Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 8 , Pages 1429-1441 , August 2008

Preventing Recurrent Pressure Ulcers in Veterans With Spinal Cord Injury: Impact of a Structured Education and Follow-Up Intervention

Presented in part to the National Veterans Affairs Rehabilitation Research and Development Conference, October 1–3, 1998, Washington, DC; Thirteenth Annual Wound Care Symposium, October 8–11, 1998, Atlanta, GA; American Occupational Therapy Association, April 16–20, 1999, Indianapolis, IN; American Spinal Injury Association, April 19–21, 1999, Atlanta, GA; American Congress of Rehabilitation Medicine, October 19–23, 2000, Hilton Head Island, SC; and American Spinal Injury Association, May 3–6, 2002, Vancouver, BC, Canada.

  • Diana H. Rintala, PhD

      Affiliations

    • Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX
    • Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX
    • Corresponding Author InformationReprint requests to Diana H. Rintala, PhD, MEDVAMC (153), 2002 Holcombe Blvd, Houston, TX 77030
    • ,
  • Susan L. Garber, MA

      Affiliations

    • Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX
    • Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX
    • ,
  • Jeffrey D. Friedman, MD

      Affiliations

    • Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX
    • Department of Surgery, Baylor College of Medicine, Houston, TX
    • Methodist Hospital, Houston, TX.
    • ,
  • Sally Ann Holmes, MD

      Affiliations

    • Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX
    • Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX

  • Image Result

    Flowchart of study.

    Flowchart of study.

  • Image Result

    Cox regression analysis for effect of group assignment on ulcer-free survival time (n=38). Overall group assignment and assignment to group 1 are significant.

    Cox regression analysis for effect of group assignment on ulcer-free survival time (n=38). Overall group assignment and assignment to group 1 are significant.

  • Image Result

    Survival analysis of group assignment in a subsample with at least 1 previous pressure ulcer, controlling for time since last surgical closure (n=20). Group assignment was not significant, and there w

    Survival analysis of group assignment in a subsample with at least 1 previous pressure ulcer, controlling for time since last surgical closure (n=20). Group assignment was not significant, and there was a nonsignificant trend for time since last closure.

  • Image Result
    Survival analysis of group assignment in subsample with at least 1 previous pressure ulcer surgery (n=21). Neither overall group assignment nor assignment to group 1 was significant.

    Survival analysis of group assignment in subsample with at least 1 previous pressure ulcer surgery (n=21). Neither overall group assignment nor assignment to group 1 was significant.

  • Image Result
    Survival analysis of group assignment in subsample with no previous pressure ulcer surgery (n=17). There was a nonsignificant trend for overall group assignment, and assignment to group 1 was signific

    Survival analysis of group assignment in subsample with no previous pressure ulcer surgery (n=17). There was a nonsignificant trend for overall group assignment, and assignment to group 1 was significant.

  • Image Result
    Survival analysis of group assignment controlling for location of study ulcer (n=38). Overall group assignment and assignment to group 1 were significant; there was a nonsignificant trend for overall

    Survival analysis of group assignment controlling for location of study ulcer (n=38). Overall group assignment and assignment to group 1 were significant; there was a nonsignificant trend for overall location of ulcer, and having an ulcer on a trochanter was significant.

  • Image Result
    Survival analysis of location of study ulcer controlling for group assignment (n=38). There was a nonsignificant trend for overall location of ulcer, and having an ulcer on a trochanter was significan

    Survival analysis of location of study ulcer controlling for group assignment (n=38). There was a nonsignificant trend for overall location of ulcer, and having an ulcer on a trochanter was significant; overall group assignment and assignment to group 1 were significant (same analysis as for fig 6).

 Supported by the Department of Veterans Affairs, Veterans Health Administration, Rehabilitation Research and Development Service (grant no. B1343-R).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(08)00343-2

doi: 10.1016/j.apmr.2008.01.015

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 8 , Pages 1429-1441 , August 2008

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