Abstract
Pressure Ulceration (PrU) is a leading cause of insalubrity and even mortality in people with Spinal Cord Injury (SCI). It is a major cause of re-hospitalization and subsequent mental and financial agony among them. Development of PrU in the initial phases of SCI, reduces the chances of recovery as the person becomes bedridden and thus, misses out on important period of physiotherapy and exercise. Moreover, this extended state of inactivity, in turn, mostly results in more PrUs due to prolonged exposure to pressure.
Circumstances and elements leading towards these circumstances, which expose skin to surfeit and prolonged periods of pressure or deplete its pressure bearing ability, are risk factors and risk elements for the development of PrUs.
This study was carried out on civilian SCI patients in India, a developing country, to understand the occurrence and recurrence of PrU in them. This work helped the researcher to assess various risk factors responsible for developing PrUs and conclusively delineate them based on evidence produced through direct data and experience extraction from the patients, medical experts and caregivers through semi-structured interviews and medical reports. The information collected then was analyzed for frequency and severity of PrUs and subsequent re-hospitalization cycles. The intention is to help the SCI medical community to dissipate information at a critical stage, regarding these risk factors to the stakeholders to reduce re- hospitalizations and improve their chances of recovery. Also, this study can assist SCI related product designers and manufacturers to understand product related risk factors so as to improve upon the usability and safety of their products.
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References
National Pressure Ulcer Advisory Panel/European Pressure Ulcer Advisory Panel (2009) Pressure Ulcer Prevention & Treatment: Clinical Practice Guidelines. National Pressure Ulcer Advisory Panel, Washington DC
European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. National Pressure Ulcer Advisory Panel, Washington DC (2009). www.npuap.org and www.epuap.org. Accessed 23 Nov 2009
Pandey VK, Nigam V, Goyal TD, Chhabra HS (2007) Care of post-traumatic spinal cord injury patients in India: an analysis. Indian J Orthop 41(4):295–299
Patient Safety and Quality: An Evidence-Based Handbook for Nurses 1, Chap 12, 1–268
Berkowitz M (1993) Assessing the socioeconomic impact of improved treatment of head and spinal cord injuries. J Emerg Med 11(Suppl 1):63–67
Savic G, Short DJ, Weitzenkamp D, Charlifue S, Gardner BP (2000) Hospital readmissions in people with chronic spinal cord injury. Spinal Cord 38(6):371–377
Cardenas DD, Hoffman JM, Kirshblum S, McKinley W (2004) Etiology and incidence of rehospitalization after traumatic spinal cord injury: a multicenter analysis. Arch Phys Med Rehabil 85(11):1757–1763
Paker N, Soy D, Kesiktaş N, Nur Bardak A, Erbil M, Ersoy S, Ylmaz H (2006) Reasons for rehospitalization in patients with spinal cord injury: 5 years’ experience. Int J Rehabil Res 29(1):71–76
Noreau L, Proulx P, Gagnon L, Drolet M, Laramée MT (2000) Secondary impairments after spinal cord injury: a population-based study. Am J Phys Med Rehabil 79(6):526–535
Sving E, Idvall E, Högberg H, Gunningberg L (2014) Factors contributing to evidence-based pressure ulcer prevention. A cross-sectional study. Int J Nur Stud 51:717–725
Stevenson R, Collinson M, Henderson V, Wilson L, Dealey C, McGinnis E, Briggs M, Andrea Nelson E, Stubbs N, Coleman S, Nixon J (2013) The prevalence of pressure ulcers in community settings: an observational study. Int J Nurs Stud 50:1550–1557
Coleman S, Gorecki C, Andrea Nelson E, José Closs S, Defloor T, Halfens R, Farrin A, Brown J, Schoonhoven L, Nixon J (2013) Patient risk factors for pressure ulcer development: systematic review. Int J Nurs Stud 50:974–1003
Rawal P, Ray GG (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, vol 1. ICoRD 2017. Smart innovation, systems and technologies, vol 65. Springer, Singapore
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Rawal, P., Ray, G.G. (2019). Assessment of Various Extrinsic Risk Factors Causing Pressure Ulceration in People with Spinal Cord Injury. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_81
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DOI: https://doi.org/10.1007/978-3-319-96098-2_81
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