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














  • 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

  • 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

  • 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

  • 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

  • Adapted Crusting Technique in Children with Peristomal Lesions: A Case Series.

    abstract:OBJECTIVE:To describe the care of pediatric patients who had a gastrostomy and developed peristomal lesions and received a systematic single adapted crusting technique in a pediatric ICU in a tertiary Brazilian hospital. METHODS:An analysis of six cases presenting traumatic, noninfectious peristomal lesions with ostiu...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Santos Monteiro AC,Barbosa Maia Dos Santos ML,Souza MA,Caires de Oliveira Achili Ferreira J

    更新日期:2020-06-01 00:00:00

  • A comparison between the use of intravenous bags and the Heelift suspension boot to prevent pressure ulcers in orthopedic patients.

    abstract::The heel is the second most common area where patients develop pressure ulcers (PrUs). Some of the interventions commonly used today to prevent PrUs have not been empirically tested, whereas other interventions have been studied and shown to prevent heel PrUs. Currently, there are no specific studies comparing a press...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,随机对照试验


    authors: Bales I

    更新日期:2012-03-01 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

  • 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

  • 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

  • Epidermal micrografts produced via an automated and minimally invasive tool form at the dermal/epidermal junction and contain proliferative cells that secrete wound healing growth factors.

    abstract:OBJECTIVE:The aim of this scientific study was to assess epidermal micrografts for formation at the dermal-epidermal (DE) junction, cellular outgrowth, and growth factor secretion. Epidermal harvesting is an autologous option that removes only the superficial epidermal layer of the skin, considerably limiting donor sit...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Osborne SN,Schmidt MA,Derrick K,Harper JR

    更新日期:2015-09-01 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

  • 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

  • Proxy study on minimizing risk of sacral pressure ulcers while complying with ventilator-associated pneumonia risk reduction guidelines.

    abstract::Bed positioning poses a subtle, yet important, tradeoff in the competing needs of hospitalized patients, particularly those susceptible to lower respiratory tract infections and/or pressure ulcers. Although it is widely held that a minimum 30° incline is necessary to mitigate risk of ventilator-acquired pneumonia, it ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Crane BA,Wininger M,Kunsman M

    更新日期:2015-12-01 00:00:00

  • The relationship between pressure ulcer prevalence, body mass index, and Braden scales and subscales: a further analysis.

    abstract::The purpose of this study was to evaluate whether any of the Braden subscales were more strongly related to pressure ulcer occurrence than the Braden total score in obese and nonobese hospitalized patients. The authors investigated whether defining high risk for the total Braden score of 16 or less was associated with...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Pokorny ME,Rose MA,Watkins F,Swanson M,Kirkpatrick MK,Wu Q

    更新日期:2014-01-01 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

  • 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

  • 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

  • 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

  • In vitro activity of the Qoustic Wound Therapy System against planktonic and biofilm bacteria.

    abstract:OBJECTIVE:The purpose of this study was to determine whether the Qoustic Wound Therapy System (Arobella Medical, LLC, Minnetonka, Minnesota) kills planktonic bacterial cells and/or removes bacterial biofilms. DESIGN:The Qoustic Wound Therapy System was evaluated against Pseudomonas aeruginosa, Staphylococcus epidermid...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Karau MJ,Piper KE,Steckelberg JM,Kavros SJ,Patel R

    更新日期:2010-07-01 00:00:00

  • Reliability and predictive validity of Inlow's 60-Second Diabetic Foot Screen Tool.

    abstract:OBJECTIVE:: The purpose of this study was to assess Inlow's 60-Second Diabetic Foot Screen Tool to ascertain consistency of risk recognition for development of ulceration independent of specific assessor and practice setting. Screening tools that assist clinicians in identifying risk require validation. The objectives ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Murphy CA,Laforet K,Da Rosa P,Tabamo F,Woodbury MG

    更新日期:2012-06-01 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

  • Compartment syndrome: wound care considerations.

    abstract:PURPOSE:To review the etiology, anatomy, pathophysiology, differential diagnosis, and treatment of compartment syndrome. TARGET AUDIENCE:This continuing education activity is intended for physicians and nurses with an interest in wound care. OBJECTIVES:After reading this article and taking this test, the reader shoul...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,评审


    authors: Salcido R,Lepre SJ

    更新日期:2007-10-01 00:00:00

  • The Ears of a Hippopotamus: Quality of Venous Leg Ulcer Care in Gauteng, South Africa.

    abstract:OBJECTIVE:To describe venous ulcer care and wound care practices in Gauteng, a province of South Africa, according to the Donabedian structure-process-outcome quality improvement model. METHODS:Forty-eight facilities were selected randomly from public and private wound care practices in Gauteng. Structured interviews ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Bruwer FA,Botma Y,Mulder M

    更新日期:2020-02-01 00:00:00

  • Susceptibility of Trichopyton mentagrophytes to Visible Light Wavelengths.

    abstract:OBJECTIVE:To determine whether a blue light (405 nm) could inhibit the growth of Trichopyton mentagrophytes without using a photosensitizing material as part of the treatment protocol. DESIGN:Basic physiologic randomized trial using laboratory specimens (T mentagrophytes). INTERVENTIONS/METHODS:Plated on a growth med...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Guffey JS,Payne W,Buchanan B,Daugherty J,Meurer L,Hensley P

    更新日期:2017-05-01 00:00:00

  • Role of Vacuum-Assisted Closure in the Management of Crohn Anal Fistulas.

    abstract:BACKGROUND:Patients with Crohn disease-related anal fistulas are treated with debridement of fistulous tracts and the placement of noncutting setons (NCSs). However, to reduce the high recurrence rate, there is still a need to develop more effective treatment methods. OBJECTIVE:To compare NCS with vacuum-assisted clos...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Hermann J,Banasiewicz T,Kołodziejczak B

    更新日期:2019-01-01 00:00:00

  • Comparison of the cytotoxicities and wound healing effects of hyaluronan, carbomer, and alginate on skin cells in vitro.

    abstract:OBJECTIVE:To compare the cytotoxicities and efficacy of hyaluronan (HA), carbomer, and sodium alginate on repairing thermal-injured cells and promoting cell migration. DESIGN:The 3-(4,5)-dimethylthiahiazo(-z-y1)-3,5-di-phenytetra-zoliumromide method was used to evaluate the cytotoxicities of HA, carbomer, and sodium a...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Guo X,Huang S,Sun J,Wang F

    更新日期:2015-09-01 00:00:00

  • The relationship between hemoglobin A(1c) values and healing time for lower extremity ulcers in individuals with diabetes.

    abstract:PROBLEM:The diabetic population is at an increased risk, up to 15% over a lifetime, to develop leg and foot ulcers due to such factors as neuropathy, ischemia, and infection. The tight control of glucose levels as possible is necessary to prevent the diabetic complications by preventing microvascular changes that predi...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Markuson M,Hanson D,Anderson J,Langemo D,Hunter S,Thompson P,Paulson R,Rustvang D

    更新日期:2009-08-01 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

  • A Comparison of Three Dressing Methods for Pilonidal Sinus Surgery Wound Healing.

    abstract:OBJECTIVE:To evaluate the effect of different dressing methods on the wound healing process after pilonidal sinus surgery. METHODS:In this clinical trial, 60 patients undergoing pilonidal sinus surgery were randomly assigned to one of three groups. In the first group, hydrogel or alginate and hydrocolloid compounds we...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章,随机对照试验


    authors: Sadati L,Froozesh R,Beyrami A,Khaneghah ZN,Elahi SA,Asl MF,Salehi T

    更新日期:2019-07-01 00:00:00

  • Broad Utility of a Minimally Invasive Technique for Pediatric Wound Care: Simple and Effective.

    abstract:OBJECTIVE:Infected or contaminated wound sites have historically been managed with incision and drainage. Here, the authors review their experience with skin closure over vessel loops and assess the results of this technique in a variety of clinical situations, hypothesizing that minimally invasive drainage strategies ...

    journal_title:Advances in skin & wound care

    pub_type: 杂志文章


    authors: Steen EH,Tuley JM,King A,Lee TC,Keswani SG

    更新日期:2020-11-01 00:00:00