Prevalence and incidence of pressure sores in acute spinal cord injuries

Richardson, Robert; Meyer, Paul R.

doi:10.1038/sc.1981.47

Cited by 83 publications

(41 citation statements)

References 8 publications

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“…Such manoeuvre has been reported to reduce the risk of pressure sores. 5,18 The improvement in prehospital care for spinal cord injured, and the provision of a national guideline for the treatment of the spinal cord injured may reduce incidence of pressure ulcer. Emphasis should be placed on early referral to specialised centres, better hospital patient flow, and training of specialist wound care nurses and provision of free nutritional supplements.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports have identified delayed presentation, low serum proteins, premorbid medical condition such as diabetes, and completeness of the spinal cord injury as risk factors for pressure ulceration. [3][4][5][6][7][8][9][10][11] The organisation of healthcare in Nigeria is the responsibility of three tiers of the government. The federal government has the overall responsibility for the university teaching hospitals teachings in hospitals and the three National Orthopaedic Hospitals, which are involved in the management of major trauma such as spinal injury.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for pressure ulceration in a resource constrained spinal injury service

et al. 2011

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Study design: Pressure ulceration and other complications constitute an encumbrance in the management of spinal cord injury in many services with limited resources in developing countries. These services undertake patients' care without adequate prehospital care, limited modern infrastructure and limited number of trained staff. Objectives: To evaluate the associated risk factors for pressure ulceration in traumatic spinal cord injured managed in a resource constrained spinal injury unit in Lagos, Nigeria. A regional acute trauma and rehabilitation centre serving a population of 420 million. Methods: This is a prospective study in patients presenting with traumatic spinal cord injury between 1 October 2004 and 30 November 2006. The data collected include demographic characteristics, interval before admission in the unit, type of spinal cord injury and serum albumin. The incidence of pressure ulcers and the isolated organisms was recorded for patients who developed pressure ulcers on admission and during the period of stay in the unit. The length of hospital stay was also recorded for all the patients. Results: The overall incidence of pressure ulceration on admission was 57.1%. There was an average lengthening of hospital stay of 33.1 days in the group of patients with pressure ulceration compared to patients without pressure ulcers. The nutritional status on admission, interval before admission and the type of neurological injury were significant factors for the incidence of pressure ulcers. Conclusion: The incidence of pressure ulceration was high, delay in admission and poor nutritional status may be significant factors in the incidence of pressure ulceration in spinal cord injury.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk factors for pressure ulceration in a resource constrained spinal injury service

et al. 2011

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“…The level of evidence is insufficient. The neurological level (paraplegia or tetraplegia) 12,14,[38][39][40] is not correlated with PU onset, and cannot be considered as a risk factor. The level of evidence is strong.…”

Section: Characteristics Of the Excluded Studiesmentioning

confidence: 99%

“…The quality assessment mean score was 60.7% (E ¼ 35.7-85.7). The number of patients included ranges from 39 to 549 37,38 with a total number of 1061 patients. The studies that included the largest number of patients also had the lowest quality assessment score.…”

Section: Characteristics Of the Excluded Studiesmentioning

confidence: 99%

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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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Wound cleansing for pressure ulcers

Moore¹,

Cowman²

2004

The Cochrane Database of Systematic Reviews

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Prevalence and incidence of pressure sores in acute spinal cord injuries

Cited by 83 publications

References 8 publications

Risk factors for pressure ulceration in a resource constrained spinal injury service

Risk factors for pressure ulceration in a resource constrained spinal injury service

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

Wound cleansing for pressure ulcers

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