ArticleThe journal of spinal cord medicine2021
Decreasing pressure injuries and acute care length of stay in patients with acute traumatic spinal cord injury.
Article in The journal of spinal cord medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Rehabilitation Workforce Interventions for Pressure Ulcer Prevention: A Scoping Review.Nursing reports (Pavia, Italy) · 2026Review
- Honduran nursing care to pressure injuries in patients with invasive mechanical ventilation: A qualitative study.Belitung nursing journal · 2025Article
- Impact of early decompression surgery and injury characteristics on neurological recovery following traumatic cervical spinal cord injury.Brain & spine · 2025Article
- Article
- Risk factors for hospital acquired pressure injury in patients with spinal cord injury during first rehabilitation: prospective cohort study.Spinal cord · 2022Observational
- An evaluation of the representativeness of a national spinal cord injury registry: a population-based cohort study.Spinal cord · 2021Article
- Surveillance for Pressure Injuries on Admission to Inpatient Rehabilitation Hospitals During the COVID-19 Pandemic.Archives of physical medicine and rehabilitation · 2021Article
- Factors associated with discharge destination following inpatient functional rehabilitation in patients with traumatic spinal cord injury.Spinal cord · 2021Article
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Authors and funding
5 authors.
Funding
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Abstract
objectivesIdentifying factors associated with the occurrence of pressure injuries (PI) during acute care and with longer length of stay (LOS), focusing on modifiable factors that can be addressed and optimized by the acute rehabilitation team.
designProspective cohort study.
settingA single Level-1 trauma center specialized in SCI care.
participantsA cohort of 301 patients with acute TSCI was studied. OUTCOME MEASURES: The primary outcome was the occurrence of PI during acute care stay. The secondary outcome was acute care LOS. Bivariate and multivariate logistic or linear regression analyses were performed to determine the association between non-modifiable factors and outcomes (PI of any stage and acute LOS), whereas bivariate and hierarchical multivariate logistic or linear regression analyses were used for modifiable factors.
resultsWhen controlling for the level and severity of the TSCI, the occurrence of pneumonia (OR = 2.1, CI = 1.1-4.1) was significantly associated with the occurrence of PI. When controlling for the level and severity of the TSCI, the occurrence of medical complications (PI, urinary tract infection and pneumonia) and lesser daily therapy resulted in significantly longer acute care LOS (P < .001).
conclusionsPrevention of PI occurrence and the optimization of the acute care LOS represent crucial challenges of the acute rehabilitation team, as they are significantly associated with higher functional outcomes. Patients who develop pneumonia may benefit from more aggressive prevention strategies to reduce PI occurrence. Systematic protocols for the prevention of complications as well as greater volume of therapy interventions should be considered to optimize the acute care LOS.
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