Optimal Timing in Cervical Spinal Cord Injury: A Comprehensive Meta-Analysis of Ultra-Early Surgical Intervention Within Five Hours Article Swipe
Matthew T. Carr
,
Pemla Jagtiani
,
Abhiraj D. Bhimani
,
Mert Karabacak
,
Brian K. Kwon
,
Konstantinos Margetis
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.62015
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.62015
The optimal timing of surgery for cervical spinal cord injuries (SCI) and its impact on neurological recovery continue to be subjects of debate. This systematic review and meta-analysis aims to consolidate and assess the existing evidence regarding the efficacy of ultra-early decompression surgery in improving clinical outcomes after cervical SCI. A search was conducted in PubMed, Embase, Cochrane, and CINAHL databases from inception until September 18, 2023, focusing on human studies. The groups were categorized into ultra-early decompression (decompression surgery ≤ 5 hours post-injury) and a control group (decompression surgery between 5-24 hours post-injury). A random effects meta-analysis was performed on all studies using R Studio. Outcomes were reported as effect size (OR, treatment effect, and 95% CI. Of the 140 patients, 63 (45%) underwent decompression ≤ 5 hours, while 77 (55%) underwent decompression > 5 hours post-injury. Analysis using the OR model showed no statistically significant difference in the odds of neurological improvement between the ultra-early group and the early group (OR = 1.33, 95% CI: 0.22-8.18, p = 0.761). This study did not observe significant neurological improvement among cervical SCI patients who underwent decompression within five hours. Due to the scarcity of literature on the ultra-early decompression of cervical SCI, this study underscores the necessity for additional investigation into the potential benefits of earlier interventions for cervical SCI to enhance patient outcomes.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7759/cureus.62015
- https://assets.cureus.com/uploads/review_article/pdf/260793/20240609-8537-1dq2f2q.pdf
- OA Status
- diamond
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399469357
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399469357Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.7759/cureus.62015Digital Object Identifier
- Title
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Optimal Timing in Cervical Spinal Cord Injury: A Comprehensive Meta-Analysis of Ultra-Early Surgical Intervention Within Five HoursWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-06-09Full publication date if available
- Authors
-
Matthew T. Carr, Pemla Jagtiani, Abhiraj D. Bhimani, Mert Karabacak, Brian K. Kwon, Konstantinos MargetisList of authors in order
- Landing page
-
https://doi.org/10.7759/cureus.62015Publisher landing page
- PDF URL
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https://assets.cureus.com/uploads/review_article/pdf/260793/20240609-8537-1dq2f2q.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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-
diamondOpen access status per OpenAlex
- OA URL
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https://assets.cureus.com/uploads/review_article/pdf/260793/20240609-8537-1dq2f2q.pdfDirect OA link when available
- Concepts
-
Medicine, Intervention (counseling), Meta-analysis, Spinal cord injury, Spinal cord, Surgery, Nursing, Internal medicine, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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25Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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