{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T12:00:55Z","timestamp":1790942455572,"version":"4.1.0"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82102659"],"award-info":[{"award-number":["82102659"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether serum albumin measured at rehabilitation admission is associated with short-term improvement in activities of daily living (ADL) among patients with cervical traumatic spinal cord injury (TSCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center retrospective cohort study included 106 patients with cervical TSCI admitted for rehabilitation between 2015 and 2021. Serum albumin was measured within 24\u2005h of rehabilitation admission. Functional change was assessed with the 100-point Barthel Index (BI). The primary outcome was \u0394BI \u22655; supportive analyses used \u0394BI \u226510 and continuous \u0394BI. The prespecified core model adjusted for admission BI, time from injury to rehabilitation admission, length of stay, and cervical injury level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-nine patients (65.1%) achieved \u0394BI \u22655 and 53 (50.0%) achieved \u0394BI \u226510. Mean admission serum albumin was higher among patients with \u0394BI \u22655 than among those without improvement (37.2\u2009\u00b1\u20094.7 vs 34.4\u2009\u00b1\u20095.3\u2005g\/L; P\u2009=\u20090.008). Albumin was associated with \u0394BI \u22655 in the core model (adjusted odds ratio [aOR] per 1-g\/L increase, 1.23; 95% confidence interval [CI], 1.08\u20131.41; P\u2009=\u20090.002) and after additional adjustment for age, sex, and hemoglobin (aOR, 1.19; 95% CI, 1.03\u20131.37; P\u2009=\u20090.015). Directionally consistent associations were observed for \u0394BI \u226510 and continuous \u0394BI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher serum albumin at rehabilitation admission was associated with greater short-term functional improvement in basic ADL after cervical TSCI. Its consistent association across complementary outcome definitions supports further evaluation of albumin as an accessible component of multivariable prognostic assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261490941","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:09:26Z","timestamp":1790694566000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Admission Serum Albumin and Short-Term Functional Improvement During Inpatient Rehabilitation After Cervical Traumatic Spinal Cord Injury: A Retrospective Cohort Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5711-3792","authenticated-orcid":false,"given":"Fang","family":"Li","sequence":"first","affiliation":[{"name":"Xuanwu Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Tang","sequence":"additional","affiliation":[{"name":"Xuanwu Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Hu","sequence":"additional","affiliation":[{"name":"Xuanwu Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyi","family":"Li","sequence":"additional","affiliation":[{"name":"Xuanwu Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"issue":"3","key":"e_1_3_3_2_1","article-title":"Traumatic spinal cord injury\u2014repair and regeneration","volume":"80","author":"Ahuja C. S.","unstructured":"Ahuja C. S., Nori S., Tetreault L., Wilson J. R., Kwon B. K., Harrop J. S., Choi D., Fehlings M. G. (2017b). Traumatic spinal cord injury\u2014repair and regeneration. Neurosurgery, 80(3 Suppl), S9\u2013S22. https:\/\/doi.org\/10.1093\/neuros\/nyw080","journal-title":"Neurosurgery"},{"key":"e_1_3_3_3_1","article-title":"Traumatic spinal cord injury","volume":"3","author":"Ahuja C. S.","unstructured":"Ahuja C. S., Wilson J. R., Nori S., Kotter M. R. N., Druschel C., Curt A., Fehlings M. G. (2017a). Traumatic spinal cord injury. Nature Reviews Disease Primers, 3, Article 17018. https:\/\/doi.org\/10.1038\/nrdp.2017.18","journal-title":"Nature Reviews Disease Primers"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-022-00862-2"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jnr.21265"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288809164103"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0894-0959.2004.17603.x"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mam.2011.12.002"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217703387"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.1938390.195"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.02.033"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-019-0319-8"},{"key":"e_1_3_3_13_1","first-page":"61","article-title":"Functional evaluation: The barthel index","volume":"14","author":"Mahoney F. I.","year":"1965","unstructured":"Mahoney F. I., Barthel D. W. (1965). Functional evaluation: The barthel index. Maryland State Medical Journal, 14(2), 61\u201365.","journal-title":"Maryland State Medical Journal"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968317746781"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-020-00536-x"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288809164105"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.3171\/2012.4.AOSPINE1245"}],"container-title":["NeuroRehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261490941","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538135261490941","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261490941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T11:47:17Z","timestamp":1790941637000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538135261490941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":17,"alternative-id":["10.1177\/10538135261490941"],"URL":"https:\/\/doi.org\/10.1177\/10538135261490941","relation":{},"ISSN":["1053-8135","1878-6448"],"issn-type":[{"value":"1053-8135","type":"print"},{"value":"1878-6448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"article-number":"10538135261490941"}}