AI Article Synopsis
- The study is a systematic review and meta-analysis aimed at evaluating the complications associated with prolonged cervical immobilization using hard collars.
- Out of 773 articles searched, 25 studies were included, revealing complications like pressure ulcers (7% prevalence), dysphagia, and increased intracranial pressure, with limited data for other issues.
- The findings suggest significant health risks from long-term use of hard collars, especially in younger patients, indicating a need for further research due to the low-quality evidence available.
Article Abstract
Study Design: Systematic review and meta-analysis.
Objective: To evaluate systematically the complications of prolonged cervical immobilisation in a hard collar.
Methods: Following registration with PROSPERO, a systematic search of electronic databases (MEDLINE, EMBASE) was conducted. Two reviewers independently screened the search results according to pre-determined search criteria. Data was extracted and tabulated. Joanna Briggs Institute checklists were used for assessing the quality of included studies.
Results: The search identified 773 articles. A total of 25 studies were selected for final inclusion. The results largely comprised a mixture of case reports/series, cohort studies and reviews. The most commonly reported complications were pressure ulcers, dysphagia and increased intracranial pressure. A pressure ulcer pooled prevalence of 7% was calculated. There was insufficient data for quantitative analysis of any other complication.
Conclusions: There is significant morbidity from prolonged hard collar immobilisation, even amongst younger patients. Whilst based upon limited and low-quality evidence, these findings, combined with the low-quality evidence for the efficacy of hard collars, highlights a knowledge gap for future research.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609519 | PMC |
| http://dx.doi.org/10.1177/21925682221087194 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!