A community-based intervention to prevent serious complications and death 2 years after discharge in people with spinal cord injury in Bangladesh (CIVIC): a randomised trial

This study tested whether a community-based program could help people with spinal cord injuries in Bangladesh avoid complications and death after leaving the hospital. The program involved regular phone calls and some home visits from healthcare professionals. The study found that this program did not significantly reduce deaths or complications compared to the usual care provided after hospital discharge. This suggests that simply providing phone support and home visits may not be enough to improve outcomes in this setting. The researchers suggest that other factors like poverty, limited resources, poor nutrition, and access to healthcare may need to be addressed to improve the long-term health of people with spinal cord injuries in low-income countries.

• 1
  The community-based intervention did not significantly reduce mortality rates 2 years after discharge compared to usual care (7.4% vs 7.8%).
• 2
  There were no statistically significant differences in the incidence or severity of complications between the intervention and control groups.
• 3
  The intervention did not demonstrate clinically important effects on secondary complications or the risk of death 2 years after discharge.