Evidence map›Paper›PMID 30895715›Full record

Observational studyInternational wound journal2019

Spasticity and dementia increase the risk of pressure ulcers.

Efraim Jaul, Hagai Factor, Sharon Karni, Tehilla Schiffmiller, Oded Meiron

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Chronic wounds in persons living with dementia: An integrative review.International journal of older people nursing · 2022
    Review
  9. Healing hand ulcers caused by focal spasticity.International wound journal · 2020
    Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Efraim JaulGeriatric Skilled Nursing Department, Herzog Medical Center, Hebrew University, Jerusalem, Israel.
Hagai FactorElectrophysiology and Neurocognition Lab, Clinical Research Center for Brain Sciences, Herzog Medical Center, Jerusalem, Israel.
Sharon KarniOccupational Therapy Department, Herzog Medical Center, Jerusalem, Israel.
Tehilla SchiffmillerOccupational Therapy Department, Herzog Medical Center, Jerusalem, Israel.
Oded MeironElectrophysiology and Neurocognition Lab, Clinical Research Center for Brain Sciences, Herzog Medical Center, Jerusalem, Israel.
Herzog Hospital · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to identify and characterise the association between the prevalence of pressure ulcers, spasticity levels, and advanced dementia in disable elderly patients. Data were obtained from the patient medical files. Patients were hospitalised in the geriatric skilled nursing department. A total of 40 frail elderly patients, bedbound and suffering from advanced chronic diseases, advanced dementia, and high-grade pressure ulcers, were examined. Pressure ulcer grades and spasticity in advanced dementia versus non-dementia patients were evaluated. Logistic regression indicated that only advanced dementia and spasticity were significantly associated with the development of pressure ulcers versus those without dementia or without spasticity. Patients with advanced dementia displayed a significantly higher prevalence of severe spasticity. In multivariate logistic regression analyses, spasticity was significantly associated with pressure ulcers. The strong association of spasticity with the onset of pressure ulcers in advanced dementia should encourage clinicians to implement preventative measures to delay the onset of pressure ulcers.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesDementiaFemaleFrail ElderlyHumansLogistic ModelsMaleMiddle AgedMuscle SpasticityOdds RatioPressure UlcerPrevalenceRisk Factorsdementiaimmobilitypressure ulcersspasticity

Identifiers

PMID30895715
PMCPMC7948688
OpenAlexW2923552950

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.