Document Detail


Factors predicting pressure ulcers in veterans with spinal cord injuries.
MedLine Citation:
PMID:  18716487     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To identify patient risk factors for pressure ulcers in a sample of veterans with spinal cord injuries and disorders. DESIGN: A survey incorporating questions from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System was mailed to individuals with spinal cord injuries and disorders in 2003. A multiple logistic regression model including 2574 respondents was used to examine the association between patient characteristics and the self-report of pressure ulcers. RESULTS: Approximately 36% of respondents reported having pressure ulcers during the previous year. Respondent characteristics significantly associated with report of one or more pressure ulcers included diabetes (incidence rate ratio [IRR] = 1.36, P < 0.001), smoking (IRR = 1.16, P = 0.030), injury duration >30 yrs (IRR = 1.27, P = 0.000), and reporting frequent depressive symptoms (IRR = 1.30, P < 0.001). Veterans who did not have injuries related to their military service (IRR = 1.39, P < 0.001) or who received care at non-VA facilities in addition to or instead of VA facilities (IRR = 1.13, P = 0.024) were more likely than other veterans to report pressure ulcers. CONCLUSION: Efforts to prevent pressure ulcers should include increased attention to managing diabetes and depressive symptoms. Further research to explore the association between multiple healthcare system use and the risk of pressure ulcers should be pursued.
Authors:
Bridget M Smith; Marylou Guihan; Sherri L LaVela; Susan L Garber
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  87     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-21     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  750-7     Citation Subset:  AIM; IM    
Affiliation:
Center for Management of Complex Chronic Care and Spinal Cord Injury Quality Enhancement Research Initiative, Department of Veterans Affairs, Edward Hines Jr. VA Hospital, Hines, Illinois 60141, USA.
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MeSH Terms
Descriptor/Qualifier:
Depression / epidemiology
Diabetes Mellitus / epidemiology
Female
Hospitals, Veterans
Humans
Male
Middle Aged
Pressure Ulcer / epidemiology*
Questionnaires
Risk Factors
Smoking / epidemiology
Spinal Cord Injuries / epidemiology*
Time Factors
United States / epidemiology
Veterans*

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


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