Document Detail

Predicting and preventing pressure ulcers in adults with paralysis.
MedLine Citation:
PMID:  10326341     Owner:  NLM     Status:  MEDLINE    
A questionnaire mailed to all 2,295 members of the Eastern Paralyzed Veterans Association measured 45 potential risk factors for pressure ulcers. Logistic-regression analysis and Cox proportional-hazards analyses were used to identify the variables that were independently associated with pressure ulcers. The survey response rate was 42.2%. Among 15 risk factors from a previously published scale by the authors, 7 were independent predictors of pressure ulcer development: level of activity, level of mobility, complete spinal cord injury, urine incontinence or moisture, autonomic dysreflexia, pulmonary disease, and renal disease. In addition, 2 new variables added significant predictive value: being prone to infections that cause breathing problems and paralysis caused by trauma (as opposed to disease). Using these 9 risk factors, a new pressure ulcer risk assessment scale was designed specifically for persons with paralysis who are living in a community setting. It appears to be a more accurate method of predicting pressure ulcers than currently used risk assessment scales.
C A Salzberg; D W Byrne; C G Cayten; R Kabir; P van Niewerburgh; M Viehbeck; H Long; E C Jones
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Advances in wound care : the journal for prevention and healing     Volume:  11     ISSN:  1076-2191     ISO Abbreviation:  Adv Wound Care     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1999-05-20     Completed Date:  1999-05-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9432971     Medline TA:  Adv Wound Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  237-46     Citation Subset:  N    
Division of Plastic and Reconstructive Surgery, New York Medical College, Westchester County Medical Center, Valhalla, USA.
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MeSH Terms
Aged, 80 and over
Logistic Models
Middle Aged
Nursing Assessment / methods*
Predictive Value of Tests
Pressure Ulcer / epidemiology,  etiology*,  prevention & control*
Proportional Hazards Models
Risk Factors
Spinal Cord Injuries / complications*
United States / epidemiology

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