title: Lifestyle risk factors for pressure ulcers in community-based patients with spinal cord injuries in Japan.
abstract: METHODS
  Case-control study.
  
  
  OBJECTIVE
  To identify daily living-related risk factors for pressure ulcer (PU) occurrence in community-living patients with spinal cord injury (SCI). To determine whether seat pressure influences PU occurrence, and how often patients with SCI perform pressure relief activities while living in the community.
  
  
  METHODS
  Kanagawa Rehabilitation Hospital, Kanagawa, Japan.
  
  
  METHODS
  Thirty-one patients admitted to this hospital for PU treatment were included in the case (PU) group. Thirty outpatients who did not have PUs at the time of the study, and had lived without PUs for at least a year, were included in the control (No PU) group. Patients were interviewed about lifestyle-related PU risk factors and a pressure-mapping system was used to measure interface pressure (IP) on their wheelchair seat. The No PU group patients recorded their daily activities and pressure relief maneuvers for 1 week.
  
  
  RESULTS
  Eight lifestyle factors and one risk assessment scale significantly differed between groups. Three factors showed significant odds ratios by logistic regression. IP did not significantly differ between groups. The self-counted number of pressure relief maneuvers (median (25th-75th percentile)) performed per hour in the No PU group was 2.5 (0.7-4.3) and including transfer and urination was 3.5 (2.0-5.3).
  
  
  CONCLUSIONS
  We identified potential PU risk factors related to lifestyle. The scores of one risk assessment scale were also associated with PU risk. Our results did not suggest an IP damage threshold. Patients in the No PU group performed pressure relief maneuvers, including related activities, approximately once every 17 min.
authors: 1] Department of Physical Therapy, Kanagawa Rehabilitation Hospital, Atsugi, Japan [2] Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Arakawa, Japan.
authors: T
authors: T
authors: Morita
authors: Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Arakawa, Japan.
authors: T
authors: T
authors: Yamada
authors: Department of Orthopedics, Kanagawa Rehabilitation Hospital, Atsugi, Japan.
authors: T
authors: T
authors: Watanabe
authors: Department of Nursing, Kanagawa Rehabilitation Hospital, Atsugi, Japan.
authors: E
authors: E
authors: Nagahori
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002648:Child; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011312:Pressure; D003668:Pressure Ulcer / Q000453:epidemiology* / Q000209:etiology* / Q000503:physiopathology; D012047:Rehabilitation Centers; D012307:Risk Factors; D013119:Spinal Cord Injuries / Q000150:complications* / Q000453:epidemiology* / Q000503:physiopathology; D011795:Surveys and Questionnaires; D014910:Wheelchairs / Q000009:adverse effects; D055815:Young Adult