Factors Associated With Pressure Ulcers in Individuals With Spina Bifida

Details

• Alternative Title:
  Arch Phys Med Rehabil
• Personal Author:
  Kim, Sunkyung ; Ward, Elisabeth ; Dicianno, Brad E. ; Clayton, Gerald H. ; Sawin, Kathleen J. ; Beierwaltes, Patricia ; Thibadeau, Judy
• Corporate Authors:
  National Spina Bifida Patient Registry
• Description:
  Objective
  
  To describe factors associated with pressure ulcers in individuals with spina bifida (SB) enrolled in the National Spina Bifida Patient Registry (NSBPR).
  
  Design
  
  Unbalanced longitudinal multicenter cohort study.
  
  Setting
  
  Nineteen SB clinics.
  
  Participants
  
  Individuals with SB (N=3153) enrolled in 19 clinic sites that participate in the NSBPR.
  
  Interventions
  
  Not applicable.
  
  Main Outcome Measures
  
  Pressure ulcer status (yes/no) at the annual visit between 2009 and 2012.
  
  Results
  
  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).
  
  Conclusions
  
  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.
  
  
• Keywords:
  Adolescent Adult Age Factors Child Cross-Sectional Studies Female Humans Longitudinal Studies Male Pressure Ulcer Rehabilitation Risk Factors Sex Factors Spinal Cord Injuries Spinal Dysraphism Surgical Procedures, Operative Trauma Severity Indices Urinary Incontinence Wheelchairs Young Adult

  More +
• Source:
  Arch Phys Med Rehabil. 96(8):1435-1441.e1
• Pubmed ID:
  25796136
• Pubmed Central ID:
  PMC4519375
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U01 DD000744/DD/NCBDD CDC HHSUnited States/
• Volume:
  96
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a2c5eafcc54947664b4a446f13f64e4f6c0ad22f39c853ba367bfb8c5f6e8448
• Download URL:
  https://stacks.cdc.gov/view/cdc/32547/cdc_32547_DS1.pdf
• File Type:
  [PDF - 509.75 KB ]