Evidence map›Paper›PMID 40962838›Full record

Observational studySpinal cord2025

Monitoring of neurogenic bladder management from hospital admission until discharge in spinal cord injury units: the SIRCA study.

Ángel Gil-Agudo, Francisco Gutiérrez Henares, Sauro Biscotto, Antonio Rodriguez Sotillo, Mª Elena Ferreiro Velasco, Bosco Méndez Ferrer, Jesús Benito Penalva, Joan Vidal Samsó, Albert Borau Duran, Giulio Del Popolo and 4 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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. 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

14 authors.

Ángel Gil-Agudo *Department of Physical Medicine and Rehabilitation, Biomechanics and Technical Aids Unit, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.ORCID 0000-0001-5082-4225
Francisco Gutiérrez Henares *Department of Rehabilitation, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain. fgutierrezhenares@gmail.com.ORCID 0000-0003-3550-5394
Sauro Biscotto *Spinal Unit. Santa Maria della Misericordia Hospital, Perugia, Italy.
Antonio Rodriguez Sotillo *Unidad de lesionados Medulares. Complejo Hospitalario Universitario A Coruña (CHUAC), Coruña, Spain.
Mª Elena Ferreiro Velasco *Unidad de lesionados Medulares. Complejo Hospitalario Universitario A Coruña (CHUAC), Coruña, Spain.
Bosco Méndez Ferrer *Unidad de lesionados medulares. Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Jesús Benito Penalva *Spinal Cord Injury Unit. Institut Guttmann, Barcelona, Spain.ORCID 0000-0003-1232-1808
Joan Vidal Samsó *Spinal Cord Injury Unit. Institut Guttmann, Barcelona, Spain.
Albert Borau Duran *Department of urology. Institut Guttman, Barcelona, Spain.
Giulio Del Popolo *Neuro-Urology Unit. Careggi University Hospital, Florence, Italy.
Salvatore Petrozzino *University Hospital Città della Salute e della Scienza, Turin, Italy.
Ernesto Losavio *Neurorehabilitation and Spinal Unit. Scientific Clinical Institutes Maugeri, Bari, Italy.
Maria Giuseppa Onesta *Spinal Unit. Cannizzaro Hospital, Catania, Italy.
Michele Spinelli *Spinal Unit. Niguarda Hospital, Milan, Italy.ORCID 0000-0002-6245-0205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designProspective, descriptive, analytical, observational study involving 12 multicenter, international centers from Spain and Italy.

objectivesDetermine the method for bladder voiding in spinal cord injury (SCI) patients concerning different intrinsic and environmental variables.

introductionNeurogenic bladder is common in spinal cord injury (SCI) patients, profoundly impacting their quality of life. While clean intermittent catheterization (CIC) is the preferred method due to fewer complications and infections and improved quality of life, alternative methods like indwelling catheterization or condom catheters are viable options for bladder management.

methodsData was gathered along the acute (at hospital admission), subacute (expectations at discharge) and hospital discharge phases.

resultsData from 266 SCI patients was gathered. Main procedure for bladder voiding at the time of admission was indwelling catheterization (n = 242, 91.0%) and CIC was the most used procedure at discharge (n = 122, 45.9%). CIC is the preferred procedure when the evaluation of expectations at discharge is done (n = 181, 68.6%). The probability of achieving reflex voiding at discharge was higher as the American Spinal Injury Association (ASIA) Impairment Scale score improved (p < 0.001). A relationship was established with the level of injury (p < 0.001) and body mass index (p = 0.017), in addition to marital status, age and history of depression. Initial information about CIC was mostly provided by the urologist (n = 137, 73.3%) while training was predominantly done by the nurse (n = 159, 87.8%).

conclusionsDifferences in neurogenic bladder management were identified regarding level and injury severity, SCIM, BMI, marital status, age and depression history. SPONSORSHIP: B Braun Medical S.A.U.

Indexed as

Patient DischargeSpinal Cord InjuriesUrinary Bladder, NeurogenicAdultAgedFemaleHumansIntermittent Urethral CatheterizationItalyMaleMiddle AgedProspective StudiesSpainUrinary CatheterizationYoung Adult

Identifiers

PMID40962838
PMCPMC12504107

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.