Evidence map›Paper›PMID 39402021›Full record

SynthesisSpinal cord series and cases2024

The frequency of osteomyelitis after pressure injury in spinal cord injury: a systematic review and meta-analysis.

Ehsan Jangholi, Seyed Danail Alizadeh, Farzin Farahbakhsh, Vali Baigi, Zahra Ghodsi, Pouya Mahdavi Sharif, Shahriar Ghashghaei, Mahkameh Abbaszadeh, Arman Zeinaddini Meymand, Zahra Eskandari and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Spinal cord series and cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Ehsan Jangholi *Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Danail Alizadeh *Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-5461-6511
Farzin FarahbakhshSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Vali BaigiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-1882-7340
Zahra GhodsiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-8662-2342
Pouya Mahdavi SharifSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-5250-1542
Shahriar GhashghaeiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mahkameh AbbaszadehSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Arman Zeinaddini MeymandSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Zahra EskandariDepartment of Management, Faculty of Social Sciences and Economics, Alzahra University, Tehran, Iran.
Vafa Rahimi-MovagharSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. v_rahimi@sina.tums.ac.ir.ORCID 0000-0001-7347-8767

Funding

Tehran University of Medical Sciences and Health Services (TUMS) 99-2-93-48457
6 · The paper itself

Abstract

STUDY

designA systematic review and meta-analysis

objectiveTo determine the global frequency of osteomyelitis in individuals with spinal cord injury who have pressure injuries (SCI-PI).

methodsA comprehensive search on PubMed, EMBASE, Scopus, and the Web of Science has been conducted until November 2023. The Cochrane Handbook for Systematic Reviews was followed. Cohort and cross-sectional studies included SCI-PI participants who reported the frequency of osteomyelitis without language restriction. Data extraction was performed by four reviewers in two groups. We used the Newcastle-Ottawa Quality Assessment Scale for quality assessment. The Chi-squared and I

resultsTen out of 986 studies met our eligibility criteria, with 492 SCI-PI individuals. It was discovered that most SCIs were thoracolumbar injuries and male. There was a history of PI in more than half the patients. SCI was primarily caused by trauma. A meta-analysis revealed a significantly heterogeneous 43.0% osteomyelitis frequency. There was no evidence of publication bias. Subgroup analysis based on study quality revealed that the frequency of osteomyelitis in low-quality studies was 34.5%, whereas the frequency in high-quality research was 47.4%. Furthermore, the overall frequency of osteomyelitis was 29.0% in the subgroup analysis of research carried out in the USA.

conclusionsOur study highlights the significant burden of osteomyelitis among SCI-PI individuals. These findings underscore the pressing need for standardized diagnostic and management protocols to mitigate the morbidity associated with osteomyelitis in this vulnerable population.

Indexed as

OsteomyelitisPressure UlcerSpinal Cord InjuriesHumans

Identifiers

PMID39402021
PMCPMC11473765

What OpenQuestion holds

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Read underepoch 390

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.