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  4. Prevalence of pressure ulcers in Thai wheelchair users with chronic spinal cord injuries

Prevalence of pressure ulcers in Thai wheelchair users with chronic spinal cord injuries

Spinal Cord, 2015 · DOI: 10.1038/sc.2015.77 · Published: May 5, 2015

Spinal Cord InjuryParticipationDermatology

Simple Explanation

This study investigates the prevalence of pressure ulcers (PrUs) among Thai wheelchair users with chronic spinal cord injuries (SCI). It also examines the impact of PrUs and different wheelchair cushions on their quality of life (QoL). The study found that a significant percentage of participants had current or healed PrUs. It also compared the QoL and health status between those with and without PrUs, as well as between users of foam and air-filled cushions. The researchers observed that anxiety/depression was significantly associated with current PrUs. Although air-filled cushions appeared to improve QoL compared to foam cushions, the difference was not statistically significant in this study.

Study Duration
1 Year
Participants
129 Thai chronic SCI wheelchair users
Evidence Level
Cross-sectional study

Key Findings

  • 1
    26.4% of participants had current pressure ulcers at the time of the study.
  • 2
    Anxiety/depression was significantly associated with current pressure ulcers (P = 0.015).
  • 3
    Those using air-filled cushions had a mean utility score four times higher than those using foam cushions, although this difference was not statistically significant (P = 0.089).

Research Summary

This cross-sectional study assessed the prevalence of pressure ulcers (PrUs) and their impact on the quality of life (QoL) in Thai wheelchair users with chronic spinal cord injury (SCI). It also explored the effect of different wheelchair cushions on PrU occurrence and QoL. The study revealed that PrUs remain a significant issue among this population, with over a quarter of participants experiencing current ulcers. Anxiety and depression were found to be associated with the presence of current PrUs. While air-filled cushions showed a trend towards improved QoL compared to foam cushions, the difference was not statistically significant. The findings highlight the need for comprehensive PrU prevention strategies that address both physical and psychological factors.

Practical Implications

Psychological Support

Address anxiety and depression in individuals with SCI and pressure ulcers.

Cushion Selection

Consider air-filled cushions for high-risk individuals, but further research is needed to confirm cost-effectiveness.

Education and Prevention

Implement comprehensive education programs on pressure ulcer prevention, including lifestyle modifications and proper cushion use.

Study Limitations

  • 1
    Cross-sectional study design limits causal inference.
  • 2
    Sample selection bias due to recruitment from a hospital outpatient clinic.
  • 3
    Self-reported pressure ulcer data may underestimate prevalence.

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