Document Detail

Pressure ulcers in community-resident persons with spinal cord injury: prevalence and risk factors.
MedLine Citation:
PMID:  8239957     Owner:  NLM     Status:  MEDLINE    
The prevalence and correlates of pressure ulcers in terms of their number, severity, and anatomical location were studied in a community-based sample of 100 men and 40 women with spinal cord injury. Thirty-three percent (n = 46) presented with one or more ulcers of at least one stage I severity when visually examined. Twenty-one individuals had more than one ulcer, the maximum number of ulcers being seven. Of 87 ulcers for which severity ratings were available, 30 (34.5%) were stage I, 33 (37.9%) were stage II, and 24 (27.6%) were either stage III or IV. Individuals with an ulcer exhibited more paralysis and were more dependent on others in activities of daily living. A greater proportion of blacks had more severe ulcers (stages III and IV) than their white counterparts. Persons with more severe ulcers incurred their injury later in life, and had significantly lower mean scores on the Occupation and Mobility dimensions of the Craig Handicap Assessment and Reporting Technique. The findings suggest that factors governing initial development of a pressure ulcer differ in part from those responsible for an ulcer progressing in severity.
M J Fuhrer; S L Garber; D H Rintala; R Clearman; K A Hart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  74     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1993-11-26     Completed Date:  1993-11-26     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1172-7     Citation Subset:  AIM; IM    
Baylor College of Medicine, Houston, TX.
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MeSH Terms
Middle Aged
Pressure Ulcer / epidemiology*,  etiology
Risk Factors
Socioeconomic Factors
Spinal Cord Injuries / complications*

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