Predicting and preventing pressure ulcers in adults with paralysis.
Predicting and preventing pressure ulcers in adults with paralysis.
复制标题
预测和预防瘫痪成人的压疮。
DOI：
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
E. Jones
中科院分区：
文献类型：
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作者：
C. A. Salzberg;Daniel W Byrne;C. Cayten;R. Kabir;P. van Niewerburgh;M. Viehbeck;H. Long;E. Jones
一份邮寄给东部瘫痪退伍军人协会所有2,295名成员的调查问卷测量了45个潜在的压疮危险因素。采用逻辑回归分析和考克斯比例风险分析来确定与压疮独立相关的变量。调查回应率为42.2%。在作者先前发表的量表中的15个风险因素中，7个是压疮发展的独立预测因素：活动水平、活动水平、完全脊髓损伤、尿失禁或尿湿、自主神经反射障碍、肺部疾病和肾脏疾病。此外，2个新的变量增加了显著的预测价值：容易感染导致呼吸问题和由创伤引起的瘫痪（而不是疾病）。使用这9个风险因素，一个新的压疮风险评估量表是专门为生活在社区环境中的瘫痪患者设计的。它似乎是一种比目前使用的风险评估量表更准确的预测压疮的方法。
A questionnaire mailed to all 2,295 members of the Eastern Paralyzed Veterans Association measured 45 potential risk factors for pressure ulcers. Logistic-regression analysis and Cox proportional-hazards analyses were used to identify the variables that were independently associated with pressure ulcers. The survey response rate was 42.2%. Among 15 risk factors from a previously published scale by the authors, 7 were independent predictors of pressure ulcer development: level of activity, level of mobility, complete spinal cord injury, urine incontinence or moisture, autonomic dysreflexia, pulmonary disease, and renal disease. In addition, 2 new variables added significant predictive value: being prone to infections that cause breathing problems and paralysis caused by trauma (as opposed to disease). Using these 9 risk factors, a new pressure ulcer risk assessment scale was designed specifically for persons with paralysis who are living in a community setting. It appears to be a more accurate method of predicting pressure ulcers than currently used risk assessment scales.