Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review

Introduction: A spinal cord injury refers to the damage suffered in the spinal cord as a result of trauma, disease or degeneration. Every person with spinal cord injury is at risk of developing pressure ulcers, and almost everyone will develop at least one ulcer due to severe pressure during his or...

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Autores principales: Di Prinzio, María Florencia, Argento, Fernando Javier, Barbalaco, Luciana, Cazurro, María Eugenia, Pereyra, Agustina, Sanchez Correa, Cecilia, Schwab, María Florencia, Silva, Nicolás, Stawski, Daniela, Vissani, Amalia, Toth, Ayelén, Sánchez Hernández, Eliana, Pedace, Mariana, Annaratone, Andrea
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/24906
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id I10-R327-article-24906
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic spinal cord injury
risk factors
pressure ulcers
systematic review
Traumatismos de la Médula Espinal
factores de riesgo
úlcera por presión
revisión sistemática
spellingShingle spinal cord injury
risk factors
pressure ulcers
systematic review
Traumatismos de la Médula Espinal
factores de riesgo
úlcera por presión
revisión sistemática
Di Prinzio, María Florencia
Argento, Fernando Javier
Barbalaco, Luciana
Cazurro, María Eugenia
Pereyra, Agustina
Sanchez Correa, Cecilia
Schwab, María Florencia
Silva, Nicolás
Stawski, Daniela
Vissani, Amalia
Toth, Ayelén
Sánchez Hernández, Eliana
Pedace, Mariana
Annaratone, Andrea
Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review
topic_facet spinal cord injury
risk factors
pressure ulcers
systematic review
Traumatismos de la Médula Espinal
factores de riesgo
úlcera por presión
revisión sistemática
author Di Prinzio, María Florencia
Argento, Fernando Javier
Barbalaco, Luciana
Cazurro, María Eugenia
Pereyra, Agustina
Sanchez Correa, Cecilia
Schwab, María Florencia
Silva, Nicolás
Stawski, Daniela
Vissani, Amalia
Toth, Ayelén
Sánchez Hernández, Eliana
Pedace, Mariana
Annaratone, Andrea
author_facet Di Prinzio, María Florencia
Argento, Fernando Javier
Barbalaco, Luciana
Cazurro, María Eugenia
Pereyra, Agustina
Sanchez Correa, Cecilia
Schwab, María Florencia
Silva, Nicolás
Stawski, Daniela
Vissani, Amalia
Toth, Ayelén
Sánchez Hernández, Eliana
Pedace, Mariana
Annaratone, Andrea
author_sort Di Prinzio, María Florencia
title Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review
title_short Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review
title_full Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review
title_fullStr Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review
title_full_unstemmed Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review
title_sort risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: a systematic review
description Introduction: A spinal cord injury refers to the damage suffered in the spinal cord as a result of trauma, disease or degeneration. Every person with spinal cord injury is at risk of developing pressure ulcers, and almost everyone will develop at least one ulcer due to severe pressure during his or her life. Objective: To identify the studies that detected risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury; and, if possible, synthesize the evidence to determine whether an association exists between them. Methods: A systematic search was conducted in Medline, LILACS, SciELO and Cochrane until December 4, 2018. The following studies were included: observational studies, case-control studies, and prospective or retrospective cohort studies, which provided an adjusted analysis of the risk factors associated with the development and recurrence of pressure ulcers in patients with spinal cord injury. Results: 25 articles met the eligibility criteria and were included for analysis. A total of 30 risk factors were identified: 4 were demographic factors, 8 were related to the injury, 5 belonged to medical comorbidities, 3 to nutritional factors, 9 were psychological, cognitive, contextual and social factors and 1 was related to support surface. As regards the factors, 56.67 percent of them were classified as non-modifiable. Conclusion: 30 risk factors were identified for the development and recurrence of pressure ulcers in patients with spinal cord injury. However, we were not able to synthesize the evidence due to the heterogeneity of the articles included in this review.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/24906
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last_indexed 2024-09-03T21:00:39Z
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spelling I10-R327-article-249062024-08-27T18:25:15Z Risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury: A systematic review Factores de riesgo para la aparición y/o recurrencia de úlceras por presión en sujetos con lesión medular: revisión sistemática Di Prinzio, María Florencia Argento, Fernando Javier Barbalaco, Luciana Cazurro, María Eugenia Pereyra, Agustina Sanchez Correa, Cecilia Schwab, María Florencia Silva, Nicolás Stawski, Daniela Vissani, Amalia Toth, Ayelén Sánchez Hernández, Eliana Pedace, Mariana Annaratone, Andrea spinal cord injury risk factors pressure ulcers systematic review Traumatismos de la Médula Espinal factores de riesgo úlcera por presión revisión sistemática Introduction: A spinal cord injury refers to the damage suffered in the spinal cord as a result of trauma, disease or degeneration. Every person with spinal cord injury is at risk of developing pressure ulcers, and almost everyone will develop at least one ulcer due to severe pressure during his or her life. Objective: To identify the studies that detected risk factors for the development and recurrence of pressure ulcers in patients with spinal cord injury; and, if possible, synthesize the evidence to determine whether an association exists between them. Methods: A systematic search was conducted in Medline, LILACS, SciELO and Cochrane until December 4, 2018. The following studies were included: observational studies, case-control studies, and prospective or retrospective cohort studies, which provided an adjusted analysis of the risk factors associated with the development and recurrence of pressure ulcers in patients with spinal cord injury. Results: 25 articles met the eligibility criteria and were included for analysis. A total of 30 risk factors were identified: 4 were demographic factors, 8 were related to the injury, 5 belonged to medical comorbidities, 3 to nutritional factors, 9 were psychological, cognitive, contextual and social factors and 1 was related to support surface. As regards the factors, 56.67 percent of them were classified as non-modifiable. Conclusion: 30 risk factors were identified for the development and recurrence of pressure ulcers in patients with spinal cord injury. However, we were not able to synthesize the evidence due to the heterogeneity of the articles included in this review. Introducción: Una lesión medular hace referencia a los daños sufridos en la médula espinal a consecuencia de un traumatismo, enfermedad o degeneración. Todas las personas con lesión medular corren riesgo de desarrollar úlceras por presión y casi todas desarrollarán al menos una úlcera por presión grave durante su vida. Objetivo: Identificar los estudios que detectaron factores de riesgo para la aparición y/o recurrencia de úlceras por presión en sujetos con lesión medular. Y de ser posible, sintetizar la evidencia para detectar asociación entre los mismos. Método: Se realizó una búsqueda sistemática en Medline, LILACS, SciELO y Cochrane hasta el 4 de diciembre del año 2018. Se incluyeron estudios observacionales, casos-controles y de cohorte, retrospectivos o prospectivos, que realizaron un análisis ajustado de los factores de riesgo para el desarrollo y/o recurrencia de úlceras por presión en sujetos con lesión medular. Resultados: 25 artículos cumplieron los criterios de elegibilidad y fueron incluidos para el análisis. Se identificaron un total de 30 factores de riesgo, de los cuales 4 fueron factores demográficos, 8 relacionados con la lesión, 5 pertenecieron a comorbilidades médicas, 3 a factores nutricionales, 9 fueron factores psicológicos, cognitivos, contextuales y sociales y 1 estuvo relacionado con la superficie de apoyo. El 56,67% se clasificaron como no modificables. Conclusión: Se identificaron 30 factores de riesgo para la aparición y/o recurrencia de úlceras por presión en sujetos con lesión medular. No fue posible sintetizar la evidencia debido a la heterogeneidad presentada por los artículos incluidos en la presente revisión. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-12-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/24906 10.31053/1853.0605.v76.n4.24906 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 4 (2019); 242-256 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 4 (2019); 242-256 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 4 (2019); 242-256 1853-0605 0014-6722 10.31053/1853.0605.v76.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/24906/28551 https://revistas.unc.edu.ar/index.php/med/article/view/24906/28571 https://revistas.unc.edu.ar/index.php/med/article/view/24906/29133 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0