Hospital-acquired pressure ulcers in spinal cord injured patients: time to occur, time until closure and risk factors

Spinal Cord
H van der WielenA Scheel-Sailer

Abstract

Prospective observational cohort study. To describe time to occur and time until closure of hospital-acquired pressure ulcers (HAPUs) in patients with spinal cord injury (SCI). Specialised SCI acute care and rehabilitation clinic in Switzerland. Daily registration of the presence and severity of HAPUs in a consecutive sample of SCI patients during their entire in-patient stay. Out of 185 observed SCI patients, 55 patients (29.7%) developed at least one HAPU. Within the first 30 days after admission, 50% of all HAPUs occurred. Less severe HAPUs occurred earlier than severe HAPUs. The occurrence of HAPUs was significantly associated with reason of admission (P<0.01), and was highest in first rehabilitation (51.4%) and orthopaedic surgery patients (41.4%). The incidences of first HAPU in these groups were 1.04 and 2.31 per patient-year, respectively. Patients in first rehabilitation or readmitted because of pressure ulcer (PU) showed an initial lower risk for HAPUs in the Kaplan-Meier curve compared with patients readmitted for other reasons. Cox regression analysis revealed an association between longer time since SCI and time until occurrence (P=0.01). Closure of the HAPUs during hospitalisation was observed in 37 patients (67.3...Continue Reading

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Citations

Oct 12, 2018·The Cochrane Database of Systematic Reviews·Elizabeth McInnesVannessa Leung
Jan 27, 2018·Spinal Cord·Ross A Atkinson, Nicky A Cullum
May 10, 2020·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Hong-Lin ChenMan-Li Zha
Aug 19, 2020·The Journal of Spinal Cord Medicine·Fatma ErenSteven Kirshblum
May 31, 2020·BMC Musculoskeletal Disorders·Wondimeneh Shibabaw ShiferawYared Asmare Aynalem
Mar 2, 2019·International Wound Journal·David A JenkinsSabine N van der Veer

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