Factors associated with the development of pressure ulcers after spinal cord injury.
Vahid Eslami,Soheil Saadat,R Habibi Arejan,Alexander R. Vaccaro,Seyed Mohammad Ghodsi,Vafa Rahimi-Movaghar +5 more
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TLDR
Different models are needed to describe PU in SCI patients depending on the patient’s age and the time passed since SCI, and the risk factors associated with PU may vary in specific subgroups.Abstract:
Cross-sectional observational study. To examine variables associated with the development of pressure ulcers in subjects with spinal cord injury (SCI). SCI patients under coverage of the State Welfare Organization of Iran. Mobile rehabilitation teams gathered data from 20 of the 30 provinces in Iran. There were 8104 SCI patients registered in the database; 7489 patients were included in the analysis. The prevalence of PU in patients aged 10; therefore, we used different logistic models for these groups. Likewise, separate models were created for patients who had experienced SCI during the past year versus patients injured >1 year before the evaluation. PU was present in 34.6% of the patients. The variables associated with PU in patients aged 11 years, male gender, the time passed since SCI, lower level of education, lack of an intimate partner, quadriplegia and older age presented a significant association with PU. Patients for whom 1 year had passed since SCI, male gender, quadriplegia, older age, lower level of education and lack of an intimate partner were associated with PU. SCI patients are a heterogeneous group and the risk factors associated with PU may vary in specific subgroups. Different models are needed to describe PU in SCI patients depending on the patient’s age and the time passed since SCI.read more
Citations
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Journal ArticleDOI
Impact of Pressure Ulcers on Individuals Living With a Spinal Cord Injury
TL;DR: The findings highlight the importance of implementing pressure ulcer prevention and management programs for this high-risk population and require the attention of all SCI-related health care professionals.
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Pressure ulcers in people with spinal cord injury in developing nations.
TL;DR: SCI-associated pressure ulcers are common but can be prevented in the developing world, and key targets for interventions include acute care, nurse-to-patient ratios, support surfaces and education.
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Tissue changes in patients following spinal cord injury and implications for wheelchair cushions and tissue loading: a literature review.
TL;DR: As understanding about PU risk in this population increases, study designs can be refined to develop a much-needed evidence-base for the appropriate use of support surfaces in general and wheelchair cushions in particular.
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The fate of neurons after traumatic spinal cord injury in rats: A systematic review
Zahra Hassannejad,Shayan Abdollah Zadegan,Aida Shakouri-Motlagh,Mona Mokhatab,Motahareh Rezvan,Mahdi Sharif-Alhoseini,Farhad Shokraneh,Pouria Moshayedi,Vafa Rahimi-Movaghar +8 more
TL;DR: Examining the safety and efficacy of an intervention by reliable methods not confounded by the injury-related changes would promote translation of therapies to the clinical application.
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Association between presence of pneumonia and pressure ulcer formation following traumatic spinal cord injury.
TL;DR: A higher presence of pressure ulcers was found in individuals with pneumonia, after adjusting for injury severity, age, sex, and utilization of mechanical ventilation.
References
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Journal ArticleDOI
Long-term medical complications after traumatic spinal cord injury: A regional model systems analysis
TL;DR: Pressure ulcers, autonomic dysreflexia, and pneumonia/atelectasis were the most common long-term secondary medical complications found at annual follow-ups, and risk factors included complete injury, tetraplegia, older age, concomitant illness, and violent injury.
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Multi-site study of incidence of pressure ulcers and the relationship between risk level, demographic characteristics, diagnoses, and prescription of preventive interventions.
TL;DR: To determine if there is a difference in the type of preventive services prescribed for persons who do or do not develop pressure ulcers when risk is controlled and whether differences can be related to demographic characteristics.
Journal ArticleDOI
Pressure ulcer prevalence in people with spinal cord injury: age-period-duration effects.
TL;DR: Pressure ulcers were more common among the elderly, men, African Americans, singles, subjects with education less than high school, unemployed, subject with complete injury, and subjects with history of pressure ulcers, rehospitalization, nursing home stay, and other medical conditions.
Journal ArticleDOI
Secondary impairments after spinal cord injury: a population-based study.
TL;DR: This is the first study to describe secondary impairments after long-standing spinal cord injury in Quebec and the specific impact that these impairments have on the patients’ social role and their quality of life.
Journal ArticleDOI
Medical complications during acute rehabilitation following spinal cord injury—current experience of the model systems☆☆☆
TL;DR: The continued declining lengths of acute care hospitalization after SCI have resulted in the occurrence in the rehabilitation setting of medical complications that were previously seen in acute care.