Prevalence of pressure sores in a community sample of spinal injury patients

Raghavan, Preeti; Raza, Wajid; Ahmed, Y S; Chamberlain, M A

doi:10.1191/0269215503cr692oa

Cited by 83 publications

(57 citation statements)

References 10 publications

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“…Partial weight shifts may also allow for better sustainability by persons with SCI. Three recent studies inve stigating PU prevalence in an SCI cohort considered weight shift behavior as a potential risk factor [49][50][51]. None of the st udies found weight shift behavior or frequency of weight shifts to be associated with PU occ urrence.…”

Section: Weight Shiftingmentioning

confidence: 98%

Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review

Sprigle¹,

Sonenblum²

2011

JRRD

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Abstract-The formation and underlying causes of p ressure ulcers (PUs) are quite complex, with multiple influencing factors. However, by definition pressure ulcers cannot form without loading, or pressure, on tissue. Clinical interventions typically target the magnitude and/or duration of loading. Pressure magnitude is managed by the selection of support surfaces and postural supports as well as body posture on supporting surfaces. Duration is addressed via turning and weight shifting frequency as well as with th e use of dynamic s urfaces that actively redistribute pressure on the body surfaces. This article shows that preventative interventions must be targeted to both magnitude and duration and addresses the rationale behind several common clinical interventions-some with more scientific evidence than others.

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Section: Weight Shiftingmentioning

confidence: 98%

Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review

Sprigle¹,

Sonenblum²

2011

JRRD

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“…4,[16][17][18][19][20][21][22][23] The study by Krause et al 19 seemed at first to use a case-control design but is in fact a cross-sectional study. The cohort studies by Chen et al 11 and Mac Kinley et al 13 focus on the same cohort from National Spinal Cord Injury Database but with a few years time gap.…”

Section: Pu-related Risk Factors In Chronic Sci Patientsmentioning

confidence: 99%

Pressure ulcer risk factors in persons with spinal cord injury Part 2: the chronic stage

Gélis

Dupeyron

Legros³

et al. 2009

Spinal Cord

111

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Introduction: Pressure ulcers (PUs) are a common complication following spinal cord injury (SCI). Prevalence for persons in the chronic SCI stage varies between 15 and 30%. The 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 for designing an SCI-specific assessment tool. The first results seem quite disappointing, probably because of the level of evidence of the risk factors used. Objective: To determine PU risk factors correlated to the chronic stage of SCI. Materials and methods: Systematic review of the literature. Results: There are several PU risk factors for chronic SCI stage: socio-demographics, neurological, medical or behavioral. The level of evidence varies: it is quite high for the socio-demographics and neurological factors and low for behavioral factors. Discussion and conclusion: Behavioral risk factors (relieving the pressure, careful skin monitoring, smoking) are probably the ones for which a preventive strategy can be established. It is important to develop specific assessment tools for these behavioral risk factors to determine their relevance and evaluate the effect of therapeutic educational programs on persons with SCI.

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“…A few studies have investigated self-reported measures of PR behaviors but have found no significant relationship with the occurrence of pressure ulcers [22][23][24][25]. Self-reported behaviors might not have been accurate or sensitive enough to be adequately evaluated.…”

Section: Introductionmentioning

confidence: 99%

Everyday sitting behavior of full-time wheelchair users

Sonenblum

Sprigle

Martin³

2016

J Rehabil Res Dev

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Abstract-The objective of this study was to describe the inseat movement and weight-shifting behavior of full-time wheelchair users. We measured everyday sitting behavior for 192 d across 28 individuals who used manual wheelchairs as their primary mobility device. To obtain the measurements, we used eight thin force sensors placed under participants' wheelchair cushions. On a typical day, participants spent an average of 10.6 +/ 3.0 h in their wheelchair and transferred out of the wheelchair 8.4 +/ 4.3 times. Participants only performed pressure reliefs (90% off-loading of the entire buttocks for at least 15 s) 0.4 +/ 0.5 times per hour they were seated in the chair, but they performed weight shifts (WSs) (30%-90% off-loading of at least one side of the buttocks for 15 s) with a frequency of 2.4 +/ 2.2 times per hour. Despite the higher frequency of WSs, they were not performed in a routine manner. Half of the days studied included one segment of upright sitting lasting at least 2 h without a WS. Given these observations, we conclude that seating evaluations should emphasize positioning individuals in a way that facilitates reaching, leaning, and transferring in a safe manner, not only to improve function but also to affect buttocks loading.

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Prevalence of pressure sores in a community sample of spinal injury patients

Cited by 83 publications

References 10 publications

Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review

Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review

Pressure ulcer risk factors in persons with spinal cord injury Part 2: the chronic stage

Everyday sitting behavior of full-time wheelchair users

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