Document Detail


Preventing recurrent pressure ulcers in veterans with spinal cord injury: impact of a structured education and follow-up intervention.
MedLine Citation:
PMID:  18674978     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test the hypothesis that enhanced education and structured follow-up after pressure ulcer surgery will result in fewer recurrences. DESIGN: Randomized controlled trial. SETTING: Veterans Affairs medical center. PARTICIPANTS: Forty-nine veteran men with spinal cord injury or dysfunction were approached on admission for pressure ulcer surgery. Five never had surgery, 2 refused to participate, and one withdrew. Forty-one were randomized into 3 groups. Three participants' ulcers did not heal, so follow-up could not begin. INTERVENTIONS: Group 1 received individualized pressure ulcer education and monthly structured telephone follow-up (n=20); group 2 received monthly mail or telephone follow-up without educational content (n=11); and group 3 received quarterly mail or telephone follow-up without educational content (n=10). Follow-up continued until recurrence, death, or 24 months. MAIN OUTCOME MEASURE: Time to pressure ulcer recurrence. RESULTS: Group 1 had a longer average time to ulcer recurrence or end of study than groups 2 and 3 (19.6 mo, 10.1 mo, 10.3 mo; P=.002) and had a smaller rate of recurrence (33%, 60%, 90%; P=.007). Survival analysis confirmed these findings (P=.009). CONCLUSIONS: Individualized education and structured monthly contacts may be effective in reducing the frequency of or delaying pressure ulcer recurrence after surgical repair of an ulcer.
Authors:
Diana H Rintala; Susan L Garber; Jeffrey D Friedman; Sally Ann Holmes
Related Documents :
2247408 - Evaluation of colony size and cage space for laying hens (gallus domesticus) using fuzz...
9735718 - Pressure area management in an orthopaedic setting.
1633678 - Pressure techniques for the prevention of hypertrophic scar.
9060978 - Effect of pressure ulcers on the survival of long-term care residents.
20689088 - Hypoxia-induced intrapulmonary arteriovenous shunting at rest in healthy humans.
6185008 - Intravascular receptors and renal responses of monkey to volume expansion.
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  89     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-08-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1429-41     Citation Subset:  AIM; IM    
Affiliation:
Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA. drintala@bcm.tmc.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Disease-Free Survival
Follow-Up Studies
Health Knowledge, Attitudes, Practice*
Humans
Length of Stay
Male
Middle Aged
Patient Education as Topic / statistics & numerical data*
Pressure Ulcer / etiology,  prevention & control*,  surgery
Recurrence / prevention & control
Risk Factors
Spinal Cord Injuries / complications*
Survival Analysis
United States
Veterans / statistics & numerical data*

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


Previous Document:  The effects of hip and ankle stretching on gait function of older people.
Next Document:  Risk of stroke, heart attack, and diabetes complications among veterans with spinal cord injury.