Evidence map›Paper›PMID 38715555›Full record

ReviewJournal of clinical medicine research2024

What We Do and What We Should Do Against Malnutrition in Spinal Cord Injury: A Position Paper From Italian Spinal Cord Injury Network Rehabilitation Centers.

Alessandra Areni, William Capeci, Adriana Cassinis, Luisa De Palma, Giulio Del Popolo, Florinda Fergnani, Laura Pelizzari

Abstract readReview
In one paragraph

Review in Journal of clinical medicine research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

7 authors.

Alessandra AreniSpinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.ORCID https://orcid.org/0009-0003-7300-5259
William CapeciSpinal Cord Unit, University Hospital of Marche, Ancona, Italy.ORCID https://orcid.org/0000-0002-0884-158X
Adriana CassinisSpinal Unit, ASST GOM Niguarda Ca' Granda, Milan, Italy.ORCID https://orcid.org/0009-0007-3181-4313
Luisa De PalmaSpinal Unit, Department of Neuroscience and Translational Medicine, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy.ORCID https://orcid.org/0009-0000-0807-4934
Giulio Del PopoloDepartment of Neuro-Urology and Spinal Unit, Azienda Ospedaliera-Universitaria Careggi, Firenze, Italy.ORCID https://orcid.org/0000-0002-1202-6078
Florinda FergnaniU.O Complesso Mielolesi, Azienda Ospedaliera CTO-Pini, Milan, Italy.ORCID https://orcid.org/0009-0002-9927-5524
Laura PelizzariSpinal Unit and Neurorehabilitation, Department of Rehabilitation Medicine, AUSL Piacenza, Piacenza, Italy.ORCID https://orcid.org/0000-0002-1923-5454

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal cord injury (SCI) is a traumatic event that significantly impacts body composition and alters energy and nutritional needs. This places patients with SCI at a high risk of malnutrition, which can hinder optimal functional recovery, prolong hospital stays, increase hospital admissions, and contribute to the development of obesity and cardiovascular and metabolic ailments in chronic patients. Consequently, there is an urgent need for clear guidance to support clinicians in managing the nutritional needs of patients with SCI at different stages of the disease, including the acute (0 - 4 months after injury), post-acute (4 - 26 months after injury), and post-discharge phases. This study utilized a cross-sectional survey to assess the strategies employed in seven spinal units across Italy to address the nutritional needs of patients with SCI during the acute, post-acute, and post-discharge phases of the condition. Eight clinicians (five physiatrists, two internists, and one urologist) and one nurse participated in the survey. Following the survey completion, the participants were invited to partake in a round table session to delve deeper into the questionnaire results to gather their opinions and gain insights into clinical practices related to the various challenges surrounding the management of malnutrition in patients with SCI. We here review the available evidence on the energy needs and nutritional requirements of patients with SCI, highlighting the clinical aspects that deserve more attention throughout the distinct phases of the disease. We additionally provide an overview of the scenario regarding the management of malnutrition in patients with SCI across various spinal units in Italy. Through this comprehensive analysis, we aimed to enhance understanding and provide valuable insights for clinicians working with patients with SCI, equipping them with the knowledge and confidence to provide nutritional support to patients with SCI efficiently. By addressing the challenges of defining nutritional needs and presenting a practical guide, we aspire to contribute to the overall management and care of individuals with SCI and the prevention of malnutrition and its associated complications, thereby improving patient outcomes.

Indexed as

MalnutritionObesitySpinal cord injury

Identifiers

PMID38715555
PMCPMC11073389

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.