Factors Associated With Pressure Ulcers in Individuals With Spina Bifida
Factors Associated With Pressure Ulcers in Individuals With Spina Bifida
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DOI：
10.1016/j.apmr.2015.02.029
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发表时间：
2015-08-01
影响因子：
4.3
通讯作者：
Thibadeau, Judy
中科院分区：
文献类型：
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作者：
Kim, Sunkyung;Ward, Elisabeth;Thibadeau, Judy
目的：描述在国家脊柱裂患者登记处（NSBPR）登记的脊柱裂（SB）患者中与压疮相关的因素。设计：不平衡纵向多中心队列研究。设置：19个SB诊所。参与者：参加NSBPR的19个诊所的SB患者（N=3153）。干预措施：不适用。主要结局指标：2009年至2012年年度就诊时压疮状况（是/否）。结果：在3153名参与者中，19% （n = 603）在最近的年度门诊访问中报告溃疡。病变程度、轮椅使用、尿失禁、是否存在分流器、膝关节以上矫形手术、近期手术和男性等七个因素与压疮的存在显著相关。在这些因素中，病变程度、尿失禁、近期手术和男性被纳入最终的logistic回归模型。3个调整变量SB类型、SB临床、SB年龄组在所有分析中均有显著性差异（P < 0.05）
Objective: To describe factors associated with pressure ulcers in individuals with spina bifida (SB) enrolled in the National Spina Bifida Patient Registry (NSBPR).Design: Unbalanced longitudinal multicenter cohort study.Setting: Nineteen SB clinics.Participants: Individuals with SB (N=3153) enrolled in 19 clinic sites that participate in the NSBPR.Interventions: Not applicable.Main Outcome Measures: Pressure ulcer status (yes/no) at the annual visit between 2009 and 2012.Results: Of 3153 total participants, 19% (n = 603) reported ulcers at their most recent annual clinic visit. Seven factors level of lesion, wheelchair use, urinary incontinence, shunt presence, above the knee orthopedic surgery, recent surgery, and male sex were significantly associated with the presence of pressure ulcers. Of these factors, level of lesion, urinary incontinence, recent surgery, and male sex were included in the final logistic regression model. The 3 adjusting variables SB type, SB clinic, and age group were significant in all analyses (all P