Article

A systematic review was undertaken, based upon methods recommended
for effectiveness questions but adapted to identify observational risk factor
(RF) studies. OBJECTIVES: The literature identifies many RFs for pressure ulcer
(PU) recurrence and development; however, RFs independently predictive of PU
development in adults with spinal cord injury (SCI) have not been determined. A
systematic review was undertaken to identify RFs for PUs for people with SCI.
SETTING: Acute hospital, community and rehabilitation settings. METHODS:
Electronic searches of MEDLINE, EMbase and Cochrane databases from 1980 to 2011
were completed. Retrieved studies were assessed for eligibility and quality
criteria applied by two independent reviewers. Identified RFs were categorised
into themes and compared and contrasted with RFs identified for the general PU
population. RESULTS: The five studies included 18 RFs. These were classified into
six themes: sociodemographic, neurological, functional, clinical, biological and
medical care management. RFs for both the general and SCI-specific populations
were similar, however, clinical, functional and hospital management emerged as
specific RF domains for the SCI population. CONCLUSION: We identified
SCI-specific RFs for the development and recurrence of PUs. However, these
findings are based on a small number of studies; highlighting the need for
further confirmatory work to reduce PU development and recurrence, and provide a
foundation for SCI risk assessment development.

Langue : ANGLAIS