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Guest Editorial: Pressure ulcer management and research priorities for patients with spinal cord injury: Consensus opinion from SCI QUERI Expert Panel on Pressure Ulcer Research Implementation

Author(s): M. Kristi Henzel, MD, PhD | Kath M. Bogie, DPhil | Marylou Guihan, PhD | Chester H. Ho, MD

Journal: Journal of Rehabilitation Research and Development
ISSN 0748-7711

Volume: 48;
Issue: 3;
Start page: XI;
Date: 2011;
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Keywords: pressure ulcer | ulcer prevention | clinical practice guidelines | spinal cord injury | rehabilitation

Pressure ulcers (PUs) are a serious and costly complication for many individuals with reduced mobility and sensation. Some populations, such as those with spinal cord injury and disease (SCI/D), remain at high risk throughout their lifetimes. Clinical observations and research have demonstrated staggering costs and human suffering because of PUs, including profound negative effect on general physical health, socialization, financial status, body image, and level of independence and control [1-2]. The International Pressure Ulcer Prevalence Study from 2006 to 2009 demonstrated a change in PU prevalence in the U.S. healthcare facility population. Overall, PU prevalence was slightly lower in 2009 than in 2006, but prevalence of suspected deep-tissue injuries (DTIs) increased during the same period [3]. Further investigation into the cause of these changes is warranted. DTI diagnosis frequency may have been affected by the addition of suspected DTI to the revised National Pressure Ulcer Advisory Panel (NPUAP) staging definitions in 2007 and rule changes for Centers for Medicare and Medicaid reimbursement.
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