Evidence map›Paper›PMID 38811768›Full record

ArticleSpinal cord2024

Examining the impact of the COVID-19 pandemic on homecare services among individuals with traumatic and non-traumatic spinal cord injuries.

Arrani Senthinathan, Mina Tadrous, Swaleh Hussain, Sandra McKay, Rahim Moineddin, Cherry Chu, Susan B Jaglal, John Shepherd, Lauren Cadel, Vanessa K Noonan and 3 more

Abstract read
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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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

13 authors.

Arrani SenthinathanLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada. arani.senthinathan@utoronto.ca.ORCID 0000-0002-9304-3039
Mina TadrousLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Swaleh HussainLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Sandra McKayVHA Home HealthCare, Toronto, ON, Canada.
Rahim MoineddinICES, Toronto, ON, Canada.
Cherry ChuWomen's College Hospital Institute for Health Systems Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.ORCID 0000-0002-4072-0083
Susan B JaglalICES, Toronto, ON, Canada.
John ShepherdRehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
Lauren CadelLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6925-8163
Vanessa K NoonanPraxis Spinal Cord Institute, Vancouver, BC, Canada.ORCID 0000-0003-3226-9218
B Catharine CravenInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-8234-6803
Karen TuDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Sara J T GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-9552-9139

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designDescriptive repeated-cross sectional retrospective longitudinal cohort study.

objectiveTo investigate the impact of the COVID-19 pandemic on homecare services in individuals with traumatic or non-traumatic Spinal Cord Injury (SCI).

settingHealth administrative database in Ontario, Canada.

methodsA repeated cross-sectional study using linked health administrative databases from March 2015 to June 2022. Monthly homecare utilization was assessed in 3381 adults with SCI using Autoregressive Integrated Moving Average (ARIMA) models.

resultsCompared to pre-pandemic levels, between March 2020 to June 2022, the traumatic group experienced a decrease in personal and/or homemaking services, as well as an increase in nursing visits from April 2020-March 2022 and June 2022. Case management increased at various times for the traumatic group, however therapies decreased in May 2020 only. The non-traumatic group experienced a decrease in personal and/or homemaking services in July 2020, as well as an increase in nursing visits from March 2020 to February 2021 and sporadically throughout 2020. Case management also increased at certain points for the non-traumatic group, but therapies decreased in April 2020, July 2020, and September 2021.

conclusionThe traumatic group had decreases in personal and/or homemaking services. Both groups had increases in nursing services, increases in case management, and minimal decreases in therapies at varying times during the pandemic. Investigation is warranted to understand the root cause of these changes, and if they resulted in adverse outcomes.

Indexed as

COVID-19Home Care ServicesSpinal Cord InjuriesAdultAgedCase ManagementCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedOntarioRetrospective Studies

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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.