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Factors associated with pressure ulcers in individuals with spina bifida.

Publication ,  Journal Article
Kim, S; Ward, E; Dicianno, BE; Clayton, GH; Sawin, KJ; Beierwaltes, P; Thibadeau, J; National Spina Bifida Patient Registry,
Published in: Arch Phys Med Rehabil
August 2015

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.

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Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

August 2015

Volume

96

Issue

8

Start / End Page

1435 / 1441.e1

Location

United States

Related Subject Headings

  • Young Adult
  • Wheelchairs
  • Urinary Incontinence
  • Trauma Severity Indices
  • Surgical Procedures, Operative
  • Spinal Dysraphism
  • Sex Factors
  • Rehabilitation
  • Pressure Ulcer
  • Male
 

Citation

APA
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ICMJE
MLA
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Kim, S., Ward, E., Dicianno, B. E., Clayton, G. H., Sawin, K. J., Beierwaltes, P., … National Spina Bifida Patient Registry, . (2015). Factors associated with pressure ulcers in individuals with spina bifida. Arch Phys Med Rehabil, 96(8), 1435-1441.e1. https://doi.org/10.1016/j.apmr.2015.02.029
Kim, Sunkyung, Elisabeth Ward, Brad E. Dicianno, Gerald H. Clayton, Kathleen J. Sawin, Patricia Beierwaltes, Judy Thibadeau, and Judy National Spina Bifida Patient Registry. “Factors associated with pressure ulcers in individuals with spina bifida.Arch Phys Med Rehabil 96, no. 8 (August 2015): 1435-1441.e1. https://doi.org/10.1016/j.apmr.2015.02.029.
Kim S, Ward E, Dicianno BE, Clayton GH, Sawin KJ, Beierwaltes P, et al. Factors associated with pressure ulcers in individuals with spina bifida. Arch Phys Med Rehabil. 2015 Aug;96(8):1435-1441.e1.
Kim, Sunkyung, et al. “Factors associated with pressure ulcers in individuals with spina bifida.Arch Phys Med Rehabil, vol. 96, no. 8, Aug. 2015, pp. 1435-1441.e1. Pubmed, doi:10.1016/j.apmr.2015.02.029.
Kim S, Ward E, Dicianno BE, Clayton GH, Sawin KJ, Beierwaltes P, Thibadeau J, National Spina Bifida Patient Registry. Factors associated with pressure ulcers in individuals with spina bifida. Arch Phys Med Rehabil. 2015 Aug;96(8):1435-1441.e1.
Journal cover image

Published In

Arch Phys Med Rehabil

DOI

EISSN

1532-821X

Publication Date

August 2015

Volume

96

Issue

8

Start / End Page

1435 / 1441.e1

Location

United States

Related Subject Headings

  • Young Adult
  • Wheelchairs
  • Urinary Incontinence
  • Trauma Severity Indices
  • Surgical Procedures, Operative
  • Spinal Dysraphism
  • Sex Factors
  • Rehabilitation
  • Pressure Ulcer
  • Male