Impact of Pressure Ulcers on Individuals Living With a Spinal Cord Injury |
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| Affiliation: | 1. Health and Rehabilitation Sciences Graduate Program, Western University, London, ON, Canada;2. Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC, Canada;3. School of Physical Therapy, Western University, London, ON, Canada;4. Department of Rehabilitation, Laval University, Quebec City, QC, Canada;1. School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia;2. Farr Institute—CIPHER, Swansea University Medical School, Swansea University, Swansea, United Kingdom;3. Victorian Spinal Cord Service, Austin Health, Heidelberg, Australia;1. Lecturer, School of Healthcare Science, Cardiff University, UK;2. Visiting Research Fellow, School of Healthcare, University of Leeds, UK;3. Professor of Nursing, Columbia University School of Nursing, USA;4. Professor of Nursing, VNSNY (Visiting Nursing Service of New York);5. Center for Home Care Policy & Research;1. New England Regional Spinal Cord Injury Center Model Systems Network, Boston, MA;2. The Health and Disability Research Institute, Department of Health Policy and Management, Boston University School of Public Health, Boston, MA;3. Rehabilitation Services and Outpatient Services, Spinal Cord Injury Program, Gaylord Hospital, Wallingford, CT;4. Centre for Collaboration, Motivation and Innovation, Hope, British Columbia, Canada;5. Hospital for Special Care, New Britain, CT;6. Hartford Hospital, Hartford, CT;1. Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Sevilla, Spain;2. Unidad de Gestión Clínica (UGC) de Cuidados Intensivos, Hospital Virgen del Rocío, Sevilla, Spain;3. Unidad de Cuidados Intensivos, Hospital San Juan de Dios, Bormujos, Sevilla, Spain;1. Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA;2. Department of Internal Medicine, University of Washington School of Medicine, Seattle, WA;3. Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA;4. Spinal Cord Injury Service, Veterans Administration Hospital Puget Sound Health Care System, Seattle, WA |
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| Abstract: | ObjectiveTo describe the impact of pressure ulcers on the ability to participate in daily and community activities, health care utilization, and overall quality of life in individuals living with spinal cord injury (SCI).DesignCross-sectional study.SettingNationwide survey.ParticipantsParticipants (N=1137) with traumatic SCI who were >1 year postinjury and living in the community were recruited. Of these, 381 (33.5%, 95% confidence interval, 30.8%–36.3%) had a pressure ulcer over the last 12 months.InterventionsNot applicable.Main Outcome MeasuresMeasures developed for the Rick Hansen Spinal Cord Injury Registry Community Follow-up Survey Version 2.0.ResultsOf the 381 individuals with pressure ulcers, 65.3% reported that their pressure ulcer reduced their activity to some extent or more. Pressure ulcers reduced the ability of individuals with SCI to participate in 19 of 26 community and daily activities. Individuals with 1 or 2 pressure ulcers were more dissatisfied with their ability to participate in their main activity than those without pressure ulcers (P=.0077). Pressure ulcers were also associated with a significantly higher number of consultations with family doctors, nurses, occupational therapists, and wound care nurses/specialists (P<.05).ConclusionsPressure ulcers have a significant impact on the daily life of individuals with SCI. Our findings highlight the importance of implementing pressure ulcer prevention and management programs for this high-risk population and require the attention of all SCI-related health care professionals. |
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