Factors Associated With Pressure Ulcers in Individuals With Spina Bifida
Published Date:Mar 18 2015
Source:Arch Phys Med Rehabil. 96(8):1435-1441.e1.
Corporate Authors:National Spina Bifida Patient Registry
Spinal Cord Injuries
Surgical Procedures, Operative
Trauma Severity Indices
Pubmed Central ID:PMC4519375
Funding:1UO1DDD000744.01/PHS HHS/United States
CC999999/Intramural CDC HHS/United States
To describe factors associated with pressure ulcers in individuals with spina bifida (SB) enrolled in the National Spina Bifida Patient Registry (NSBPR).
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.
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