Pressure ulcers and acute risk factors in individuals with traumatic spinal fractures with or without spinal cord injuries:A prospective analysis of the National Spinal Column/Cord Injury Registry of Iran(NSCIR-IR)data

作     者：Farzin Farahbakhsh Hossein Rezaei Aliabadi Vali Baigi Zahra Ghodsi Mohammad Dashtkoohi Ahmad Pour-Rashid James SHarrop Vafa Rahimi-Movaghar Farzin Farahbakhsh;Hossein Rezaei Aliabadi;Vali Baigi;Zahra Ghodsi;Mohammad Dashtkoohi;Ahmad Pour-Rashidi;James S.Harrop;Vafa Rahimi-Movaghar

作者机构：Sina and Trauma Surgery Research CenterTehran University of Medical SciencesTehranIran Brain and SpinalCord Injury Research Center NeuroscienceInstuteTehran Universityof Medical SciencesTehranIran Department of NeurosurgeryShariati HospitalTehran University of Medical SciencesTehranIran Sports Medicine Research CenterTehran University of Medical SciencesTehranIran School of MedicineBam University of Medical SciencesBamIran Students'Scientific Research Center(SSRC)Tehran University of Medical SciencesTehranIran Department of NeurosurgerySina HospitalTehran University of Medical SciencesTehranIran Department of NeurosurgeryThomas Jefferson UniversityPhiladelphiaUSA Universal Scientific Education and Research Network(USERN)TehranIran Institute of Biochemistry and BiophysicsUniversity of TehranTehranIran Spine ProgramUniversity of TorontoTorontoCanada 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2023年第26卷第4期

页      面：193-198页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Sina Trauma and Surgery Research Center Tehran University of Medical Sciences Iran(grant number is 96-02-38-35120) 

主　　题：Spinal fractures Spinal cord injuries Pressureulcer NSCIR-IR 

摘      要：Purpose:To identify risk factors for developing pressure ulcers(PUs)in the acute care period of traumatic spinal fracture patients with or without spinal cord injuries(SCIs).Methods:Data were collected prospectively in participating the National Spinal column/Cord Injury Registry of Iran(NSCIR-IR)from individuals with traumatic spinal fractures with or without SCIs,in-clusive of the hospital stay from admission to *** nursing staff examined the patients for the presence of PUs every 8 h during their hospital *** presence and grade of PUs were assessed according to the European Pressure Ulcer Advisory Panel *** addition to PU,following data were also extracted from the NSCIR-IR datasets during the period of 2015-2021:age,sex,Glasgow coma scale score at admission,having SCIs,marital status,surgery for a spinal fracture,American Spinal Injury Association impairment scale(AIS),urinary incontinence,level of education,admitted center,length of stay in the intensive care unit(ICU),hypertension,respiratory diseases,consumption of ciga-rettes,diabetes mellitus and length of stay in the *** regression models were used to es-timate the unadjusted and adjusted odds ratio(OR)with 95%confidence intervals(CI).Results:Altogether 2785 participants with traumatic spinal fractures were *** them,87(3.1%)developed PU during their hospital stay and 392(14.1%)had *** the SCI population,63(16.1%)developed PU during hospital *** logistic regression for the whole sample showed that marital status,having SCIs,urinary incontinence,level of education,treating center,number of days in the ICU,age,and Glasgow coma scale score were significant predictors for ***,further analysis by multiple logistic regression only revealed the significant risk factors to be the treating center,marital status,having SCIs,and the number of days in the *** the subgroup of individuals with SCIs,marital status,AIS,urinary incontinenc