Document Detail


Factors influencing optimal seating pressure after spinal cord injury.
MedLine Citation:
PMID:  23295471     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Retrospective, cross-sectional design.
OBJECTIVES: To identify factors that predict unsatisfactory seating pressure in spinal cord-injured (SCI) individuals.
SETTING: Seating Clinic at the University Hospital, Norway.
METHODS: All wheelchair users with traumatic SCI hospitalized between 1 January 2007 and 31 December 2010 were included. Individual assessment by a team was performed. To measure seating pressure, a computerized seating pad with sensing points 40 × 40 cm was used. Primary end points were defined as satisfactory or unsatisfactory seating position based on measured pressure (more or less 100 mm Hg), clinical findings and physical activity level. To explore possible risk factors for high seating pressure, both univariate and multivariate regression analysis were performed.
RESULTS: A total of 75 persons with SCI were assessed, 39 (52%) with unsatisfactory result. Statistical analysis revealed that use of manual wheelchair (odds ratio (OR)=6.86, confidence interval (CI) 1.77-26.63) and history of pressure ulcer (OR=8.47, CI 2.46-29.13) significantly increase the risk of unsatisfactory seating pressure. Paraplegia caused significantly higher risk (OR=2.5, CI 0.99-6.34) in the univariate model, probably because the SCI with tetraplegia do prefer electrically powered wheelchairs.
CONCLUSIONS: Use of manually driven wheelchairs and persons with previous pressure ulcer are at significant risk of high seating pressure and consequently developing new pressure ulcers. The patients from these subcategories need close follow-up regarding seating position and prevention of pressure ulcers.
Authors:
T Taule; K Bergfjord; E E Holsvik; T Lunde; B H Stokke; H Storlid; M V Sørheim; T Rekand
Publication Detail:
Type:  Journal Article     Date:  2013-01-08
Journal Detail:
Title:  Spinal cord     Volume:  51     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-05     Completed Date:  2013-09-30     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  273-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cross-Sectional Studies
Female
Humans
Logistic Models
Male
Middle Aged
Motor Activity
Norway
Patient Satisfaction
Pressure*
Pressure Ulcer / etiology*
Retrospective Studies
Risk Factors
Spinal Cord Injuries / complications*
Wheelchairs / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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