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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(1):122-127.
Epidemiologic Study on Clinical Features of Patient with Pressure Ulcer - A Prospective Study.
Cho, Kang Hee , Jun, Kyung Jin , Bok, Soo Kyung , Hong, Jun Hyung , Lee, Ho , Park, Noh Kyoung , Choe, Hyun Seok
1Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Korea. doctorjun@paran.com
2Department of Rehabilitation Medicine, Konyang University College of Medicine, Korea.
3Department of Rehabilitation Medicine, Eulji University College of Medicine, Korea.
4Department of Rehabilitation Medicine, Daejeon Sun General Hospital, Korea.
욕창의 발생과 임상상에 대한 역학조사 - 전향적 연구
조강희, 전경진, 복수경1, 홍준형1, 이호2, 박노경3, 최현석3
충남대학교 의과대학 재활의학교실, 1건양대학교 의과대학 재활의학교실, 2을지대학교 의과대학 재활의학교실, 3대전 선병원 재활의학과
Abstract
Objective
To investigate the characteristics, predictors, and consequences of pressure ulcers and to provide prospective epidemiologic data.
Method
The prospective data of 100 patients with pressure ulcers were collected who were admitted to the department of rehabilitation medicine of 4 hospitals from 2002 June to 2003 September. We have collected the informations on clinical features of pressure ulcer prospectively.
Results
Quadriplegia/Tetraplegia was the most commonly involved type of injury, followed by hemiplegia, paraplegia. Most patients developed pressure ulcer before they were transferred to the rehabilitation unit. The average Braden scale scores was 13.06⁑3.46 and were 16 point or below in 80% of patients, and this point was considered as the cut-off score of the patients with high risk. Sacrum was the most common site of the ulcers and most ulcers were 2nd and 3rd stage. The ulcers were treated with conservative (82%) or surgical management (18%). The more severe and larger ulcers required the surgical management.
Conclusion
The results of this prospective study on clinical features would be helpful for the understandings, prevention and management of pressure ulcers. (J Korean Acad Rehab Med 2005; 29: 122-127)
Key Words: Pressure ulcer, Decubitus ulcer, Bedsore, Epidemiology


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