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    
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.
Diana H Rintala; Susan L Garber; Jeffrey D Friedman; Sally Ann Holmes
Related Documents :
11868188 - The new quattro plus mattress replacement system.
3582988 - Decubitus ulcers: when to suspect osteomyelitis.
16032738 - Effects of premium discount on workers' compensation claims in agriculture in finland.
15505358 - Angiojet thrombectomy.
1610978 - Impaired myogenic responsiveness of the afferent arteriole in streptozotocin-induced di...
9415848 - Dynamic on-line quantification of biventricular function with acoustic quantification (...
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    
Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Disease-Free Survival
Follow-Up Studies
Health Knowledge, Attitudes, Practice*
Length of Stay
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.