and outcomes.

Indexed as

Spinal Cord InjuriesUrinary Bladder, NeurogenicUrinary CatheterizationAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesUrinationBladder managementInfectionsNeurogenic bladderNeurological rehabilitationSpinal cord injuries

Identifiers

PMID38088774
PMCPMC12035921
OpenAlexW4389673027

What OpenQuestion holds

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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.