A Survey of Braden Risk Factors for Pressure Sore Devolvement in Outpatients with Chronic Spinal Cord Injury
1. Brain and Spinal Injuries Research Center,Imam Khomeini Hospital ,Tehran University of Medical Sciences2. Health management Department,Razi Vaccine &Serum Research Institute3. Department of Neurosurgery,Imam Khomeini Hospital ,Tehran University of Medical Sciences
摘要：Background:Pressure ulcers are amongst the most common post traumatic complications in patients with spinal cord injury.They delay achievement of personal independence,reduce quality of life and destroy self-confidence of patients.The main goal of risk factor assessment with different tools is to provisionally estimate the risk of developing pressure ulcers in patients with spinal cord injury.Braden tool is of good predictive value most commonly employed in hospital communities for risk assessment in intensive care units.Methods:In this cross-sectional study,on spinal cord injuries,those aged over 18 under 50 years with chronic and traumatic etiology were included.We assessed the Braden risk factor in 580 chronic patients and analyze its association with stage and morphology of pressure ulcer.In addition other factors such as neurological level,smoking,drug abuse,and depressive mood symptoms were assessed in the studied population.Results:One hundred and sixty three patients had active pressure sores,with a prevalence of28.1%.In the multiple model only the Braden scale had significant association with pressure sore development.Those patients who had high and moderate risk of pressure sore according to Braden scale were 2.36 and 1.82 times respectively,more at risk of pressure sore development compared to those with mild risk of pressure sore（p＜0.01）.Conclusions:Braden scale obtained by expert personnel and patients with moderate and high risk（according to Braden score） may need more sophisticated education and/or inpatient care for PU Management.
The 8th International Association of Neurorestoratology and 12th GCNN Congress