Article

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.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS