Evidence map›Paper›PMID 40585010›Full record

SynthesisTopics in spinal cord injury rehabilitation2025

Peripheral Vascular Dysfunction Following Spinal Cord Injury: A Systematic Review and Meta-Analysis.

Thomas Thordarson, Tiev Miller, Martín Calderón-Juárez, Ali Hosseinzadeh, Raza Malik, Rahul Sachdeva, Andrei V Krassioukov

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Topics in spinal cord injury rehabilitation, 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

7 authors.

Thomas Thordarson *International Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Tiev Miller *International Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Martín Calderón-JuárezInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Ali HosseinzadehInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Raza MalikInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Rahul SachdevaInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Andrei V KrassioukovInternational Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada.ORCID https://orcid.org/0000-0002-0022-7972

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spinal cord injury (SCI) has been shown to impact vascular function and increase the risk of cardiovascular disease (CVD). However, data are limited regarding prognostic factors for identifying subclinical CVD risk in individuals with SCI. Objectives: To identify maladaptive structural and functional changes to central and peripheral vasculature resulting from SCI and to assess the effect of SCI on these parameters relative to able-bodied comparators. Methods: This review was prospectively registered. A systematic search was performed using PRISMA guidelines. Bias was assessed using the ROBINS-I and AHRQ tools. Studies reporting structural or functional changes to vasculature following SCI were included. Data on participant and injury characteristics, outcomes, and assessments used were extracted. Meta-analyses were conducted for adequately powered subgroups based on outcome type, measurement site, and level of injury. Results: A total of 49 studies involving 1026 individuals with SCI and 941 able-bodied comparators were included. Most studies described injury level and severity using standardized impairment classifications. Subgroup analyses showed significantly reduced arterial diameter, compliance, endothelial function, blood flow volume, and high-density lipoprotein (HDL) cholesterol concentration among people with SCI compared to controls. Intima-media thickness, arterial stiffness, shear rate, and blood glucose and triglyceride concentrations were significantly greater for people with SCI compared to controls. Additional subgroup analyses were underpowered. Conclusion: This review synthesizes the current literature reporting central and peripheral vasculature outcomes in people with SCI and able-bodied controls. Between-group differences were observed for several structural and functional vascular outcomes, which suggests that SCI has a significant impact on multiple subclinical CVD risk factors.

Indexed as

Peripheral Vascular DiseasesSpinal Cord InjuriesHumansblood vesselscardiovascular diseasescardiovascular physiologycardiovascular systemspinal cord injury

Identifiers

PMID40585010
PMCPMC12202987

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.