Type de Publication Article
    Titre Risk of pressure ulcers in tetraplegic people: a French survey crossing regional experience with a long-term follow-up
    Auteurs Le Fort M. | Espagnacq M. | Albert T. | Lefèvre C. | Perrouin-Verbe B. | Ravaud J-F.
    Revue European journal of public health
    Titre periodique abbreviation Eur J Public Health
    Résumé BackgroundPressure ulcer risk assessment provides an indicator of quality of care in French health establishments. The reliability and validity of assessment tools have been shown to be lower for people with spinal cord injury (SCI). We hypothesized that skin complications would be less frequent in people with traumatic SCI and tetraplegia (TSCIt), who were initially managed in French regions with a high level of specialized SCI rehabilitation experience.MethodsFirst, we used the most recent French territorial survey about SCI to determine a ‘Level of Regional Experience (LRE) in Specialized Physical Medicine and Rehabilitation’. We then studied the individual variables reported in the Tetrafigap survey (which compiled a cohort of TSCIts people to assess their trajectory and life conditions following their return to community life by questionnaires) using univariate analysis according to these LREs (chi2 test using a significance threshold of P < 0.05). Finally, we performed a series of logistic regressions to determine the link between LREs and pressure ulcers.ResultsManagement in high-LRE regions was linked with a lower declaration of pressure ulcers during early treatment and in the long term (on average, 8 years post-trauma).ConclusionsUsing pressure ulcers as a marker, our study showed the protective element of regional experience in the early management of TSCIts patients. A dilution effect between SCI specialized units and more polyvalent physical medicine and rehabilitation departments should be prevented within each region within the scope of a regional organization that would link referral centres and local health care networks.
    Pages 993-999
    Volume 28
    Numéro 6
    Année 2018
    Url http://dx.doi.org/10.1093/eurpub/cky084
    Electronic resource num 10.1093/eurpub/cky084
    ISBN 1101-1262

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