Výskyt dekubitů u pacientů s lézí míšní na spinální jednotce Kliniky úrazové chirurgie LF MU a FN Brno 2013-2016

Title in English The Pressure Ulcers Evidence in Patients with Spinal Cord Injury at Spinal Unit of Department of Traumatology at University Hospital Brno 2013-2016
Authors

VAŠÍČKOVÁ Lia MAŠEK Michal SIEGELOVÁ Jarmila

Year of publication 2017
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.14735/amcsnn2017S45
Field Other medical specializations
Keywords spinal unit; pressure ulcer; spinal cord injury; ASIA acore
Description Aim of the study is to present an evidence ol pressure ulcers (PL)}, its localization, category and relation to the level of spinai cord injury in patients admitted at spinal unit (SU). Material and methods: in total 37? patients admitted at spinai unit from 2013 to 2016 was analysed. They first hospitalisation was at one of spinal centres type la), which are defined by guidelines published by Ministry of Health CR (2002). All were examined usinq an international classification ASIA. Localization of pressure uicefs. Category at the moment of admission, the time from the beginning of injury to admission at SU and the way of treatment was analysed. ft?su/rv We verify 49 (13.14%; patients with 76 pressure ulcers in a basic set of 373 patients hospitalised at SU. The time from spinal coru injury (SCO to the admission at SU has duration from ' to 40 weeks. The disability AiS A was round in 37 (23.32%; patients and 24 (6.43%) of then! had PU. AiS B was in 50 patients (13.40%) and 10 (2,68%! with PU; AiS C was in 106 (28.12%) patients and 10 (2.68%) with PU. The less disability AIS [) was in ' 12 patients with 2 (0.54%) plj's. It was not possible to examine ASIA score in 18 patients W 83%) and 3 (0.54%) had PU. The most frequent localization or PU was sacrum in 37 (43-68%) and heels in 21 (2763%) patients. The most frequent PU was second category ali together 47 (61.84%) In total 64 (84.21%) oi PU's was cured conservatively. Conclusion: In our set, there is the evidence that higher presence of PU was in patients with complete spinai coid injury AiS A., in tetrapieqics patients and patients admitted from non-spinal departments.

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