Article

Cross-sectional observational study.Objectives:To examine variables
associated with the development of pressure ulcers in subjects with spinal cord
injury (SCI).Setting:SCI patients under coverage of the State Welfare
Organization of Iran.Methods:Mobile rehabilitation teams gathered data from 20 of
the 30 provinces in Iran. There were 8104 SCI patients registered in the
database; 7489 patients were included in the analysis. The prevalence of PU in
patients aged <10 years was lower than those aged >10; therefore, we used
different logistic models for these groups. Likewise, separate models were
created for patients who had experienced SCI during the past year versus patients
injured >1 year before the evaluation.Results:PU was present in 34.6% of the
patients. The variables associated with PU in patients aged <10 years were female
gender and the time passed since SCI. In patients aged >11 years, male gender,
the time passed since SCI, lower level of education, lack of an intimate partner,
quadriplegia and older age presented a significant association with PU. Patients
for whom <1 year has passed since SCI, male gender, quadriplegia and older age
were associated with PU. And patients for whom >1 year had passed since SCI, male
gender, quadriplegia, older age, lower level of education and lack of an intimate
partner were associated with PU.Conclusion:SCI patients are a heterogeneous group
and the risk factors associated with PU may vary in specific subgroups. Different
models are needed to describe PU in SCI patients depending on the patient's age
and the time passed since SCI.

Langue : ANGLAIS