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Risk Factors for the Development of Pressure Sores Among People with Spinal Cord Injury: Results of a Case Study

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Research into Design for Communities, Volume 1 (ICoRD 2017)

Part of the book series: Smart Innovation, Systems and Technologies ((SIST,volume 65))

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Abstract

This case study was conducted to understand the risk factors for the pressure sore development post rehabilitation among Indian veterans with Spinal Cord Injury (SCI). Development of pressure sore is common among people with SCI. Rehabilitation centers help people with SCI to understand the SCI better and teaches them to deal with its secondary problem like Pressure Sore. The veterans of Post Rehabilitation Center are quadriplegic and paraplegic and have reported the development of pressure sore post rehabilitation. Most common areas of development of pressure are Sacrum, Ischia, R/L Trochanters. Veterans with complete SCI are more at risk of development of Pressure sore. The paper provides the potential risk factors due to which veterans with SCI develop pressure sore post rehabilitation.

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References

  1. Garber, S.L., Rintala, D.H.: Pressure ulcers in veterans with spinal cord injury: a retrospective study. J. Rehabil. Res. Dev. 40, 433–442 (2003)

    Article  Google Scholar 

  2. Atiyeh, B.S., Hayek, S.N.: Pressure sores with associated spasticity: a clinical challenge. Int. Wound J. 2, 77–80 (2005)

    Article  Google Scholar 

  3. Lindgren, M., Unosson, M., Krantz, A.-M., Ek, A.-C.: A risk assessment scale for the prediction of pressure sore development: reliability and validity. J. Adv. Nurs. 38, 190–199 (2002)

    Article  Google Scholar 

  4. Lloyd, E.E., Baker, F.: An examination of variables in spinal cord injury patients with pressure sores. SCI Nurs. 3, 19–22 (1986)

    Google Scholar 

  5. Coggrave, M.J., Rose, L.S.: A specialist seating assessment clinic: changing pressure relief practice. Spinal Cord 41, 692–695 (2003)

    Article  Google Scholar 

  6. Colin, D., Lebastard, N.: Pressure sore in patients with spinal cord injuries. Rev. Prat. 45, 2023–2028 (1995)

    Google Scholar 

  7. Davies, K.: Pressure sores: aetiology, risk factors and assessment scales. Br. J. Nurs. 3, 256–262 (1994)

    Article  Google Scholar 

  8. Smith, L.N., Booth, N., Douglas, D., Robertson, W.R., Walker, A., Durie, M., Fraser, A., Hillan, E.H., Swaffield, J.: A critique of ‘at risk’ pressure sore assessment tools. J. Clin. Nurs. 4, 153–159 (1995)

    Article  Google Scholar 

  9. Johnson, R.L., Brooks, C.A., Whiteneck, G.G.: Cost of traumatic spinal cord injury in a population-based registry. Spinal Cord 34, 470–480 (1996)

    Article  Google Scholar 

  10. Hambly, P.R., Martin, B.: Anaesthesia for chronic spinal cord lesions. Anaesthesia 53, 273–289 (1998)

    Google Scholar 

  11. Krause, J.S., 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. 85, 1257–1264 (2004)

    Article  Google Scholar 

  12. Langemo, D.K., Melland, H., Hanson, D., Olson, B., Hunter, S.: The lived experience of having a pressure ulcer: a qualitative analysis. Adv. Skin Wound Care 13, 225–235 (2000)

    Google Scholar 

  13. Garber, S.L., Rintala, D.H.: Pressure ulcers in veterans with spinal cord injury: a retrospective study. J. Rehabil. Res. Dev. 40, 433–442 (2003)

    Article  Google Scholar 

  14. Krause, J.S.: Skin sores after spinal cord injury: relationship to life adjustment. Spinal Cord 36, 51–56 (1998)

    Article  Google Scholar 

  15. Cardenas, D.D., Hoffman, J.M., Kirshblum, S., McKinley, W.: Etiology and incidence of rehospitalization after traumatic spinal cord injury: a multicenter analysis. Arch. Phys. Med. Rehabil. 85, 1757–1763 (2004)

    Article  Google Scholar 

  16. Niazi, Z.B., Salzberg, C.A., Byrne, D.W., Viehbeck, M.: Recurrence of initial pressure ulcer in persons with spinal cord injuries. Adv. Wound Care 10, 38–42 (1997)

    Google Scholar 

  17. Charlifue, S., Lammertse, D.P., Adkins, R.H.: Aging with spinal cord injury: changes in selected health indices and life satisfaction. Arch. Phys. Med. Rehabil. 85, 1848–1853 (2004)

    Google Scholar 

  18. Wyllie, F.J., McLean, N.R., McGregor, J.C.: The problem of pressure sores in a regional plastic surgery unit. J. R. Coll. Surg. Edinb. 29, 38–43 (1984)

    Google Scholar 

  19. Mandrekas, A.D., Mastorakos, D.P.: Management of decubitus ulcers by musculocutaneous flaps: a five-year experience. Ann. Plast. Surg. 28, 167–174 (1992)

    Article  Google Scholar 

  20. Berry, R.B.: The late results of surgical treatment of pressure sores in paraplegics. Br. J. Surg. 67, 473–474 (1980)

    Google Scholar 

  21. Relander, M., Palmer, B.: Recurrence of surgically treated pressure sores. Scand. J. Plast. Reconstr. Surg. 22, 89–92 (1988)

    Google Scholar 

  22. Disa, J.J., Carlton, J.M., Goldberg, N.H.: Efficacy of operative cure in pressure sore patients. Reconstr. Surg. 89, 272–278 (1992)

    Google Scholar 

  23. Hentz, V.R.: Management of pressure sores in a specialty center: a reappraisal. Plast. Reconstr. Surg. 64, 683–691 (1979)

    Google Scholar 

  24. Rubayi, S., Pompan, D., Garland, D.: Proximal femoral resection and myocutaneous flap for treatment of pressure ulcers in spinal cord injury patients. Ann. Plast. Surg. 27, 132–137 (1983)

    Google Scholar 

  25. Baek, S.M., Williams, G.D., McElhinney, A.J., Simon, B.E.: The gluteus maximus myocutaneous flap in the management of pressure sores. Ann. Plast. Surg. 5, 471–476 (1980)

    Article  Google Scholar 

  26. http://www.ufoam.com/MattressDoctor.htm. Accessed 24 Sept 2015

  27. http://para-rehab.org/about.html. Accessed 24 Sept 2015

  28. McKinley, W.O., Jackson, A.B., Cardenas, D.D., DeVivo, M.J.: Long-term medical complications after traumatic spinal cord injury: a regional model systems analysis. Arch. Phys. Med. Rehabil. 80, 1402–1410 (1999)

    Article  Google Scholar 

  29. Garber, S.L., Rintala, D.H., Holmes, S.A., Rodriguez, G.P., Friedman, J.: A structured educational model to improve pressure ulcer prevention knowledge in veterans with spinal cord dysfunction. J. Rehabil. Res. Dev. 39, 575–588 (2002)

    Google Scholar 

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Acknowledgements

We thank the respondents who participated in the study and Post Rehabilitation Center for their permission to conduct this study.

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Correspondence to Priyanka Rawal .

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Rawal, P., Ray, G.G. (2017). Risk Factors for the Development of Pressure Sores Among People with Spinal Cord Injury: Results of a Case Study. In: Chakrabarti, A., Chakrabarti, D. (eds) Research into Design for Communities, Volume 1. ICoRD 2017. Smart Innovation, Systems and Technologies, vol 65. Springer, Singapore. https://doi.org/10.1007/978-981-10-3518-0_23

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  • DOI: https://doi.org/10.1007/978-981-10-3518-0_23

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