Factors Associated with Pressure Ulcers in Individuals with Spina Bifida
School of Nursing
Unbalanced longitudinal multicenter cohort study.
Nineteen SB clinics.
Individuals with SB (N=3153) enrolled in 19 clinic sites that participate in the NSBPR.
Main Outcome Measures
Pressure ulcer status (yes/no) at the annual visit between 2009 and 2012.
Of 3153 total participants, 19% (n=603) reported ulcers at their most recent annual clinic visit. Seven factors—level of lesion, wheelchair use, urinary incontinence, shunt presence, above the knee orthopedic surgery, recent surgery, and male sex—were significantly associated with the presence of pressure ulcers. Of these factors, level of lesion, urinary incontinence, recent surgery, and male sex were included in the final logistic regression model. The 3 adjusting variables—SB type, SB clinic, and age group—were significant in all analyses (all P<.001).
By adjusting for SB type, SB clinic, and age group, we found that 7 factors—level of lesion, wheelchair use, urinary incontinence, shunt presence, above the knee orthopedic surgery, recent surgery, and male sex—were associated with pressure ulcers. Identifying key factors associated with the onset of pressure ulcers can be incorporated into clinical practice in ways that prevent and enhance treatment of pressure ulcers in the population with SB.
Archives of Physical Medicine and Rehabilitation
Sunkyung K., Ward, E., Dicianno, B., Clayton, G., Sawin, K., Beierwaltes, P., & Thibadeau, J. (2015). Factors associated with pressure ulcers in individuals with spina bifida. Archives of Physical Medicine & Rehabilitation, 96(8), 1435-1441.e1. https://doi.org/10.1016/j.apmr.2015.02.029
Publisher's Copyright and Source
Copyright © 2015 American Congress of Rehabilitation Medicine.
Article published in Archives of Physical Medicine and Rehabilitation, volume 96, issue 8, August 2015, pages 1435-1441.e1. https://doi.org/10.1016/j.apmr.2015.02.02