Staying Pressure Injury Free: The Role of Modifiable Behaviors |
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| Affiliation: | 1. School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan;2. Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan;3. Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan;4. Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA;5. Department of Neurology, Division of Movement Disorders, Keck School of Medicine, University of Southern California, Los Angeles, CA;1. Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia;2. School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia;3. Queensland Aphasia Research Centre, The University of Queensland, Brisbane, Australia;4. School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia;5. School of Health Sciences, University of East Anglia, Norwich, Norfolk, UK;6. University of Technology Sydney, Graduate School of Health, Clinical Psychology, Ultimo, NSW 2007, Australia;7. Speech Pathology, Curtin School of Allied Health, Curtin University, Perth, Australia;8. University of Technology Sydney, Graduate School of Health, Speech Pathology, Ultimo, NSW 2007, Australia;9. Director, NHMRC Centre of Research Excellence Stroke Rehabilitation and Brain Recovery & Co-Head of Stroke Theme, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Australia;10. Westmead Applied Research Centre; Faculty of Medicine and Health, University of Sydney, Sydney, Australia;11. Human Research Ethics Committee, Royal Brisbane and Women''s Hospital;12. Human Research Ethics Committee A, University of Queensland;13. Human Research Ethics Committee, Townsville Hospital and Health Service;14. OmniAdvisory Consulting;15. Medical School, Faculty of Health & Medical Sciences, The University of Western Australia, Australia;1. Cuídate'' from Biomedical Group (BIO277), University of Granada, Granada, Spain;2. Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain;3. Instituto de Investigación Biosanitaria ibs, Granada, Spain;4. Sport and Health Joint University Institute (iMUDS), University of Granada, Granada, Spain;5. Unit of Excellence on Exercise and Health (UCEES), University of Granada, Granada, Spain;1. Department of Physical Medicine and Rehabilitation in the University Hospital Center of Limoges, Limoges;2. HAVAE UR20217 (Handicap, Aging, Autonomy, Environment), FEDRHA, University of Limoges, Limoges;3. Handicap, Activity, Cognition, and Health Team, University of Bordeaux, Bordeaux;4. College of Health Sciences, Institut Universitaire des Sciences de la Réadaptation, Bordeaux, France |
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| Abstract: | ObjectiveTo investigate the association of behavioral factors with retrospective reports of staying free from pressure injuries (PIs) during a 12-month period for people with chronic spinal cord injury (SCI).DesignCross-sectional survey.SettingData collection was completed at an academic medical center in the Southeastern United States in collaboration with a specialized treatment center and 2 public health registries that use population-based approaches to identify all incident cases of SCI within the state.ParticipantsThe participant cohort was composed of 3817 adults (N=3817) with traumatic SCI of at least 1-year duration.InterventionsNot applicable.Main Outcome MeasuresSelf-reported recall of staying PI-free for 12 months vs having 1 or more PIs.ResultsAmong the 3817 participants, 74% were male, 76% were non-Hispanic White, and mean age was 48 years, with an average of 12 years post SCI. Based on self-report assessment, 67% reported being PI-free in the past year. After controlling for the demographic and injury characteristics, we found that those in the clinical cohort and those who reported healthy diets and planned exercise at least once a week were more likely to be PI-free; being underweight and high frequency of prescription medication use for spasticity, pain, and depression were negatively associated with being PI-free. Smoking, alcohol use, nonmedical substance use, and prescription medication misuse were not statistically significant in the multivariate model.ConclusionsThere are several significant behavioral predictors of being PI-free, and consideration of these factors may be used to develop tailored strategies to promote healthy skin maintenance and the prevention of multiple, severe, and recurrent PI. |
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