Publication details

Dekubity u pa­cientů spinální ambulance celoživotní péče FN Brno 2013-2016

Title in English Pres­sure ulcers in outpatients of the Spinal Unit of University Hospital Brno 2013-2016


Year of publication 2018
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Keywords spinal unit; spinal injury; pressure ulcer; ASIA score
Description Aim: The aim is to analyse a group of 273 patients of the Spinal Unit of University Hospital Brno during 2013-2016 period with regard to analyse pressure ulcers appearance. Patients and methods: A total of 273 patients were completely clinically evaluated including American Spinal Injury Association score (ASIA). A subgroup of patients with pressure ulcers (PUs) was earmarked and evaluated their localization and degree of PUs and solution. Results: A group of 273 patients consisted of 230 (84.5%) men and 43 (15.5%) women. Average age was 46.7 years for men and 46.5 years for women. ASIA Impairment Scale (AIS) A was found in 114 (41.8%) patients, AIS B in 28 (10.3%), AIS C in 58 (21.2%) and AIS D in 73 (26.7%) patients. The neurologic level of injury in cervical area was verified in 130 (47.6%) patients, thoracic 120 (44%) and lumbar 23 (8.4%) patients. In the baseline group of 273 patients 26 (9.5%) patients with 33 PUs were found. 21 (7,7%) patients AIS A and 5 (1.8%) patients AIS B were in a subgroup with PUs. Most of patients 17 (6.2%) had neurologic level of injury in thoracic spine, 8 (2.9%) in cervical spine. The most PUs 13 (39.3%) were under ischial tuber and in sacrum 7 (21.2%). The most frequent 23 (69.5%) were PUs of II. degree, the most serious PUs IV. degree were 6 (18.3%) and III. degree was present in 4 (12.2%) PUs. A total of 11 (33.3%) PUs were then solved surgically. Conclusion: The highest risk for PUs in our group of 273 patients had seriously disabled patients AIS A, paraplegics with intensive activity in wheelchair. The most frequent was PU under ischial tuber.