Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

J. H. M. Verschueren; M. W. M. Post; S. de Groot; L. H. V. van der Woude; F. W. A. van Asbeck; M. Rol

doi:10.1038/sc.2010.66

Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

J. H. M. Verschueren, M. W. M. Post, S. de Groot, L. H. V. van der Woude, F. W. A. van Asbeck^*, M. Rol

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

75 Citations (Scopus)

Abstract

Study design: Multicenter prospective cohort study.

Objectives: To determine the occurrence and predictors for pressure ulcers in patients with spinal cord injury (SCI) during primary in-patient rehabilitation.

Setting: Eight Dutch rehabilitation centres with specialized SCI units.

Methods: The occurrence, location and stage of pressure ulcers were registered between admission and start of functional rehabilitation (called acute rehabilitation phase) and between start of functional rehabilitation and discharge. Possible risk factors for the occurrence of pressure ulcers during functional rehabilitation (personal and lesion characteristics, complications and functional independence) were measured at the start of functional rehabilitation and were entered as predictors in univariate and multivariate logistic regression analysis with pressure ulcers during functional rehabilitation as the dependent variable.

Results: Data for 193 patients (86%) were available. The occurrence of pressure ulcers, including stage 1, was 36.5% during acute rehabilitation phase and 39.4% during functional rehabilitation. Most pressure ulcers were located at the sacrum (43%), followed by heel (19%) and ischium (15%). The significant risk factors for pressure ulcers during functional rehabilitation were motor completeness of the lesion, tetraplegia, pressure ulcer during acute rehabilitation phase, pneumonia and/or pulmonary disease, low score on the Functional Independence Measure (FIM) self-care, continence, transfers, locomotion and total FIM motor score. Having had a pressure ulcer during acute rehabilitation phase was the strongest risk factor.

Conclusion: The occurrence of pressure ulcers was comparable with other studies. A few significant risk factors were found, of which having had a pressure ulcer during acute rehabilitation phase being the strongest predictor. Spinal Cord (2011) 49, 106-112; doi: 10.1038/sc.2010.66; published online 8 June 2010

Original language	English
Pages (from-to)	106-112
Number of pages	7
Journal	Spinal Cord
Volume	49
Issue number	1
DOIs	https://doi.org/10.1038/sc.2010.66
Publication status	Published - Jan-2011

Keywords

spinal cord injury
pressure ulcer
incidence
predictors
risk factor
risk assessment scales
RISK-FACTORS
SCALE
INDIVIDUALS
COHORT

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Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation
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title = "Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation",

abstract = "Study design: Multicenter prospective cohort study.Objectives: To determine the occurrence and predictors for pressure ulcers in patients with spinal cord injury (SCI) during primary in-patient rehabilitation.Setting: Eight Dutch rehabilitation centres with specialized SCI units.Methods: The occurrence, location and stage of pressure ulcers were registered between admission and start of functional rehabilitation (called acute rehabilitation phase) and between start of functional rehabilitation and discharge. Possible risk factors for the occurrence of pressure ulcers during functional rehabilitation (personal and lesion characteristics, complications and functional independence) were measured at the start of functional rehabilitation and were entered as predictors in univariate and multivariate logistic regression analysis with pressure ulcers during functional rehabilitation as the dependent variable.Results: Data for 193 patients (86%) were available. The occurrence of pressure ulcers, including stage 1, was 36.5% during acute rehabilitation phase and 39.4% during functional rehabilitation. Most pressure ulcers were located at the sacrum (43%), followed by heel (19%) and ischium (15%). The significant risk factors for pressure ulcers during functional rehabilitation were motor completeness of the lesion, tetraplegia, pressure ulcer during acute rehabilitation phase, pneumonia and/or pulmonary disease, low score on the Functional Independence Measure (FIM) self-care, continence, transfers, locomotion and total FIM motor score. Having had a pressure ulcer during acute rehabilitation phase was the strongest risk factor.Conclusion: The occurrence of pressure ulcers was comparable with other studies. A few significant risk factors were found, of which having had a pressure ulcer during acute rehabilitation phase being the strongest predictor. Spinal Cord (2011) 49, 106-112; doi: 10.1038/sc.2010.66; published online 8 June 2010",

keywords = "spinal cord injury, pressure ulcer, incidence, predictors, risk factor, risk assessment scales, RISK-FACTORS, SCALE, INDIVIDUALS, COHORT",

author = "Verschueren, {J. H. M.} and Post, {M. W. M.} and {de Groot}, S. and {van der Woude}, {L. H. V.} and {van Asbeck}, {F. W. A.} and M. Rol",

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doi = "10.1038/sc.2010.66",

language = "English",

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AU - Verschueren, J. H. M.

AU - Post, M. W. M.

AU - de Groot, S.

AU - van der Woude, L. H. V.

AU - van Asbeck, F. W. A.

AU - Rol, M.

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N2 - Study design: Multicenter prospective cohort study.Objectives: To determine the occurrence and predictors for pressure ulcers in patients with spinal cord injury (SCI) during primary in-patient rehabilitation.Setting: Eight Dutch rehabilitation centres with specialized SCI units.Methods: The occurrence, location and stage of pressure ulcers were registered between admission and start of functional rehabilitation (called acute rehabilitation phase) and between start of functional rehabilitation and discharge. Possible risk factors for the occurrence of pressure ulcers during functional rehabilitation (personal and lesion characteristics, complications and functional independence) were measured at the start of functional rehabilitation and were entered as predictors in univariate and multivariate logistic regression analysis with pressure ulcers during functional rehabilitation as the dependent variable.Results: Data for 193 patients (86%) were available. The occurrence of pressure ulcers, including stage 1, was 36.5% during acute rehabilitation phase and 39.4% during functional rehabilitation. Most pressure ulcers were located at the sacrum (43%), followed by heel (19%) and ischium (15%). The significant risk factors for pressure ulcers during functional rehabilitation were motor completeness of the lesion, tetraplegia, pressure ulcer during acute rehabilitation phase, pneumonia and/or pulmonary disease, low score on the Functional Independence Measure (FIM) self-care, continence, transfers, locomotion and total FIM motor score. Having had a pressure ulcer during acute rehabilitation phase was the strongest risk factor.Conclusion: The occurrence of pressure ulcers was comparable with other studies. A few significant risk factors were found, of which having had a pressure ulcer during acute rehabilitation phase being the strongest predictor. Spinal Cord (2011) 49, 106-112; doi: 10.1038/sc.2010.66; published online 8 June 2010

AB - Study design: Multicenter prospective cohort study.Objectives: To determine the occurrence and predictors for pressure ulcers in patients with spinal cord injury (SCI) during primary in-patient rehabilitation.Setting: Eight Dutch rehabilitation centres with specialized SCI units.Methods: The occurrence, location and stage of pressure ulcers were registered between admission and start of functional rehabilitation (called acute rehabilitation phase) and between start of functional rehabilitation and discharge. Possible risk factors for the occurrence of pressure ulcers during functional rehabilitation (personal and lesion characteristics, complications and functional independence) were measured at the start of functional rehabilitation and were entered as predictors in univariate and multivariate logistic regression analysis with pressure ulcers during functional rehabilitation as the dependent variable.Results: Data for 193 patients (86%) were available. The occurrence of pressure ulcers, including stage 1, was 36.5% during acute rehabilitation phase and 39.4% during functional rehabilitation. Most pressure ulcers were located at the sacrum (43%), followed by heel (19%) and ischium (15%). The significant risk factors for pressure ulcers during functional rehabilitation were motor completeness of the lesion, tetraplegia, pressure ulcer during acute rehabilitation phase, pneumonia and/or pulmonary disease, low score on the Functional Independence Measure (FIM) self-care, continence, transfers, locomotion and total FIM motor score. Having had a pressure ulcer during acute rehabilitation phase was the strongest risk factor.Conclusion: The occurrence of pressure ulcers was comparable with other studies. A few significant risk factors were found, of which having had a pressure ulcer during acute rehabilitation phase being the strongest predictor. Spinal Cord (2011) 49, 106-112; doi: 10.1038/sc.2010.66; published online 8 June 2010

KW - spinal cord injury

KW - pressure ulcer

KW - incidence

KW - predictors

KW - risk factor

KW - risk assessment scales

KW - RISK-FACTORS

KW - SCALE

KW - INDIVIDUALS

KW - COHORT

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DO - 10.1038/sc.2010.66

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SN - 1362-4393

VL - 49

SP - 106

EP - 112

JO - Spinal Cord

JF - Spinal Cord

IS - 1

ER -

Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation

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Keywords

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