Untitled - Medicinski fakultet Kragujevac - Univerzitet u Kragujevcu
Untitled - Medicinski fakultet Kragujevac - Univerzitet u Kragujevcu
Untitled - Medicinski fakultet Kragujevac - Univerzitet u Kragujevcu
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ORIGINAL ARTICLE ORIGINALNI NAUČNI RAD ORIGINAL ARTICLE ORIGINALNI NAUČNI RAD<br />
PREDICTORS OF PRESSURE ULCERS IN PATIENTS<br />
WITH SPINAL CORD INJURIES<br />
Sasa Milicevic 1 , Zoran Bukumiric 2 , Aleksandra Karadzov Nikolic 3 , Rade Babovic 1 , Aleksandra Sekulic 1 , Srbislav Stevanovic 1 , Slobodan Jankovic 4<br />
1 Clinic for Rehabilitation “Dr M. Zotović”, Sokobanjska 13, Belgrade<br />
2 Medical Faculty in Pristina, Institute of Medical Statistics and Informatics, Kosovska Mitrovica<br />
3 Institute of Rheumatology, Resavska 69, Belgrade<br />
4 Medical Faculty in <strong>Kragujevac</strong>, Institute of Pharmacology, <strong>Kragujevac</strong><br />
FAKTORI KOJI DOPRINOSE NASTANKU DEKUBITUSA<br />
KOD PACIJENATA SA POVREDAMA KIČMENE MOŽDINE<br />
Saša Milićević 1 , Zoran Bukumirić 2 , Aleksandra Karadžov Nikolić 3 , Rade Babović 1 , Aleksandra Sekulić 1 , Srbislav Stevanović 1 , Slobodan Janković 4<br />
1 Klinika za rehabilitaciju „Dr M. Zotović“, Sokobanjaska 13 Beograd<br />
2 <strong>Medicinski</strong> <strong>fakultet</strong> u Prištini, Institut za medicinsku statistiku i informatiku, Kosovska Mitrovica<br />
3 Institut za reumatologiju, Resavska 69 Beograd<br />
4 <strong>Medicinski</strong> <strong>fakultet</strong> u <strong>Kragujevcu</strong>, Katedra za farmakologiju, <strong>Kragujevac</strong><br />
Received / Primljen: 04. 03. 2012 Accepted / Prihvaćen: 21. 03. 2012.<br />
ABSTRACT<br />
Introduction: Pressure ulcers (PUs) are often secondary<br />
complications in spinal cord injury (SCI) patients.<br />
Purpose: To investigate the presence and possible factors<br />
associated with pressure ulcers in SCI patients undergoing<br />
acute and functional rehabilitation.<br />
Methods: Th is was a retrospective study of 453 patients<br />
with SCI treated at the Clinic for Rehabilitation “Dr M. Zotovic”,<br />
Belgrade, Serbia, between January 2000 and December<br />
2009. Factors that were tested for their infl uence on pressure<br />
ulcers in spinal cord injury patients included age, sex,<br />
mechanism of injury, neurological level of injury, completeness<br />
of injury, spasticity and length of stay. Th e presence and<br />
location of pressure ulcers were recorded on admission, during<br />
acute and functional rehabilitation and at discharge. Th e<br />
level of statistical signifi cance in our study was set to 0.05.<br />
Results: Th e study included 453 patients: 383 (84.5%) did<br />
not have a pressure ulcer during rehabilitation, and<br />
70 (15.5%) patients had a pressure ulcer during rehabilitation.<br />
Of the total number of patients, 333 (73.5%) were male,<br />
and 120 (26.5%) were female. Th e average age of patients<br />
enrolled in the study was 51.8 ± 17.2 years. In a multiple logistic<br />
regression model, one statistically signifi cant predictor<br />
of pressure ulcers during rehabilitation was pressure ulcer<br />
before rehabilitation (B = 1420, p
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