Pressure ulcers in veterans with spinal cord injury: A retrospective study

Garber, Susan L.; Rintala, Diana H.

doi:10.1682/jrrd.2003.09.0433

Cited by 136 publications

(87 citation statements)

References 13 publications

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“…Among the excluded studies, two were irrelevant and 20,21 seven were on the basis of basic research. [22][23][24][25][26][27] In one study, the population was not SCI exclusive, 10 and three other studies focused on SCI patients with PU.…”

Section: Characteristics Of the Excluded Studiesmentioning

confidence: 99%

Pressure ulcer risk factors in persons with SCI: part I: acute and rehabilitation stages

Gélis

Dupeyron

Legros³

et al. 2008

Spinal Cord

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Background: Pressure ulcers (PUs) are a common complication following a spinal-cord injury (SCI). Good prevention requires identifying the individuals at risk for developing PUs. Risk assessment scales used nowadays were designed on pathophysiological concepts and are not SCI-specific. Recently, an epidemiological approach to PU risk factors has been proposed to design an SCI-specific assessment tool. The first results seem quite disappointing, probably becuase of the level of evidence of the risk factors used. Objective: To determine PU risk factors correlated to the patients with SCI, medical care management during the acute as well as in the rehabilitation and chronic stages. This first part focuses on identifying the risk factors during the acute and rehabilitation stages. Materials and methods: Systematic review of the literature. Results: Six studies met our inclusion criteria. The risk factors during the acute stage of an SCI are essentially linked to care management and treatment modalities. There is insufficient evidence to make a recommendation on medical risk factors, except for low blood pressure on admission to the Emergency Room, with a moderate level of evidence. Regarding the rehabilitation stage, no study was deemed relevant. Discussion and conclusions: Additional observational studies are needed, for both the acute and rehabilitation stages, to improve this level of evidence. However, this systematic review unveiled the need for a carefully assessed t care management and the related practices, especially during the acute stage of an SCI.

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Section: Characteristics Of the Excluded Studiesmentioning

confidence: 99%

Pressure ulcer risk factors in persons with SCI: part I: acute and rehabilitation stages

Gélis

Dupeyron

Legros³

et al. 2008

Spinal Cord

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“…The profound impact of pressure ulcers upon the subjects' lives includes changes in physical, social, and financial status; change of body image; and/or loss of independence and control (7). Healing a pressure ulcer nonsurgically requires lengthy periods, with hospitalizations averaging 150 days (5). Although it has been noted that the literature does not provide evidence that bed rest facilitates healing of pressure ulcers (8), the belief that unlimited sitting time is detrimental to healing is common in clinical practice.…”

Section: Purpose Of Prone Cartsmentioning

confidence: 99%

Design and Evaluation of a Stand-Up Motorized Prone Cart

Harrow

Malassigné

Nelson

et al. 2007

The Journal of Spinal Cord Medicine

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Background/Objective: Prone carts are used for mobility by individuals with spinal cord injury in whom seated mobility (wheelchair) is contraindicated due to ischial or sacral pressure ulcers. Currently available prone carts are uncomfortable, subjecting the user to neck and shoulder strain, and make social interaction and performing activities of daily living difficult. A better design of prone carts is needed. In addition, standing devices have shown some medical benefits. The objective was to design and evaluate an improved prone cart that facilitates standing.Design: Engineering development project with user feedback through questionnaire. Users selected by convenience sampling.Methods: A marketing survey was performed of nurse managers of spinal cord injury units. Then 2 prototype carts were designed and built. These carts are able to tilt up to 458 and have a joystick-controlled motor for propulsion and other design features, including a workspace storage shelf and rearview mirrors. The carts were evaluated by both patients and caregivers at 2 Veteran's Administration hospitals.Outcome Measures: Questionnaire of subjects, both patients and caregivers, who used the cart.Findings: Both patients and caregivers liked the carts and the ability to assume a nonhorizontal body angle. The major complaint about the cart was that it seemed too long when it came to making turns.Conclusion: This prone cart design is an improvement over the standard, flat variety. However, further design changes will be necessary. This study provided valuable information that will be useful in the nextgeneration prone cart design project.J Spinal Cord Med. 2007;30:50-61

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“…Pressure ulcers (PUs) are a common secondary complication of SCI in many countries. [1][2][3][4] Although patients with SCI may believe that they can prevent PUs through careful management of living conditions, 3 in reality PU prevention is very difficult.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle risk factors for pressure ulcers in community-based patients with spinal cord injuries in Japan

et al. 2015

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Study design: Case-control study. Objectives: To identify daily living-related risk factors for pressure ulcer (PU) occurrence in community-living patients with spinal cord injury (SCI). To determine whether seat pressure influences PU occurrence, and how often patients with SCI perform pressure relief activities while living in the community. Setting: Kanagawa Rehabilitation Hospital, Kanagawa, Japan. Methods: Thirty-one patients admitted to this hospital for PU treatment were included in the case (PU) group. Thirty outpatients who did not have PUs at the time of the study, and had lived without PUs for at least a year, were included in the control (No PU) group. Patients were interviewed about lifestyle-related PU risk factors and a pressure-mapping system was used to measure interface pressure (IP) on their wheelchair seat. The No PU group patients recorded their daily activities and pressure relief maneuvers for 1 week. Results: Eight lifestyle factors and one risk assessment scale significantly differed between groups. Three factors showed significant odds ratios by logistic regression. IP did not significantly differ between groups. The self-counted number of pressure relief maneuvers (median (25th-75th percentile)) performed per hour in the No PU group was 2.5 (0.7-4.3) and including transfer and urination was 3.5 (2.0-5.3). Conclusion: We identified potential PU risk factors related to lifestyle. The scores of one risk assessment scale were also associated with PU risk. Our results did not suggest an IP damage threshold. Patients in the No PU group performed pressure relief maneuvers, including related activities, approximately once every 17 min.

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Pressure ulcers in veterans with spinal cord injury: A retrospective study

Cited by 136 publications

References 13 publications

Pressure ulcer risk factors in persons with SCI: part I: acute and rehabilitation stages

Pressure ulcer risk factors in persons with SCI: part I: acute and rehabilitation stages

Design and Evaluation of a Stand-Up Motorized Prone Cart

Lifestyle risk factors for pressure ulcers in community-based patients with spinal cord injuries in Japan

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