None listed
Conditions
Brief summary
This is a prospective study of individuals who have acquired spinal cord injury. Part 1 is a prospective study that will identify risk factors associated with the development of a sitting acquired pressure injuries (SAPi) in acute and chronic cohorts with SCI. Part 2 will assess individuals who develop a SAPU to measure the loss of health related quality of life and to quantify the costs of treating their SAPi. Subjects will be recruited from 6 sites – 3 state spinal cord injury units in Australia and 3 in Canada and it is intended that 480 subjects will complete the study. 240 will be acute (first 3 years post SCI) and 240 will be chronic (more than 15 years post SCI). Both cohorts will be followed and 9 Risk Factor Groups will be measured – degree of impairment/activity limitation, nutritional status, local tissue status including cutting edge ultrasound and Finite Element Modelling, wheelchair seating environment, psychological factors, co-morbidities, injury duration and country. Those factors that are significantly associated with the development of a pressure injury will be identified through Logistic regression modelling and a risk assessment tool will be derived.
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion Criteria for Acute SCI Cohort 1. Individuals with acute spinal cord injury (either traumatic or secondary to medical conditions) resulting in permanent injury that requires them to use a wheelchair for mobility. 2. Individuals 18 years of age and older. Inclusion Criteria for Chronic SCI Cohort 1. Individuals with a spinal cord injury (either traumatic or secondary to medical conditions) resulting in permanent injury of more than fifteen years that requires them to use a wheelchair for mobility. 2. No history of a stage III or IV sitting-acquired pressure ulcer.
Exclusion criteria
Exclusion Criteria for Both Acute SCI and Chronic SCI Cohort 1. Individuals with spinal cord injury due to malignancy. 2. Individuals with myelomeningocoele.