TY  - BOOK
AU  - Bouchard, Tara
AU  - Brown, Patrick
AU  - DeJong, Gerben
AU  - Hsieh, Ching Hui
TI  - Factors associated with pressure ulcer risk in spinal cord injury rehabilitation
SN  - 0894-9115
KW  - *Length of Stay
KW  - *Preexisting Condition Coverage
KW  - *Pressure Ulcer/ep [Epidemiology]
KW  - *Rehabilitation Centers
KW  - *Spinal Cord Injuries/rh [Rehabilitation]
KW  - Adult
KW  - Age Factors
KW  - Cohort Studies
KW  - Female
KW  - Follow-Up Studies
KW  - Hospitals, Urban
KW  - Humans
KW  - Incidence
KW  - Injury Severity Score
KW  - Male
KW  - Middle Aged
KW  - Physical Therapy Modalities
KW  - Predictive Value of Tests
KW  - Pressure Ulcer/pp [Physiopathology]
KW  - Prospective Studies
KW  - Risk Factors
KW  - Severity of Illness Index
KW  - Spinal Cord Injuries/di [Diagnosis]
KW  - Spinal Cord Injuries/su [Surgery]
KW  - Treatment Outcome
KW  - Young Adult
KW  - MedStar Health Research Institute
KW  - MedStar National Rehabilitation Network
KW  - Journal Article
KW  - Observational Study
KW  - Research Support, U.S. Gov't, Non-P.H.S
N1  - Available online from MWHC library: 1996 - present
N2  - CONCLUSIONS: The greatest risk of developing a new PU in rehabilitation is being admitted with an existing PU followed by admission Functional Independence Measure transfers score of less than 3.5. Using these two variables, one can develop a patient PU risk algorithm at admission that can alert clinicians for the need to enhance vigilance, skin monitoring, and early patient education; DESIGN: This is a prospective observational cohort study conducted at an urban rehabilitation hospital-based specialized spinal cord injury center. The main outcome measure was the onset of a stage 2 or higher PU; OBJECTIVE: The aim of this study was to identify patient and clinical factors most strongly associated with a spinal cord injury patient's risk for developing a pressure ulcer (PU) during rehabilitation; RESULTS: Study patients (N = 159) with new (n = 66) and patients with earlier (n = 99) spinal injuries had identical rates at which they acquired a new PU (stage >2) in rehabilitation--13.1%. The patients who came to rehabilitation with a PU or myocutaneous flap exhibited a higher rate of developing yet another PU while in rehabilitation (30.2%) than those who came to rehabilitation without an existing PU or flap (6.9%). Logistic regression analysis identified two variables that best predicted a patient's risk at admission for developing a PU during rehabilitation (c = 0.77)--entering rehabilitation with a PU and admission Functional Independence Measure transfers score of less than 3.5
UR  - http://dx.doi.org/10.1097/PHM.0000000000000117
ER  -