The relationship between pressure ulcer incidence and buttock-seat cushion interface pressure in at-risk elderly wheelchair users
| Autor: | Elaine Trefler, Mary Jo Geyer, David M. Brienza, Patricia Karg, Sheryl F. Kelsey |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Frail Elderly medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation law.invention Wheelchair Randomized controlled trial Risk Factors law Secondary analysis Interface pressure Pressure medicine Humans Buttocks Aged Aged 80 and over Pressure Ulcer Rehabilitation business.industry Incidence Incidence (epidemiology) Equipment Design equipment and supplies medicine.anatomical_structure Wheelchairs Cushion Physical therapy Female business human activities |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 82:529-533 |
| ISSN: | 0003-9993 |
| DOI: | 10.1053/apmr.2001.21854 |
| Popis: | Brienza DM, Karg PE, Geyer MJ, Kelsey S, Trefler E. The relationship between pressure ulcer incidence and buttock-seat cushion interface pressure in at-risk elderly wheelchair users. Arch Phys Med Rehabil 2001;82:529-33. Objective: To investigate the relation between pressure ulcer incidence and buttock-wheelchair seat cushion interface pressure measurements. Design: Secondary analysis of data from a randomized clinical trial. Setting: Skilled nursing facility. Patients: Thirty-two elderly patients (age, ≥ 65yr), with Braden score ≤ 18 and Braden mobility and activity subscale score ≤ 5, who used wheelchairs ≥ 6hr/d, were free of existing sitting-induced pressure ulcers, and weighed ≤ 250lb. Interventions: Generic foam seat cushion or pressure-reducing seat cushion. Main Outcome Measures: The incidence of sitting-induced pressure ulcers over a 1- to 12-month period was compared with pressure measured between patients' buttocks and wheelchair seat cushions. A flexible pad with a 15 × 15 pressure sensor array was used to measure interface pressure. Results: Interface pressure measured on wheelchair seat cushions was higher ( p ≤.01 for both peak pressure and average of highest 4 pressures) for patients who developed sitting-acquired pressure ulcers compared with those patients who did not. Conclusions: Results indicated that higher interface pressure measurements are associated with a higher incidence of sitting-acquired pressure ulcers for high-risk elderly people who use wheelchairs. © 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation |
| Databáze: | OpenAIRE |
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