Document Detail


Surgery for pressure ulcers improves general health and quality of life in patients with spinal cord injury.
MedLine Citation:
PMID:  21061899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Prospective clinical study.
BACKGROUND: Pressure ulcers interfere with the rehabilitation process in patients with spinal cord injury (SCI) and are a significant deterrent to participation in activities that contribute to independent, productive, and satisfying life.
OBJECTIVE: To evaluate the effect of surgery for pressure ulcers on general health and quality of life in patients with SCI.
SETTING: Tertiary care center in northern India.
METHODS: Various types of flap surgery were performed on 30 patients with SCI and 32 pressure ulcers (stages III and IV). Outcome was evaluated using general improvement in health (hemoglobin, serum proteins, and general well-being), patient satisfaction, and global quality of life scores (according to the visual analog scale).
RESULTS: At admission, the mean values of global quality of life, hemoglobin, serum albumin, and total serum proteins were 50.15 (range, 30-65), 8.75 g/dL (range, 6-12 g/dL), 3.12 g/dL (range, 2.9-4.3 g/dL), and 5.21 (range, 5-6.2 g/dL), respectively. At 6-month follow up, mean values of global quality of life score, hemoglobin, serum albumin, and total serum proteins were 87.36 (range, 44-96), 10.85 g/dL (range, 8.2-13.5 g/dL), 3.89 g/dL (range, 3.2-4.5 g/dL), and 6.43 g/dL (range, 5.85-6.70 g/dL), respectively. The overall rise in quality of life scores, hemoglobin, serum albumin, and total serum proteins was statistically significant. Most of the patients (76.7%) reported improvement in subjective well-being, and 83.3% were satisfied with the ultimate outcome of the surgery.
CONCLUSION: Results suggest that surgery for stages III and IV pressure ulcers offers the greatest benefit to the patients in terms of improvement in general health (anemia, hypoproteinemia, and general well-being) and quality of life.
Authors:
Roop Singh; Raghubir Singh; Rajesh K Rohilla; Ramchander Siwach; Vineet Verma; Kiranpreet Kaur
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  33     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-10     Completed Date:  2010-12-10     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  396-400     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Paraplegia and Rehabilitation, Pt. B.D. Sharma PGIMS, Haryana, India. drroopsing@rediffmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Albumins / metabolism
Blood Proteins / metabolism
Female
Follow-Up Studies
Hemoglobins / metabolism
Humans
India
Male
Middle Aged
Neurologic Examination
Neuropsychological Tests
Pressure Ulcer / blood,  etiology,  psychology*,  surgery*
Quality of Life*
Retrospective Studies
Spinal Cord Injuries / complications
Surgical Flaps*
Time Factors
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
0/Albumins; 0/Blood Proteins; 0/Hemoglobins
Comments/Corrections

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