Risk factors for skin injuries after a spinal cord injury
10.3760/cma.j.issn.0254-1424.2023.11.013
- VernacularTitle:脊髓损伤患者康复期皮肤损伤发生率及危险因素的回顾性研究
- Author:
Juan LIN
1
;
Yongqiang LI
;
Xue WANG
;
Wei LIU
;
Yumei YANG
;
Chunli WAN
Author Information
1. 南京医科大学第一附属医院河西分院，南京 210029
- Keywords:
Spinal cord injury;
Skin injury;
Risk factors;
Retrospective studies
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(11):1012-1016
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the rate of skin injury after spinal cord injury (SCI) in the rehabilitation department and analyze its risk factors.Methods:A total of 120 SCI patients were divided into an injury group of 33 and a control group of 87 without injury. The occurrence, type and location of any skin injuries incurred during hospitalization were recorded along with the subjects′ general condition, injury and functional status, complications, and the rehabilitation and nursing measures applied. Multivariate logistic regressions were evaluated to identify the risk factors for skin injury.Results:Among the 33 injuries, 27 were bruises (58.7%), 10 were stress injuries (21.7%), 5 were lacerations (10.9%) and 4 were burns (8.7%). Most injuries (65.2%) were to the limbs, followed by the buttocks and the sacrococcygeal tail (34.8%). All of the skin injuries required nursing intervention, with 47.8% lasting more than 7 days. There were significant differences between the two groups in terms of their average hospital stay, dysfunction, mode of admission, risk of pressure injury, nutrition and assisted urination. The regressions identified significant relationships between the occurrence of skin injury and length of hospital stay, risk of pressure injury and nutrition.Conclusions:The incidence of skin injury is high among hospitalized SCI patients. A long hospital stay, pressure injury and poor nutrition are independent risk factors for such patients. Such patients should receive skin management education.
