Association between presence of pneumonia and pressure ulcer formation following traumatic spinal cord injury

Shilpa Krishnan, Patricia E. Karg, Michael L. Boninger, David M. Brienza

7 Scopus citations

Abstract

Objective: To determine if the presence of pneumonia and pressure ulcers are associated in individuals with an acute spinal cord injury during acute care and rehabilitation hospitalizations. Design: Retrospective, secondary analyses of data obtained from the Spinal Cord Injury Model Systems enrolled from 1993 until 2006 Setting: Acute care hospitalization and inpatient rehabilitation facilities Participants: A cohort of individuals hospitalized in acute care (n = 3,098) and inpatient rehabilitation (n = 1,768) was included in the analysis. Frequencies of pressure ulcer formation and episodes of pneumonia were noted in both settings. Interventions: Not applicable. Outcome Measures: Pressure ulcer formation and diagnosis of pneumonia Results: The development of pressure ulcers, including stage I, was 20.3% acute care and 21.1% during in inpatient rehabilitation. Multivariate logistic regression analyses revealed a significant association of pneumonia with occurrence of pressure ulcers (P ≤ 0.001, OR = 2.3 and 2.2 respectively), the American Spinal Injury Association Impairment Scale grades (P 

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalJournal of Spinal Cord Medicine
DOIs
StateAccepted/In press - May 11 2016
Externally publishedYes

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Keywords

  • Acute hospitalization
  • Inpatient
  • Pneumonia
  • Pressure ulcers
  • Rehabilitation
  • Risk factors

ASJC Scopus subject areas

  • Clinical Neurology

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