Evidence map›Paper›PMID 40490487›Full record

ArticleSpinal cord2025

The incidence and trends of diving-related spine injuries in the United States and risk factors associated with spinal cord injury.

Anthony E Seddio, Sahir S Jabbouri, Rajiv S Vasudevan, Michael J Gouzoulis, Wesley Day, Gwyneth C Maloy, Arya G Varthi, Daniel R Rubio, Jonathan N Grauer

Abstract read
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In one paragraph

Article in Spinal cord, 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
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. 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

9 authors.

Anthony E SeddioYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Sahir S JabbouriYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Rajiv S VasudevanYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Michael J GouzoulisYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Wesley DayYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Gwyneth C MaloyYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Arya G VarthiYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Daniel R RubioYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA.
Jonathan N GrauerYale School of Medicine, Department of Orthopaedics & Rehabilitation, New Haven, CT, USA. jonathan.grauer@yale.edu.ORCID 0000-0002-2626-7278

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective longitudinal cohort study.

objectivesTo characterize: (1) incidence and trends of diving-related spine injuries (DRSI) and diving-related spinal cord injury (DRSCI) in the United States and (2) risk-factors associated with DRSCI.

settingUsing a large, national, multi-insurance administrative dataset of over 161 million patients, those who suffered a DRSIs were identified and characterized.

methodsPersons who suffered a DRSIs were analyzed from 2010-2021. Estimated annual percentage change (EAPC) was calculated by log-linear regression. For those with DRSCI, risk-factors were assessed by multivariable logistic regression.

resultsOf 3829 persons who suffered DRSIs, the cervical spine was most frequently involved (53.0%). EAPCs of DRSIs at the cervical, thoracic, and lumbar spine significantly decreased over the studied years (-4.69, -6.81, and -4.88%, respectively; p < 0.05 for all), while DRSCI demonstrated a nonsignificant trend (p = 0.081). Among the 629 (16.4%) with DRSCI, risk-factors included: prior cervical spine surgery (OR 13.31, p < 0.001), history of cervical spondylolisthesis (OR 5.36, p < 0.001), male sex (OR 2.69, p < 0.001), history of cervical stenosis (OR 2.26, p < 0.001), coastal states (OR 1.38, p = 0.012), higher Elixhauser Comorbidity Index (OR 1.15, p < 0.001), and older age (OR 1.01, p = 0.029).

conclusionsThe rate of DRSIs of the cervical, thoracic, and lumbar spine has significantly decreased in recent years in the United States. However, the nonsignificant trend in DRSCI highlights the importance of continued public health initiatives. Among those with DRSCI, several unique risk-factors were identified, laying the foundation for the refinement of current diving injury prevention programs.

Indexed as

DivingSpinal Cord InjuriesSpinal InjuriesAdolescentAdultAgedFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedRetrospective StudiesRisk FactorsUnited StatesYoung Adult

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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.