Faculty Collaboration Database

Risk factors for pressure injury development in patients with spinal cord injury beyond index hospitalization: an analysis of violent mechanism of injury and socioeconomic disparity. Wounds 2023 Apr;35(4):E139-E145

Date

05/23/2023

Pubmed ID

37220252

DOI

10.25270/wnds/22083

Scopus ID

2-s2.0-85159966849 (requires institutional sign-in at Scopus site)

Abstract

INTRODUCTION: PIs are very common in those with SCI and pose a significant health and economic burden. Optimal prevention strategies require rapid identification of high-risk populations.

OBJECTIVE: The authors examined risk factors for PI in persons with traumatic SCI, focusing on mechanism of injury and sociodemographic variables.

MATERIALS AND METHODS: Patients aged 18 years or older at the authors' institution who had a traumatic SCI between January 1, 2002, and December 31, 2018 were included. Descriptive statistics and logistic regression analyses were conducted.

RESULTS: Of 448 patients, 94 patients (21%) had a violent SCI and 163 patients (36%) developed PIs. Violent mechanism of SCI was a significant predictor of a single (56% vs 31%; P <.001) or multiple PIs (83% vs 61%; P <.01), flap coverage (26% vs 17%; P <.05), and higher median stage PI (stage 4 vs stage 3, P <.05). Male sex (OR = 2.08; P <.05), complete SCI (OR = 5.51; P <.001), and violent mechanism of SCI (OR = 2.36; P <.01) were significant predictors on multivariate analysis. Increasing age at the time of SCI (OR = 1.01; P <.05) and unmarried marital status (OR = 1.77; P <.01) were predictive on univariate analysis.

CONCLUSIONS: Patients of male sex, complete SCI, and violent mechanism of SCI may be at higher risk of PI development and would benefit from more intensive prevention initiatives.

Author List

Ramamurthi A, Cameron HS, Megal C, de Moya M, Peschman J

Authors

Marc Anthony De Moya MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Jacob R. Peschman MD Assistant Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Hospitalization
Humans
Male
Pressure Ulcer
Risk Factors
Spinal Cord Injuries