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Pres­sure ulcers in outpatients of the Spinal Unit of University Hospital Brno 2013– 2016


Authors: L. Vašíčková 1,2,3,4;  M. Mašek 2;  J. Siegelová 3
Authors‘ workplace: Rehabilitační oddělení FN Brno 1;  Spinální jednotka Kliniky úrazové chirurgie LF MU a FN Brno 2;  Katedra fyzioterapie a rehabilitace, LF MU Brno 3;  Ústav ochrany a podpory zdraví, LF MU Brno 4
Published in: Cesk Slov Neurol N 2018; 81(Suplementum 1): 38-42
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2018S38

Overview

Aim:

The aim is to analyse a group of 273 patients of the Spinal Unit of University Hospital Brno dur­­ing 2013– 2016 period with regard to analyse pres­sure ulcers appearance.

Patients and methods:

A total of 273 patients were completely clinical­ly evaluated includ­­ing American Spinal Injury As­sociation score (ASIA). A subgroup of patients with pres­sure ulcers (PUs) was earmarked and evaluated their localization and degree of PUs and solution.

Results:

A group of 273 patients consisted of 230 (84.5%) men and 43 (15.5%) women. Average age was 46.7 years for men and 46.5 years for women. ASIA Impairment Scale (AIS) A was found in 114 (41.8%) patients, AIS B in 28 (10.3%), AIS C in 58 (21.2%) and AIS D in 73 (26.7%) patients. The neurologic level of injury in cervical area was verified in 130 (47.6%) patients, thoracic 120 (44%) and lumbar 23 (8.4%) patients. In the baseline group of 273 patients 26 (9.5%) patients with 33 PUs were found. 21 (7,7%) patients AIS A and 5 (1.8%) patients AIS B were in a subgroup with PUs. Most of patients 17 (6.2%) had neurologic level of injury in thoracic spine, 8 (2.9%) in cervical spine. The most PUs 13 (39.3%) were under ischial tuber and in sacrum 7 (21.2%). The most frequent 23 (69.5%) were PUs of II. degree, the most serious PUs IV. degree were 6 (18.3%) and III. degree was present in 4 (12.2%) PUs. A total of 11 (33.3%) PUs were then solved surgical­ly.

Conclusion:

The highest risk for PUs in our group of 273 patients had seriously disabled patients AIS A, paraplegics with intensive activity in wheelchair. The most frequent was PU under ischial tuber.

Key words:

spinal unit – spinal injury – pressure ulcer – ASIA score

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


Sources

1. Bickenbach J (ed). International spinal perspectives on spinal cord injury. Malta: World Health Organization 2013.

2. Parent S, Barchi S, LeBreton M et al. The impact of specialized centres of care for spinal cord injury on lengthof stay, complications, and mortality: a systematic review of the literature. J Neurotrauma 2011; 28(8): 1363– 1370. doi: 10.1089/ neu.2009.1151.

3. Pokorná A, Benešová K, Mužík J et al. Sledování dekubitálních lézí u pa­cientů s neurologickým onemocněním –  analýza Národního registru hospitalizovaných. Cesk Slov Neurol N 2016; 79/ 111 (Suppl 1): S8– S14. doi: 10.14735/ amcsn­n2016S8.

4. Vašíčková L, Mašek M, Siegelová J. Výskyt dekubitů u pa­cientů s lézí míšní na Spinální jednotce Kliniky úrazové chirurgie LF MU a FN Brno 2013– 2016. Cesk Slov Neurol N 2017; 80/ 113 (Suppl 1): S45– S49. doi: 10.14735/ amcsn­n2017S45.

5. An­neken V, Hans­sen-Doose A, Hirschfeld S et al. Influence of physical exercise on quality of life in individuals with spinal cord injury. Spinal Cord 2010; 48(5): 393– 399. doi: 10.1038/ sc.2009.137.

6. Li C, DiPiro ND, Krause J. A latent structural equation model of protective behaviours and pres­sure ulcer outcomes among people liv­­ing with spinal cord injury. Spinal Cord 2017; 55(2): 135– 140. doi: 10.1038/ sc.2016.166.

7. Savic G, DeVivo MJ, Frankel HL et al. Causes of death after traumatic spinal cord injury-a 70-year British study. Spinal Cord 2017; 55(10): 891– 897. doi: 10.1038/ sc.2017.64.

8. Kříž J, Chvostová Š. Vyšetřovací a rehabilitační postupy u pa­cientů po míšní lézi. Neurol praxi 2009; 10(3): 136– 140.

9. Eslami V, Saadat S, Arejan RH et al. Factors as­sociated with the development of pres­sure ulcers after spinal cord injury. Spinal Cord 2012; 50(12): 899– 903. doi: 10.1038/ sc.2012.75.

10. Romanel­li M, Clark M, Cher­ry G et al. Science and practice of pres­sure ulcer management. London: Springer-Verlag 2006.

11. Engström B. Ergonomic Seating: a true chal­lenge: seat­­ing and mobility for the physical­ly chal­lenged: risks& pos­sibilities when us­­ing wheelchairs. Stockholm: Posturalis Books 2003.

12. Potten YJ, Seelen HA, Drukker J et al. Chair configuration and balance control in persons with spinal cord injury. Arch Phys Med Rehabil (2000); 81(4): 401– 408. doi: 10.1053/ mr.2000.3859.

13. Bromley I. Tetraplegia and paraplegia: a guide for physiotherapists. Edinburgh: Churchill Livingstone 1998.

14. Paker N, Soy D, Kesiktaş N et al. Reasons for rehospitalization in patients with spinal cord injury: 5 years‘ experience. Int J Rehabil Res 2006; 29(1): 71– 76. doi: 10.1097/ 01.mr­r.0000185953.87304.2a.

15. French DD, Campbell RR, Sabharwal S et al. Health care costs for patients with chronic spinal cord injury in the veterans health administration. J Spinal Cord Med 2007; 30(5): 477– 481.

16. Taghipoor KD, Arejan RH, Rasouli MR et al. Factors as­sociated with pres­sure ulcers in patients with complete or sensory-only preserved spinal cord injury: is there any dif­ference between traumatic and nontraumatic causes? J Neurosurg Spine 2009; 11(4): 438– 444. doi: 10.3171/ 2009.5.SPINE08896.

17. Krause JS, Broderick L. Patterns of recur­rent pres­sure ulcers after spinal cord injury: identification of risk and protective factors 5 or more years after onset. Arch Phys Med Rehabil 2004; 85(8): 1257– 1264. doi: 10.1016/ j.apmr.2003.08.108.

18. Lala D, Dumont FS, Leblond J et al. Impact of pres­sure ulcers on individuals liv­­ing with a spinal cord injury. Arch Phys Med Rehabil 2014; 95(12): 2312– 2319. doi: 10.1016/ j.apmr.2014.08.003.

19. Hoff JM, Bjerke LW, Gravem PE et al. Pres­sure ulcers after spinal cord injury. Tids­skr Nor Laegeforen 2012; 132(7): 838– 839. doi: 10.4045/ tids­skr.10.0878.

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Paediatric neurology Neurosurgery Neurology
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