Risk Factors for Development of New or Worsened Pressure Ulcers Among Patients in Inpatient Rehabilitation Facilities in the United States: Data From the Uniform Data System for Medical Rehabilitation

Abstract

Admission FIM total and CMS comorbidity tier may be useful in the identification of patients at risk for development of new or worsened pressure ulcers in IRFs. Identification of pressure ulcer risk factors has important implications for individual plan-of-care decisions as well as for resource provisions during the rehabilitation stay.

An overview of co-morbidities and the development of pressure ulcers among older adults

“…The use of medical devices including cords from oxygen supplying respirators, tracheostomy cannula, and tubing cause compression of facial and neck skin tissue, predisposing to the development of PU [43]. The relative risk (RR) of pressure ulcers among patients with CPD in a rehabilitation unit was found to be 1.92 [44]. Margolis et al [19] reported that the prevalence of CPD was 9.0% in older adults in the community and the adjusted RR for PU was 1.24.…”

A latent structural equation model of protective behaviors and pressure ulcer outcomes among people living with spinal cord injury

“…8 Considerable research has focused on the identification of risk factors, prevention and treatment of PrU; however, PrU remain one of the most prevalent and devastating sequelae of SCI, with costly complications and hospitalizations in common. [9][10][11][12][13][14][15] The risk of PrU is multifactorial. A substantial number of systematic reviews have addressed the risk factors 10,11,14,16,17 as well as prevention and treatment of PrU.…”

Pressure ulcers in individuals with spinal cord injury: risk factors in neurological rehabilitation

“…Estudo realizado com objetivo de avaliar os fatores de risco para ocorrência de lesão por pressão em indivíduos com sequelas de diversas doenças (acidente vascular cerebral, traumatismo cranioencefálico, amputação de membros inferiores, lesão medular, entre outras), durante a reabilitação, mostrou que os indivíduos com lesão medular e amputados apresentam alto risco para ocorrência de lesão por pressão e baixo escore na Escala de Medida de Independência Funcional, fator de risco significante para ocorrência de lesão por pressão neste grupo, durante a reabilitação (29) . Este achado vem ao encontro com os resultados desta revisão, em que dois estudos evidenciaram este fator de risco para ocorrência de lesão por pressão, durante a etapa de reabilitação neurológica (15)(16) .…”