Factors predicting pressure ulcers in veterans with spinal cord injuries

American Journal of Physical Medicine & Rehabilitation
Bridget M SmithSusan L Garber

Abstract

To identify patient risk factors for pressure ulcers in a sample of veterans with spinal cord injuries and disorders. A survey incorporating questions from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System was mailed to individuals with spinal cord injuries and disorders in 2003. A multiple logistic regression model including 2574 respondents was used to examine the association between patient characteristics and the self-report of pressure ulcers. Approximately 36% of respondents reported having pressure ulcers during the previous year. Respondent characteristics significantly associated with report of one or more pressure ulcers included diabetes (incidence rate ratio [IRR] = 1.36, P < 0.001), smoking (IRR = 1.16, P = 0.030), injury duration >30 yrs (IRR = 1.27, P = 0.000), and reporting frequent depressive symptoms (IRR = 1.30, P < 0.001). Veterans who did not have injuries related to their military service (IRR = 1.39, P < 0.001) or who received care at non-VA facilities in addition to or instead of VA facilities (IRR = 1.13, P = 0.024) were more likely than other veterans to report pressure ulcers. Efforts to prevent pressure ulcers should include increased attention to managing di...Continue Reading

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Citations

May 3, 2011·The Journal of Spinal Cord Medicine·Meheroz Hoshang Rabadi, Andrea S Vincent
Dec 11, 2013·Disability and Rehabilitation. Assistive Technology·Gojiro NakagamiJunko Sugama
Jul 27, 2012·Disability and Rehabilitation. Assistive Technology·Emma FriesenTrevor Russell
May 5, 2012·Archives of Physical Medicine and Rehabilitation·Charles H BombardierJesse R Fann
Nov 16, 2011·Journal of Clinical Nursing·Chophaka Suttipong, Siriorn Sindhu
Aug 30, 2014·Archives of Physical Medicine and Rehabilitation·Deena LalaLuc Noreau
Jun 26, 2015·PLoS Computational Biology·Cordelia ZiraldoYoram Vodovotz
Feb 26, 2019·Advances in Skin & Wound Care·Linda J CowanJoyce Stechmiller
Feb 28, 2014·Topics in Spinal Cord Injury Rehabilitation·Alicia M JanuaryLawrence C Vogel
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Oct 21, 2015·Advances in Skin & Wound Care·Jose Manuel Arévalo VelascoMiguel Angel Casado

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