AI Article Synopsis
- The study analyzed data from a cohort of 104 adults with acute traumatic spinal cord injuries to identify factors linked to pressure ulcer development during hospitalization and rehabilitation.
- It found that 37.5% of participants developed at least one pressure ulcer, with higher injury severity (ASIA A classification) and pneumonia significantly increasing risk.
- The results indicate that individuals with more severe injuries (ASIA A) were 4.5 to 4.6 times more likely to develop ulcers compared to those with less severe injuries (ASIA B and C).
Article Abstract
Study Design: Secondary analysis of data from a prospective cohort study.
Objectives: The objective of this study was to identify the medical and demographic factors associated with the development of pressure ulcers during acute-care hospitalization and inpatient rehabilitation following acute spinal cord injury.
Setting: The study was carried out at acute hospitalization, inpatient rehabilitation and outpatient rehabilitation sites at a university medical center in the United States.
Methods: Adults with acute traumatic spinal cord injury (n=104) were recruited within 24-72 h of admission to the hospital. Pressure ulcer incidence was recorded.
Results: Thirty-nine participants out of 104 (37.5%) developed at least one pressure ulcer during acute-care hospitalization and inpatient rehabilitation. Univariate logistic regression analyses revealed significant association of pressure ulcer incidence for those with pneumonia and mechanical ventilation (P=0.01) and higher injury severity (ASIA A) (P=0.01). Multiple logistic regression showed that the odds of formation of a first pressure ulcer in participants with ASIA A was 4.5 times greater than that for participants with ASIA B, CI (1-20.65), P=0.05, and 4.6 times greater than that for participants with ASIA C, CI (1.3-16.63), P=0.01.
Conclusion: Among individuals with acute traumatic SCI, those with high-injury severity were at an increased risk to develop pressure ulcers. Pneumonia was noted to be associated with the formation of pressure ulcers.
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| http://dx.doi.org/10.1038/sc.2017.96 | DOI Listing |
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