scholarly journals Prevalence and incidence of pressure sores in acute spinal cord injuries

Spinal Cord ◽  
1981 ◽  
Vol 19 (4) ◽  
pp. 235-247 ◽  
Author(s):  
Robert R Richardson ◽  
Paul R Meyer
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Pressure Sores

scholarly journals Factors affecting length of hospital stay for people with spinal cord injuries at Kanombe military hospital, Rwanda

2012 ◽  
Vol 68 (2) ◽  
Author(s):  
PB Bwanjugu ◽  
A. Rhoda
Keyword(s):  
Spinal Cord ◽  
Hospital Stay ◽  
Spinal Cord Injuries ◽  
Demographic Data ◽  
Linear Regression Analysis ◽  
Length Of Hospital Stay ◽  
Military Hospital ◽  
Pressure Sores ◽  
Rehabilitation Team ◽  
Factors Affecting

In patients with spinal cord injuries increased length ofhospital stay is often as a result of secondary complications such as pressuresores, urinary tract infection and respiratory infection. An increased lengthof hospital stay was observed at Kanombe Military Hospital in Rwanda.The aim of this study was to determine specific factors affecting length ofhospital stay for individuals with spinal cord injuries at Kanombe MilitaryHospital in Rwanda. The records of 124 individuals with spinal cordinjuries who were discharged from the hospital between 1st January1996and 31st December 2007 were reviewed to collect data. Information collected and captured on a data gathering sheetincluded demographic data, information relating to the injury, occurrence of medical complications and length ofhospital stay. Linear regression analysis was computed in SPSS to determine factors affecting the length of stay.The necessary ethical considerations were adhered to during the implementation of the study. Current employmentstatus and the occurrence of pressure sores were significantly associated with the length of hospital stay (p=0.021 andp=0.000 respectively). A strong relationship was noted between pressure sores and length of stay (R= 0.703). There is aneed for all members of the rehabilitation team to devise and implement effective measures to prevent the developmentof pressure sores, in patients with spinal cord injuries in the study setting.

scholarly journals The relationship between the buttock shapes and pressure sores with spinal cord injuries.

1999 ◽  
Vol 35 ◽  
pp. 302-303
Author(s):  
Kaoru Fujiie ◽  
Kiyomi Matuo ◽  
Yoshiteru Terashi ◽  
Hiromitu Kobayashi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Pressure Sores ◽  
The Relationship

scholarly journals MEASUREMENT OF SCI PATIENT’S BUTTOCK PRESSURE ON WHEELCHAIR AND BED

2014 ◽  
pp. 63-70
Author(s):  
Yoshio Tanimoto ◽  
Hirosuke Takechi ◽  
Akihiro Tokuhiro ◽  
Hideo Takechi ◽  
Hideki Yamamoto
Keyword(s):  
Spinal Cord ◽  
High Pressure ◽  
Pressure Distribution ◽  
Measurement System ◽  
Pressure Measurement ◽  
Spinal Cord Injuries ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Air Cushion ◽  
Pressure Measurement System

The prevention of the pressure sore is a serious problem for patients with spinal cord injuries (SCI). It is the most important for SCI patients to relieve the buttock pressure for prevention of pressure sore. Many kinds of pressure­relieving cushions and mattress have been developed to distribute the weight evenly and widely. We previously measured the buttock pressure of SCI patients using Tekscan pressure measurement system to evaluate the pressure distribution. In this study, we propose the evaluating system of the buttock pressure distribution. Using this system, the medical staffs can easily adjust the air quantity of the air cushion for each SCI patient for prevention of the pressure sores. Moreover we measured the buttock pressure in four kinds of posture on the bed to indicate the pressure relieving effect of the mattress. The air mattress has a high pressure relieving effect at the sacro­coccygeal regions in all postures on the bed.

Gluteal Flap for Pressure Sores

2019 ◽  
pp. 747-752
Author(s):  
Sanam Zahedi ◽  
Jillian M. McLaughlin ◽  
Linda G. Phillips
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Pressure Sores ◽  
Delayed Wound Healing ◽  
Multiple Risk Factors ◽  
Gluteal Flap ◽  
Essential Components ◽  
Direct Pressure

Pressure sores usually occur over bony prominences. Based on the distribution of pressure, sacral pressure sores are more common in supine patients, and ischial pressure sores are more common in sitting patients. Patients in acute care settings, in nursing homes, or with spinal cord injuries are among the most commonly affected populations. Pressure sores are a recurrent problem with multiple risk factors including direct pressure, friction, shearing forces, immobility, and moisture. Malnutrition, anemia, and chronic illness can also contribute to their formation by the impairment of blood supply and delayed wound healing. This chapter reviews the operative technique for using different types of gluteal flaps as coverage for sacral pressure sores. It highlights essential components of preoperative, operative, and postoperative decision-making and common postoperative complications encountered.

Impairment Rating and Spinal Cord Injuries: Revisiting the Guides

2010 ◽  
Vol 15 (3) ◽  
pp. 1-7
Author(s):  
Richard T. Katz
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Functional Independence ◽  
Outcome Data ◽  
Multiple Organ ◽  
Loss Of Function ◽  
Sixth Edition ◽  
Organ Systems ◽  
Cord Injury ◽  
Impairment Ratings

Abstract This article addresses some criticisms of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) by comparing previously published outcome data from a group of complete spinal cord injury (SCI) persons with impairment ratings for a corresponding level of injury calculated using the AMA Guides, Sixth Edition. Results of the comparison show that impairment ratings using the sixth edition scale poorly with the level of impairments of activities of daily living (ADL) in SCI patients as assessed by the Functional Independence Measure (FIM) motor scale and the extended FIM motor scale. Because of the combinations of multiple impairments, the AMA Guides potentially overrates the impairment of paraplegics compared with that of quadriplegics. The use and applicability of the Combined Values formula should be further investigated, and complete loss of function of two upper extremities seems consistent with levels of quadriplegia using the SCI model. Some aspects of the AMA Guides contain inconsistencies. The concept of diminishing impairment values is not easily translated between specific losses of function per organ system and “overall” loss of ADLs involving multiple organ systems, and the notion of “catastrophic thresholds” involving multiple organ systems may support the understanding that variations in rating may exist in higher rating cases such as those that involve an SCI.

Spinal Impairment Evaluation: Fifth Edition Changes

2001 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Robert H. Haralson
Keyword(s):  
Spinal Cord ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Spinal Cord Injuries ◽  
Clinical Findings ◽  
Fourth Edition ◽  
Treatment Results ◽  
Standard Terminology ◽  
Made In

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, was published in November 2000 and contains major changes from its predecessor. In the Fourth Edition, all musculoskeletal evaluation and rating was described in a single chapter. In the Fifth Edition, this information has been divided into three separate chapters: Upper Extremity (13), Lower Extremity (14), and Spine (15). This article discusses changes in the spine chapter. The Models for rating spinal impairment now are called Methods. The AMA Guides, Fifth Edition, has reverted to standard terminology for spinal regions in the Diagnosis-related estimates (DRE) Method, and both it and the Range of Motion (ROM) Method now reference cervical, thoracic, and lumbar. Also, the language requiring the use of the DRE, rather than the ROM Method has been strengthened. The biggest change in the DRE Method is that evaluation should include the treatment results. Unfortunately, the Fourth Edition's philosophy regarding when and how to rate impairment using the DRE Model led to a number of problems, including the same rating of all patients with radiculopathy despite some true differences in outcomes. The term differentiator was abandoned and replaced with clinical findings. Significant changes were made in evaluation of patients with spinal cord injuries, and evaluators should become familiar with these and other changes in the Fifth Edition.

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