| 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.