SCI Survey to Determine Pressure Ulcer Vulnerability in the Outpatient Population
Annual rept. 30 Sep 2012-29 Sep 2013
JAMES A HALEY VA HOSPITAL TAMPA FL
Pagination or Media Count:
Our preliminary hypothesis is that there are factors, biological and psychosocial, that increase or reduce vulnerability to PrUs among spinal cord injured persons. A retrospective review of 120 randomly sampled charts from patients undergoing the SCI Comprehensive Preventive Health Evaluation between Jan 1 and Dec 31, 2009 was conducted using a data extraction tool based on a set of variables thought to be important in PrU development. This sample, which focuses on outpatient veterans with SCI, represents an older population than previously studied mean age across all groups62. 74 sustained their injury more than 10 years ago. 39 of the index sample reported never having a pressure ulcer, while 31 had greater than or equal to 3 pressure ulcers since the time of injury. In this study severity of spinal cord injury based on ASIA and FIM scores, BMI greater than 25, prior hospitalization within the previous year, anemia, and service connection were identified as factors that increase pressure ulcer vulnerability. The study identified body composition with or without spasticity and caregiver activity as two factors that warrant further investigation in a prospective fashion.
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