Factors associated with pressure ulcers in individuals with spina bifida

Archives of Physical Medicine and Rehabilitation
Sunkyung KimNational Spina Bifida Patient Registry

Abstract

To describe factors associated with pressure ulcers in individuals with spina bifida (SB) enrolled in the National Spina Bifida Patient Registry (NSBPR). Unbalanced longitudinal multicenter cohort study. Nineteen SB clinics. Individuals with SB (N=3153) enrolled in 19 clinic sites that participate in the NSBPR. Not applicable. Pressure ulcer status (yes/no) at the annual visit between 2009 and 2012. Of 3153 total participants, 19% (n=603) reported ulcers at their most recent annual clinic visit. Seven factors-level of lesion, wheelchair use, urinary incontinence, shunt presence, above the knee orthopedic surgery, recent surgery, and male sex-were significantly associated with the presence of pressure ulcers. Of these factors, level of lesion, urinary incontinence, recent surgery, and male sex were included in the final logistic regression model. The 3 adjusting variables-SB type, SB clinic, and age group-were significant in all analyses (all P<.001). By adjusting for SB type, SB clinic, and age group, we found that 7 factors-level of lesion, wheelchair use, urinary incontinence, shunt presence, above the knee orthopedic surgery, recent surgery, and male sex-were associated with pressure ulcers. Identifying key factors associate...Continue Reading

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Citations

Nov 11, 2017·Journal of Pediatric Rehabilitation Medicine·Judy Thibadeau
Nov 11, 2017·Journal of Pediatric Rehabilitation Medicine·John S WienerNational Spina Bifida Patient Registry
Mar 29, 2018·The Journal of Urology·John S WienerUNKNOWN National Spina Bifida Patient Registry
Jan 18, 2018·Topics in Spinal Cord Injury Rehabilitation·Shubhra Mukherjee, Jacqueline Pasulka
Mar 21, 2019·Scoliosis and Spinal Disorders·Thomas BakketunTiina Rekand
Feb 23, 2020·World Journal of Urology·Matthieu Peycelon, Rosalia Misseri
Dec 7, 2018·Journal of Pediatric Rehabilitation Medicine·Michael J ConklinBrandon G Rocque
Nov 21, 2019·Journal of Pediatric Rehabilitation Medicine·Stefanie RiddleSusan Wiley
Nov 8, 2018·Birth Defects Research·Jonathan CastilloHeidi Castillo
Sep 5, 2019·Disability and Rehabilitation·Susan RethlefsenMelissa Bent
Dec 1, 2020·Journal of Pediatric Rehabilitation Medicine·David B JosephHadley Wood
Dec 1, 2020·Journal of Pediatric Rehabilitation Medicine·Patricia BeierwaltesJennifer Wilhelmy
Dec 9, 2020·Journal of Pediatric Rehabilitation Medicine·Ellen FremionMargaret Turk
May 4, 2021·Journal of Pediatric Rehabilitation Medicine·Monique M RidoshGrayson N Holmbeck
Jun 19, 2021·Journal of the American Podiatric Medical Association·Brittany A LovettSharon P McKiernan

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