Association Between Sociodemographic Factors and Long-Term Pressure Ulcer Development in Spinal Cord Injury Patients

Development of a pressure ulcer (PU) is a highly debilitating and costly complication associated with spinal cord injury (SCI). We investigated whether an association exists between sociodemographic variables and PU development beyond initial hospitalization within the SCI population.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Trauma Source Type: research

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Pressure ulcers (PUs) are both a common and devastating complication following spinal cord injury (SCI). Effective prevention strategies target higher-risk groups with more intensive interventions. The aim of our study was to examine if mechanism of SCI could be used as a predictor of PU development.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Trauma Source Type: research
Abstract Forty percent of patients with a spinal cord injury acquire a pressure ulcer during rehabilitation, and sixty percent of individuals in elderly care facilities have at least one pressure ulcer upon admittance. A commonality between those populations is the increased amount of time they spend in the seated position. The loading on the buttocks and thighs while in the seated position has been cited as a risk factor for pressure ulcer formation, especially for wheelchair users. Finite element models provide a tool with which to evaluate the internal tissue stresses, but they are reliant upon accurate materia...
Source: Journal of the Mechanical Behavior of Biomedical Materials - Category: Materials Science Authors: Tags: J Mech Behav Biomed Mater Source Type: research
Pressure ulcers (PUs) are wounds initiated by pressure on the skin that blocks circulation, causing the skin and underlying tissues to die. PUs are a major health problem for bedridden patients or persons with reduced mobility; individuals with spinal cord injury (SCI) are especially more prone to developing pressure ulcers. Chronic wounds such as PUs are difficult to treat with available standard medical therapy and represent a burden on health care professionals and drain on resources and developing more effective treatments is therefore a necessity.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Friday, October 9, 2020 3:00 – 4:00 Multidisciplinary Abstract Presentations: Session 10 Source Type: research
Pressure sores are sometimes refractory to treatment, often due to malnutrition. Small intestinal bacterial overgrowth (SIBO) obstructs absorption in the digestive tract and causes malnutrition. However, littl...
Source: BMC Gastroenterology - Category: Gastroenterology Authors: Tags: Case report Source Type: research
Conclusions: PUT serves as a review of previously acquired PI knowledge and should be introduced early in rehabilitation to motivate users to prevent PIs. Future studies exploring healthcare professionals' perspectives of PUT are warranted.Implications for rehabilitationPUT aids individuals living with SCI/D in the community to review PI prevention and management strategies that they learned as inpatients.The use of pictures to deliver patient education regarding PI prevention and management through a mHealth app is recommended.PUT should be introduced early in rehabilitation to motivate users to prevent PIs. PMID: 32...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
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Source: British Journal of Neurosurgery - Category: Neurosurgery Authors: Source Type: research
Pressure ulcers (PU), one of the common challenging public health problems affecting patient with spinal cord injury. PUs occurs over bony areas of the body where pressure and tissue distortion is greatest. It...
Source: BMC Musculoskeletal Disorders - Category: Orthopaedics Authors: Tags: Research article Source Type: research
Authors: Kawasaki S, Nishimura Y, Kamijo YI, Uenishi H, Nakamura T, Kouda K, Koike Y, Nakamura T, Tajima F Abstract Objective: To determine the relationship between physical findings, wheelchair sitting time, and interface pressure on ischial region in subjects with spinal cord injury (SCI).Design: Cross-sectional study.Setting: Rehabilitation center in Japan.Participants: Manual wheelchair users with chronic SCI (n = 45).Interventions: Pressure ulcers (PU) were diagnosed by inspection, palpation, and ultrasonography. Self-reports were obtained on wheelchair sitting time and pressure mapping was recor...
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
This study aims to verify the effectiveness of health care and management in the SCI population by providing ICT-based health care services. We visited eight individuals living with chronic SCI in the community, and provided ICT-based health management services. After using respiratory and urinary care devices with the provision of home visit occupational therapy, data acquisition was achieved and subsequently entered into a smart device. The entered information was readily accessible to the necessary clinicians and researchers. The clients were notified if there were any concerning results from the acquired data. Subseque...
Source: Sensors - Category: Biotechnology Authors: Tags: Article Source Type: research
Authors: Lindqvist EK, Sommar P, Stenius M, Lagergren JF Abstract Our aim in this study was to examine which factors are associated with post-operative complications after surgery for pressure ulcers in individuals with spinal cord injury. We performed a retrospective cohort study including all spinal cord injured patients undergoing pressure ulcer surgery in our department between 2002 and 2019. Patient demographics and comorbidity were collected from medical records, as were treatment data and information on post-operative complications within 30 days. Assessment of outcomes was performed through t-tests, ...
Source: Journal of Plastic Surgery and Hand Surgery - Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research
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