Pressure Ulcer Prevalence by Level of Paralysis in Patients With Spinal Cord Injury in Long-term Care

Advances in Skin & Wound Care
Linda J CowanJoyce Stechmiller

Abstract

Scientific literature suggests pressure ulcer (PU) risk increases as immobility increases, indicating that more extensive paralysis confers a greater risk of PU. Yet the specific level of paralysis (ie, hemiplegia vs paraplegia vs quadriplegia), apart from neurodegenerative diagnoses, has never been examined in the long-term care (LTC) population. This study examined the prevalence of PU among LTC residents with different paralysis levels. The authors conducted a secondary data analysis of the 2012 US Minimum Data Set of LTC facilities (n = 51,664 residents). Measures included PU stage, level of paralysis, functional impairments, comorbidities, and sociodemographic factors. After removing residents with neurodegenerative disease, comatose patients, and those with hip fractures from the analysis, logistic regressions were used to examine the association of risk factors and sociodemographic characteristics with the presence of PU. The sample included 7,540 patients with quadriplegia, 11,614 patients with paraplegia, and 32,510 patients with hemiplegia in LTC facilities. The PU prevalence in the sample (stages 2, 3, and 4; suspected deep-tissue injury; and unstageable PUs) was 33.9% for patients with quadriplegia, 47.4% for patien...Continue Reading

References

Aug 1, 1992·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·K Curry, L Casady
Aug 1, 1992·Journal of the American Geriatrics Society·N Bergstrom, B Braden
Nov 1, 1989·Journal of the American Geriatrics Society·D R Berlowitz, S V Wilking
Jun 1, 1988·American Journal of Physical Medicine & Rehabilitation·A R MawsonA Lopez
Mar 15, 1995·JAMA : the Journal of the American Medical Association·R M AllmanA A Bartolucci
Apr 1, 1994·Journal of the American Geriatrics Society·G H BrandeisL A Lipsitz
Mar 1, 1996·American Journal of Physical Medicine & Rehabilitation·C A SalzbergM Viehbeck
Jul 13, 1999·Journal of Clinical Nursing·T Defloor
Oct 9, 1999·AORN Journal·A SchultzA Myers
Apr 18, 2000·Archives of Physical Medicine and Rehabilitation·S L GarberM J Fuhrer
Mar 10, 2001·Archives of Physical Medicine and Rehabilitation·J S KrauseJ Coker
Mar 14, 2001·Critical Care Medicine·C FifeC Short
Aug 31, 2001·Journal of the American Geriatrics Society·D R BerlowitzM A Moskowitz
Jan 9, 2003·JAMA : the Journal of the American Medical Association·Courtney H Lyder
Feb 14, 2004·Journal of the American Geriatrics Society·Susan D HornAnne Coble Voss
Jul 24, 2004·Journal of the American Geriatrics Society·Mona BaumgartenJay Magaziner
Jun 15, 2005·Archives of Physical Medicine and Rehabilitation·Yuying ChenAmie B Jackson
Sep 1, 2006·Advances in Skin & Wound Care·Mayumi OkuwaKeiko Tabata
Jul 3, 2007·Archives of Physical Medicine and Rehabilitation·Marylou GuihanSally Ann Holmes
Jan 24, 2008·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Mary D FogertyAdrian Barbul
Mar 6, 2008·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Joyce K StechmillerNancy Stotts
Aug 22, 2008·American Journal of Physical Medicine & Rehabilitation·Bridget M SmithSusan L Garber
May 4, 2012·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Ann N TescherJames M Naessens
Jul 17, 2012·Journal of the American Medical Directors Association·Debra Saliba, Joan Buchanan
May 23, 2013·International Wound Journal·Efraim Jaul, Ronit Calderon-Margalit
Mar 19, 2014·Journal of the American Medical Directors Association·Kali S ThomasVincent Mor
Apr 25, 2014·BMJ : British Medical Journal·Gerry StansbyUNKNOWN Guideline Development Group
Aug 6, 2014·Archives of Gerontology and Geriatrics·Hui Min KhorMaw Pin Tan
Dec 7, 2014·Annals of Biomedical Engineering·Cees W J OomensFrank Baaijens
Dec 23, 2014·PM & R : the Journal of Injury, Function, and Rehabilitation·Suzanne L GroahChing-Hui J Hsieh
May 4, 2015·Journal of Tissue Viability·Sharon Eve SonenblumRobert John Winder
Jun 25, 2015·International Journal of Palliative Nursing·Diane LangemoTrudie Young
Aug 2, 2015·International Journal of Nursing Studies·Liesbet DemarréDimitri Beeckman
Dec 20, 2015·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Lisa GouldGayle M Gordillo
Dec 18, 2016·Journal of Advanced Nursing·Emily HaeslerUNKNOWN 2014 International Guideline Development Group
Jul 18, 2018·International Journal of Nursing Studies·Chunhu ShiNicky Cullum

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Citations

Jan 22, 2020·The Cochrane Database of Systematic Reviews·Mohit AroraIan D Cameron
Nov 16, 2019·The Journal of Spinal Cord Medicine·Huacong WenYuying Chen
Feb 11, 2020·The International Journal of Risk & Safety in Medicine·Mohamad KarimianYosof Mahmoudi
Aug 28, 2020·Curēus·Luca NegosantiRossella Sgarzani
Sep 23, 2020·Journal of the Mechanical Behavior of Biomedical Materials·Justin ScottTamara Reid Bush

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