SCI Survey to Determine Pressure Ulcer Vulnerability in the Outpatient Population
Annual rept. 30 Sep 2010-29 Sep 2011
JAMES A HALEY VETERANS RESEARCH AND EDUCATION FOUNDATION TAMPA FL (VETERANS AFFAIRS)
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Our preliminary hypothesis is that there are factors, biological and psychosocial, that increase or reduce vulnerability to PrUs among spinal cord injured persons. In the first phase of the study a data extraction tool was created based on variables that are thought to impact on PrU development. A retrospective review of 120 randomly sampled charts was conducted using this data extraction tool. The data obtained from this review will be used to refine the list of potential factors that increase or decrease vulnerability of patients with SCI to PrUs for use in a prospective survey of SCI patients coming to JAHVAH-SCI for their annual exam. To further understand the impact of physical characteristics on pressure ulcer development, high resolution ultrasound will be used to examine the tissue over the ischium of patients who have had many years without pressure ulcers compared to those who have had multiple, recurrent pressure ulcers. The data obtained from this research will be used to identify and stratify those factors, leading to the development of evidence-based risk assessment tools and customized interventions that will be tested in future randomized controlled trials.
- Medicine and Medical Research