Pressure ulcer risk factors in persons with SCI: Part I: Acute and rehabilitation stages.

Détails

ID Serval
serval:BIB_D875030E0068
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Pressure ulcer risk factors in persons with SCI: Part I: Acute and rehabilitation stages.
Périodique
Spinal cord
Auteur(s)
Gélis A., Dupeyron A., Legros P., Benaïm C., Pelissier J., Fattal C.
ISSN
1362-4393 (Print)
ISSN-L
1362-4393
Statut éditorial
Publié
Date de publication
02/2009
Peer-reviewed
Oui
Volume
47
Numéro
2
Pages
99-107
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Résumé
Pressure ulcers (PUs) are a common complication following a spinal-cord injury (SCI). Good prevention requires identifying the individuals at risk for developing PUs. Risk assessment scales used nowadays were designed on pathophysiological concepts and are not SCI-specific. Recently, an epidemiological approach to PU risk factors has been proposed to design an SCI-specific assessment tool. The first results seem quite disappointing, probably because of the level of evidence of the risk factors used.
To determine PU risk factors correlated to the patients with SCI, medical care management during the acute as well as in the rehabilitation and chronic stages. This first part focuses on identifying the risk factors during the acute and rehabilitation stages.
Systematic review of the literature.
Six studies met our inclusion criteria. The risk factors during the acute stage of an SCI are essentially linked to care management and treatment modalities. There is insufficient evidence to make a recommendation on medical risk factors, except for low blood pressure on admission to the Emergency Room, with a moderate level of evidence. Regarding the rehabilitation stage, no study was deemed relevant.
Additional observational studies are needed, for both the acute and rehabilitation stages, to improve this level of evidence. However, this systematic review unveiled the need for a carefully assessed t care management and the related practices, especially during the acute stage of an SCI.
Mots-clé
Humans, Pressure Ulcer/etiology, Pressure Ulcer/prevention & control, Risk Factors, Spinal Cord Injuries/complications, Spinal Cord Injuries/rehabilitation
Pubmed
Web of science
Open Access
Oui
Création de la notice
29/11/2018 9:10
Dernière modification de la notice
20/08/2019 15:57
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