Physician VA North Texas HCS, UT Southwestern Medical Center, United States
Investigate predictors of wound outcomes at 1 year of discharge of Veterans with spinal cord injury (SCI) hospitalized with one stage 3 or 4 pelvic pressure injury (PI). Veterans with SCI admitted with one stage 3 or 4 pelvic PI. A logistic model was built to select the significant predictors of wound healing outcomes. A total of 62 hospitalizations were included for analyses: 33 healed, and 29 non-healed wounds. The five wound outcome predictors are the depth of the wound, and clinical decision-making factors regarding seating and wound treatments. Pressure mapping protocol correlated with other variables that could not serve as a predictor by themselves including higher neurological level of injury and lack of manual pressure relief techniques. The clinical decision having a patient pressure mapped predicts that the wound may not heal at one year of discharge. The three wound treatment product predictors may represent characteristics of the wound.
Identify predictors of wound healing outcomes for stage three or four pressure injuries in spinal cord injury using a logistic model.
Discuss how predictors of wound outcomes impacts clinical decision making and health care utilization for spinal cord injury patients hospitalized with pressure injuries.
Evaluate and interpret logistic model output and discuss how this information can be applied to improve health care utilization and clinical decision-making.
Recognize the value and importance of three measurement concepts: wound characteristics, wound treatment, and clinical decision-making factors.