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Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury / J. Morel in Annals of physical and rehabilitation medicine, Vol. 62, n°2 (Mars 2019)
[article]
Titre : Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury Type de document : texte imprimé Auteurs : J. Morel ; C. Herlin ; B. Amara ; et al. Année de publication : 2019 Article en page(s) : p. 77-83 Note générale : Doi : 10.1016/j.rehab.2018.08.005 Langues : Anglais (eng) Mots-clés : Pressure ulcer Flap surgery Spinal cord injury Recurrence Risk factor Résumé : Background
Flap surgery for deep pelvic pressure ulcers (PPUs) has been found effective, but the recurrence rate remains high and few risk factors have been identified.
Objective
We evaluated risk factors for PU recurrence after primary flap surgery in people with spinal cord injury (SCI).
Patients and methods
This observational retrospective study based on medical charts included all individuals with SCI who underwent primary flap surgery for a PPU in the Hérault department in France between 2006 and 2014. Overall, 100 biomedical, psychological, socioeconomic and care management factors were studied. The primary outcome was PPU recurrence (surgical site and/or other pelvic site). The secondary outcome was recurrence at the surgical site. Cox proportional hazards regression was used to determine associated factors, estimating hazard ratios (HRs) and 95% confidence intervals (CIs).
Results
We included 85 patients. Half had a PPU recurrence, and in one-third, the recurrence was at the surgical site. On multivariate analysis, global PPU recurrence was associated with colostomy (HR=2.79) and living with a partner (HR=2.29). Non-traumatic SCI and sacral wound were associated with PPU recurrence (HR=3.39, HR=0.48) and recurrence at the surgical site (HR=3.3, HR=0.3).
Conclusion
Risk factors of PPU recurrence are based on both biomedical and social models. After primary flap surgery, the risk of recurrence justifies regular follow-up and strict monitoring.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314477 Permalink : ./index.php?lvl=notice_display&id=82644
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 77-83[article] Risk factors of pelvic pressure ulcer recurrence after primary skin flap surgery in people with spinal cord injury [texte imprimé] / J. Morel ; C. Herlin ; B. Amara ; et al. . - 2019 . - p. 77-83.
Doi : 10.1016/j.rehab.2018.08.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°2 (Mars 2019) . - p. 77-83
Mots-clés : Pressure ulcer Flap surgery Spinal cord injury Recurrence Risk factor Résumé : Background
Flap surgery for deep pelvic pressure ulcers (PPUs) has been found effective, but the recurrence rate remains high and few risk factors have been identified.
Objective
We evaluated risk factors for PU recurrence after primary flap surgery in people with spinal cord injury (SCI).
Patients and methods
This observational retrospective study based on medical charts included all individuals with SCI who underwent primary flap surgery for a PPU in the Hérault department in France between 2006 and 2014. Overall, 100 biomedical, psychological, socioeconomic and care management factors were studied. The primary outcome was PPU recurrence (surgical site and/or other pelvic site). The secondary outcome was recurrence at the surgical site. Cox proportional hazards regression was used to determine associated factors, estimating hazard ratios (HRs) and 95% confidence intervals (CIs).
Results
We included 85 patients. Half had a PPU recurrence, and in one-third, the recurrence was at the surgical site. On multivariate analysis, global PPU recurrence was associated with colostomy (HR=2.79) and living with a partner (HR=2.29). Non-traumatic SCI and sacral wound were associated with PPU recurrence (HR=3.39, HR=0.48) and recurrence at the surgical site (HR=3.3, HR=0.3).
Conclusion
Risk factors of PPU recurrence are based on both biomedical and social models. After primary flap surgery, the risk of recurrence justifies regular follow-up and strict monitoring.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314477 Permalink : ./index.php?lvl=notice_display&id=82644 Exemplaires (1)
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Exclu du prêtThe relationship of childhood sexual and physical abuse with adulthood disability / Louis Jacob in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
[article]
Titre : The relationship of childhood sexual and physical abuse with adulthood disability Type de document : texte imprimé Auteurs : Louis Jacob ; Philippe Thoumie ; Josep Maria Haro ; Ai Koyanagi Année de publication : 2020 Article en page(s) : p. 332-339 Note générale : doi.org/10.1016/j.rehab.2019.06.005 Langues : Anglais (eng) Mots-clés : Childhood abuse Adulthood disability Risk factor Nationally representative survey England Résumé : Objective
The aim of this study was to examine the association of childhood sexual and physical abuse with disability in adulthood, and to assess how several demographic, physical, behavioral, psychosocial, and psychiatric factors may influence this association.
Methods
This study used nationally representative cross-sectional data from 7403 people aged ≥ 16 years who participated in the 2007 Adult Psychiatric Morbidity Survey. Information on childhood sexual talk, sexual touching, sexual intercourse, and physical abuse occurring before the age of 16, and disability in activities of daily living and instrumental activities of daily living in adulthood were collected. Multivariable logistic regression analyses were conducted.
Results
After adjusting for age, sex, and ethnicity, we found a positive association between different types of childhood abuse and adulthood disability: sexual talk (OR 1.54; 95% CI 1.27–1.85); sexual touching (OR 1.82; 95% CI 1.49–2.22); sexual intercourse (OR 2.58; 95% CI 1.75–3.81); physical abuse (OR 2.84; 95% CI 2.20–3.68). Increasing number of types of childhood abuse was associated with increased odds of adulthood disability. The odds of adulthood disability was increased for individuals who experienced all types of childhood abuse versus no childhood abuse (OR 3.59; 95% CI 1.64–7.84). Finally, the association between any childhood abuse and adulthood disability was largely explained by anxiety disorder, number of chronic physical conditions, and loneliness.
Conclusions
Childhood abuse is positively associated with adulthood disability in England. Future longitudinal studies are warranted to understand the potentially complex interplay of factors that may increase risk for disability in individuals who experienced childhood abuse.Permalink : ./index.php?lvl=notice_display&id=90879
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 332-339[article] The relationship of childhood sexual and physical abuse with adulthood disability [texte imprimé] / Louis Jacob ; Philippe Thoumie ; Josep Maria Haro ; Ai Koyanagi . - 2020 . - p. 332-339.
doi.org/10.1016/j.rehab.2019.06.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 332-339
Mots-clés : Childhood abuse Adulthood disability Risk factor Nationally representative survey England Résumé : Objective
The aim of this study was to examine the association of childhood sexual and physical abuse with disability in adulthood, and to assess how several demographic, physical, behavioral, psychosocial, and psychiatric factors may influence this association.
Methods
This study used nationally representative cross-sectional data from 7403 people aged ≥ 16 years who participated in the 2007 Adult Psychiatric Morbidity Survey. Information on childhood sexual talk, sexual touching, sexual intercourse, and physical abuse occurring before the age of 16, and disability in activities of daily living and instrumental activities of daily living in adulthood were collected. Multivariable logistic regression analyses were conducted.
Results
After adjusting for age, sex, and ethnicity, we found a positive association between different types of childhood abuse and adulthood disability: sexual talk (OR 1.54; 95% CI 1.27–1.85); sexual touching (OR 1.82; 95% CI 1.49–2.22); sexual intercourse (OR 2.58; 95% CI 1.75–3.81); physical abuse (OR 2.84; 95% CI 2.20–3.68). Increasing number of types of childhood abuse was associated with increased odds of adulthood disability. The odds of adulthood disability was increased for individuals who experienced all types of childhood abuse versus no childhood abuse (OR 3.59; 95% CI 1.64–7.84). Finally, the association between any childhood abuse and adulthood disability was largely explained by anxiety disorder, number of chronic physical conditions, and loneliness.
Conclusions
Childhood abuse is positively associated with adulthood disability in England. Future longitudinal studies are warranted to understand the potentially complex interplay of factors that may increase risk for disability in individuals who experienced childhood abuse.Permalink : ./index.php?lvl=notice_display&id=90879 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt