Pressure Ulcer Risk Factors in Persons with Mobility-Related Disabilities.


OBJECTIVE:To assess pressure ulcer (PU) risk in persons with mobility impairments using a large data set to identify demographic, laboratory, hemodynamic, and pharmacologic risk factors. METHODS:The cohort of interest was persons with disabilities who have mobility impairments and are diagnostically at risk of PUs. To define this cohort, diagnoses that qualify patients for skin protection wheelchair cushions were used. Data were obtained from the Cerner Health Facts data warehouse. Two cohorts were defined: persons with and without a history of PUs. Analysis included descriptive statistics and multivariate logistic regression modeling. Variables retained in the model were identified using LASSO, gradient boosting, and Bayesian model averaging. MAIN RESULTS:The resulting cohorts included more than 87,000 persons with a history of PUs and more than 1.1 million persons who did not have a PU. The data revealed seven disability groups with the greatest prevalence of PUs: those with Alzheimer disease, cerebral palsy, hemiplegia, multiple sclerosis, paraplegia/quadriplegia, Parkinson disease, and spina bifida. Ulcers in the pelvic region accounted for 82% of PUs. Persons with disabilities who were male or black had a greater prevalence of PUs. Physiologic risk factors included the presence of kidney or renal disease, decreased serum albumin, and increased serum C-reactive protein. CONCLUSIONS:The results indicate that, although persons with disabilities can exhibit a wide functional range, they remain at risk of PUs and should be evaluated for proper preventive measures, including support surfaces and wheelchair cushions.


Adv Skin Wound Care


Sprigle S,McNair D,Sonenblum S




Has Abstract


2020-03-01 00:00:00














  • Care of the laparoscopic colectomy patient.

    abstract::Laparoscopic bowel surgery has demonstrated patient care benefits of decreased duration of hospital stay, smaller incisions, lower risk of cardiopulmonary complications, and reduced risk of small-bowel obstruction. Resection of complicated diverticular disease and inflammatory bowel disease can be technically challeng...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,评审


    authors: Senagore AJ,Erwin-Toth P

    更新日期:2002-11-01 00:00:00

  • Smoking Is a Risk Factor for Wound Complications after Direct Anterior Hip Arthroplasty with Mesh Tape Closure.

    abstract:OBJECTIVE:To determine what factors increase the risk of early wound complications in patients undergoing direct anterior total hip arthroplasty whose wounds were closed with 2-octyl cyanoacrylate with mesh. METHODS:This study was a retrospective review of 75 consecutive patients who underwent direct anterior total hi...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Pachter CS,Garfinkel JH,Cochrane NH,Romness DW,Gladnick BP

    更新日期:2020-01-01 00:00:00

  • A Pilot Study of the Efficacy of Active Leptospermum Honey for the Treatment of Partial-Thickness Facial Burns.

    abstract:OBJECTIVE:Research suggests that active Leptospermum honey (ALH) improves outcomes in patients with partial-thickness burns by enhancing healing and reepithelialization rates, as well as by protecting against antibiotic-resistant microorganisms. This study assessed the effectiveness of ALH gel on healing time, bacteria...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Duncan CL,Enlow PT,Szabo MM,Tolchin E,Kelly RW,Castanon L,Aballay AM

    更新日期:2016-08-01 00:00:00

  • Pressure Ulcer Prevalence by Level of Paralysis in Patients With Spinal Cord Injury in Long-term Care.

    abstract:OBJECTIVE:Scientific literature suggests pressure ulcer (PU) risk increases as immobility increases, indicating that more extensive paralysis confers a greater risk of PU. Yet the specific level of paralysis (ie, hemiplegia vs paraplegia vs quadriplegia), apart from neurodegenerative diagnoses, has never been examined ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Cowan LJ,Ahn H,Flores M,Yarrow J,Barks LS,Garvan C,Weaver MT,Stechmiller J

    更新日期:2019-03-01 00:00:00

  • Anthropometric, Biochemical, and Food Consumption Parameters are Associated with Venous Leg Ulcer Area and Duration.

    abstract:OBJECTIVE:To describe the dietary habits and anthropometric and biochemical parameters of patients with active venous leg ulcers and to verify the association of these variables with wound duration and area. DESIGN, SETTING, AND PARTICIPANTS:A cross-sectional study conducted with 33 participants diagnosed with venous ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Melo PG,Mota JF,Nunes CAB,Amaral KVA,Coelho ASG,Bachion MM

    更新日期:2020-09-01 00:00:00

  • Results of Laboratory Testing for Immersion, Envelopment, and Horizontal Stiffness on Turn and Position Devices to Manage Pressure Injury.

    abstract:BACKGROUND:A continuing complication, pressure injuries are due to sustained mechanical loading and tissue deformations, which can then be exacerbated by additional intrinsic and extrinsic risk factors. Although support surfaces are designed to mitigate risk factors for pressure injuries, the presence of a turn and pos...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Call E,Tanner L,Cheney A,Rappl L,Santamaria N,Gefen A,Oberg C

    更新日期:2020-10-01 00:00:00

  • Evaluation of the incidence of pressure ulcers using hill-rom versacare surfaces.

    abstract:OBJECTIVE:This study was conducted to: (1) determine the clinical effectiveness of a low-air-loss surface, VersaCare P500, in the prevention of pressure ulcers in surgical patients; (2) determine differences in the adjusted Braden scores between those using VersaCare and VersaCare P500 mattress surfaces; and (3) explor...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Korniewicz DM,Siegel J,Fajardo V,El-Masri M

    更新日期:2011-04-01 00:00:00

  • Construction and Validation of an Instrument for Assessing the Feet of Persons with Diabetes.

    abstract:OBJECTIVE:To construct and validate an assessment instrument to evaluate the feet of people with diabetes mellitus in Brazil. METHODS:Methodological research developed in three stages: construction of the Assessment Instrument for the Feet of People with Diabetes Mellitus, validation of face and content validity, and ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: da Costa SP,Chavaglia SRR,Ohl RIB,Costa BY,Barbosa MH,Woo K,Gamba MA

    更新日期:2020-05-01 00:00:00

  • Gene Expression of Angiotensin-Converting Enzyme 2 Receptor in Skin and the Implications for COVID-19.

    abstract:BACKGROUND:Binding to the angiotensin-converting enzyme 2 (ACE2) receptor is a critical step for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to enter target cells. This enzyme is expressed in many human tissues including the lungs, but no research has demonstrated that SARS-CoV-2 can infect human skin ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Al-Benna S

    更新日期:2021-01-01 00:00:00

  • High-Voltage Electrical Stimulation Versus Ultrasound in the Treatment of Pressure Ulcers.

    abstract:OBJECTIVE:The aim of this study was to assess and compare the efficacy of high-voltage electrical stimulation (HVES) with ultrasound (US) in treating Stage II through Stage IV pressure ulcers (PrUs)* of hospitalized patients. DESIGN:This study was designed as a prospective, controlled trial in which patients were rand...

    journal_title:Advances in skin & wound care

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Bora Karsli P,Gurcay E,Karaahmet OZ,Cakci A

    更新日期:2017-12-01 00:00:00

  • Evaluating the Effects of a Pressure Injury Prevention Algorithm.

    abstract:OBJECTIVE:To evaluate the effect of a pressure injury prevention algorithm on pressure injury prevention. DESIGN, SETTING, AND PARTICIPANTS:This intervention study was conducted in the anesthesiology and reanimation ICU (ARICU) of a university hospital. The study included two sample groups (nurses and patients). All p...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Yilmazer T,Bulut H

    更新日期:2019-06-01 00:00:00

  • Pressure Injuries in the Pediatric Population: A National Pressure Ulcer Advisory Panel White Paper.

    abstract:GENERAL PURPOSE:To review what is known about pediatric pressure injuries (PIs) and the specific factors that make neonates and children vulnerable. TARGET AUDIENCE:This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound ca...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Delmore B,Deppisch M,Sylvia C,Luna-Anderson C,Nie AM

    更新日期:2019-09-01 00:00:00

  • Diagnosing and treating moisture-associated skin damage.

    abstract::Certain types of moisture can cause debilitating damage to the skin. Terms such as perineal dermatitis, diaper rash, incontinence-associated dermatitis, or moisture-associated skin damage describe some of the conditions caused by moisture from wound drainage, fecal and/or urinary incontinence, and perspiration. It is ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Zulkowski K

    更新日期:2012-05-01 00:00:00

  • Keloid Management: A Retrospective Case Review on a New Approach Using Surgical Excision, Platelet-Rich Plasma, and In-office Superficial Photon X-ray Radiation Therapy.

    abstract:OBJECTIVE:The objective of this retrospective study was to evaluate the efficacy of the authors' combination therapy protocol for keloid treatment. DESIGN:Retrospective. SETTING:Plastic surgery office-based outpatient setting in New York City. PATIENTS:Forty patients with 44 keloid scars requiring surgical excision....

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Jones ME,Hardy C,Ridgway J

    更新日期:2016-07-01 00:00:00

  • Successful Fat Grafting in a Patient With Thromboangiitis Obliterans.

    abstract::Thromboangiitis obliterans, or Buerger disease, is a rare nonatherosclerotic segmental inflammatory vasculitis that generally affects young tobacco smokers. Although no surgical treatment is available, the most effective way to halt the disease's progress is smoking cessation. In this case report, a 29-year-old smoker...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,评审


    authors: D'Alessio I,Settembrini AM,Romagnoli S,Di Luca G,Domanin M,Gabrielli L

    更新日期:2019-12-01 00:00:00

  • Improvement of Physical and Wound Adhesion Properties of Silk Sericin and Polyvinyl Alcohol Dressing Using Glycerin.

    abstract:OBJECTIVE:This study aimed to use glycerin to improve physical and wound adhesion properties of a wound dressing made of silk sericin and polyvinyl alcohol (PVA). DESIGN:Glycerin of a natural-derived plasticizer was used to modify the properties of silk sericin/PVA scaffolds. Various concentrations of glycerin were mi...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Aramwit P,Ratanavaraporn J,Siritientong T

    更新日期:2015-08-01 00:00:00

  • Health-related quality of life in venous leg ulcer patients successfully treated with Apligraf: a pilot study.

    abstract::Apligraf (Graftskin) is a bilayered, living human skin construct that is indicated for use with standard therapeutic compression for the treatment of noninfected partial- and full-thickness skin ulcers due to venous insufficiency of greater than 1-month duration that have not adequately responded to conventional ulcer...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Mathias SD,Prebil LA,Boyko WL,Fastenau J

    更新日期:2000-03-01 00:00:00

  • Efficacy of Monitoring Devices in Support of Prevention of Pressure Injuries: Systematic Review and Meta-analysis.

    abstract:GENERAL PURPOSE:To present a systematic review of the literature assessing the efficacy of monitoring devices for reducing the risk of developing pressure injuries. TARGET AUDIENCE:This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in s...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,meta分析,评审


    authors: Walia GS,Wong AL,Lo AY,Mackert GA,Carl HM,Pedreira RA,Bello R,Aquino CS,Padula WV,Sacks JM

    更新日期:2016-12-01 00:00:00

  • Stereologic study of the effects of prostaglandin E2 on the induction of angiogenesis in full-thickness skin autografts.

    abstract:OBJECTIVE:To determine whether prostaglandin E2 improves angiogenesis in full-thickness skin grafts. DESIGN:Randomized study SUBJECTS:20 male rabbits, divided into 2 experimental and 2 control groups. METHODOLOGY:Prostaglandin E2 (experimental groups) or prostaglandin E2 vehicle (control groups) was injected locally...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Khozani TT,Noorafshan A,Nikeghbalian S,Panjeh-Shahin MR,Dehghani F,Azizi M,Tanideh N

    更新日期:2004-05-01 00:00:00

  • Comparison of forefoot ulcer healing using alternative off-loading methods in patients with diabetes mellitus.

    abstract:OBJECTIVE:To compare the healing rate of forefoot ulcers in patients with diabetes treated using a total contact cast with those treated using alternative off-loading methods. DESIGN Retrospective analysis of healing rates of forefoot ulcers. SETTING:Louisiana State University Health Sciences Center Diabetes Foot Prog...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Birke JA,Pavich MA,Patout CA Jr,Horswell R

    更新日期:2002-09-01 00:00:00

  • Evaluation of a new silicone adhesive tape among clinicians caring for patients with fragile or at-risk skin.

    abstract:OBJECTIVE:To evaluate performance of a new silicone tape among clinicians caring for patients with fragile skin. DESIGN:An international, multisite, 2-week-use evaluation. PARTICIPANTS AND SETTINGS:Caregivers (n = 217) from acute care hospitals in the United States, United Kingdom, and France who regularly use tapes ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,多中心研究


    authors: Manriquez S,Loperfido B,Smith G

    更新日期:2014-04-01 00:00:00

  • What is the best method for assessing the rate of wound healing? A comparison of 3 mathematical formulas.

    abstract:OBJECTIVE:To identify and evaluate current mathematical formulas used to assess the rate of wound healing. DATA SOURCES:MEDLINE, CINAHL, and Cochrane Systematic Review databases, from 1965 to 2004. STUDY SELECTION:Papers selected for the study met the following inclusion criteria: (1) participants had chronic venous,...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,评审


    authors: Jessup RL

    更新日期:2006-04-01 00:00:00

  • Skin and Wound Care in Lymphedema Patients: A Taxonomy, Primer, and Literature Review.

    abstract:BACKGROUND:Lymphedema is a condition of localized protein-rich swelling from damaged or malfunctioning lymphatics. Because the immune system is compromised, there is a high risk of infection. Infection in patients with lymphedema may present in a variety of ways. OBJECTIVE:The goals of this review were to standardize ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,评审


    authors: Fife CE,Farrow W,Hebert AA,Armer NC,Stewart BR,Cormier JN,Armer JM

    更新日期:2017-07-01 00:00:00

  • Cancers mimicking fungal infections.

    abstract::Primary and metastatic malignancies may occasionally mimic or coexist with cutaneous fungal infections. The authors report 3 cases of cancers that were initially presumed to be cutaneous fungal infections. Dermatologists should maintain a low threshold for skin biopsy in patients with persistent or refractory fungal i...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,评审


    authors: Ladizinski B,Alavi A,Jambrosic J,Mistry N,Sibbald RG

    更新日期:2014-07-01 00:00:00

  • Evaluating a Surfactant-Containing Polymeric Membrane Foam Wound Dressing with Glycerin in Patients with Chronic Pilonidal Sinus Disease.

    abstract:GENERAL PURPOSE:To present an evaluation of a surfactant-containing polymeric membrane foam wound dressing for use on patients with chronic pilonidal sinus disease. TARGET AUDIENCE:This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in s...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Sibbald RG,Persaud Jaimangal R,Coutts PM,Elliott JA

    更新日期:2018-07-01 00:00:00

  • The Use of Allograft Skin for the Treatment of Darier Disease.

    abstract::Darier disease is an autosomal dominant skin disorder characterized by keratotic papules. After their appearance, these lesions tend to grow over time, producing large and exudative plaques that compromise the general condition of the affected patient's skin. The authors report the clinical case of a patient affected ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: D'Acunto C,Orlandi C,Purpura V,Melandri D

    更新日期:2020-10-01 00:00:00

  • The cost of illness of pressure ulcers in The Netherlands.

    abstract:OBJECTIVE:To conduct a cost-of-illness study of pressure ulcers in the Netherlands for different care settings, including home care, nursing homes, general hospitals, and university hospitals. DESIGN:A cost-of-illness study was conducted based on prevalence figures and expert opinion. A differential cost study approac...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Severens JL,Habraken JM,Duivenvoorden S,Frederiks CM

    更新日期:2002-03-01 00:00:00

  • Don't let your revenue be part of the $4.9 billion returned to taxpayers!

    abstract::Wound care professionals should carefully inspect and audit their coding and billing practices in light of (1) the OIG's 2014 Semiannual Report to Congress and (2) the 2015 OIG Work Plan.You can read the details of both documents by following the Internet links provided earlier in this article. Conducting those self-a...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Schaum KD

    更新日期:2015-02-01 00:00:00

  • Managing lower-extremity osteomyelitis locally with surgical debridement and synthetic calcium sulfate antibiotic tablets.

    abstract:OBJECTIVE:The objective of the study was to determine if the use of locally implanted, synthetic calcium sulfate tablets, impregnated with antibiotics, can heal lower-extremity osteomyelitis, without the use of oral and/or intravenous antibiotics or wound complications associated with similarly used mined or refined ca...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Gauland C

    更新日期:2011-11-01 00:00:00

  • Shoelace Technique Plus Negative-Pressure Wound Therapy Closure in Fasciotomy Wounds.

    abstract:BACKGROUND:Fasciotomy incision closure is often performed with skin grafts that can lead to cosmetic and functional complications after surgical intervention. Because fasciotomy incisions do not result in skin loss, the authors hypothesized that better closure can be achieved by reducing tissue edema with negative-pres...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Eceviz E,Çevik HB

    更新日期:2020-09-01 00:00:00