Volume 2 Supplement 1

49th Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida

Open Access

Pressure sores in adult spina bifida (SB) patients – a questionnaire based interview of the norwegian population

  • Pål Erik Plaum1Email author,
  • Eli Skattebu1,
  • Gunnar Riemer1,
  • Kathrine Frey Frøslie1 and
  • Svend Rand-Hendriksen1
Cerebrospinal Fluid Research20052(Suppl 1):S40

DOI: 10.1186/1743-8454-2-S1-S40

Published: 30 December 2005

Background

In a previous study we found that 35 % of the adult SB population in Norway have sores [1], corresponding with other studies [2]. In this study we focused on sores and risk factors, i.e. sensory, motor, autonomous and cognition deficits, associated neurological diagnoses and lifestyle factors.

Materials and methods

Of the 193 SB patients (112 women, 81 men) registered in august 2003 at TRS, 87 (57 w, 30 m) completed a questionnaire. Associations between sores and risk factors were analysed by Pearson Chi-Square tests. Patients were categorised in three groups: (a) sores at the time of interview, (b) sores in the last five years and (c) without sores. A p value less than 0.05 was considered significant.

Results

In group (a) there were 26 patients (30 %), in (b) 45 (52%) and (c) 16 (18 %). In group (a) 10 had several sores. 12 sores were localised on toes, 10 on feet and 8 on buttocks. Other localisation was seldom. Sores were associated with sensory deficit (p = 0,04). Regions with normal sensibility had no sores, with reduced or missing sensibility 7 and 19, respectively. Memory deficit was the only cognition deficit associated with sores (p = 0.02). Among 44 patients, 16 were in group (a), 25 in (b), and 3 in (c). 14 patients with both tethered cord and operated Arnold Chiari malformation had higher risk for sores (8 in group (a), 6 in (b)) than patients with none or one of these diagnoses (p = 0.02). Hydrocephalus and syringomyelia were not associated with sores. Nutrition, BMI, smoking, training, job and living together were not associated with sores. Only 20 (23%) were inspected by others.

Conclusion

Totally, 82 % of SB patients reported sores at time of interview or during the last 5 years. Occurrence of sores was associated with sensory function, memory deficits and with a combination of tethered cord and Arnold Chiari malformation. Surprisingly, few patients reported skin inspection by others.

Authors’ Affiliations

(1)
TRS Hospital

References

  1. Lande A, Rand-Hendriksen S: Pressure sores and Wounds in the Adult Spina Bifida Population. Eur J Pediatr. 1998, Surg 8 (Suppl I): 74.Google Scholar
  2. Diaz Llopis I, Bea Munoz M, Martinez Agullo E, Lopez Martinez A, Garcia Aymerich V, Forner Valero JV: Ambulation in patients with myelomeningocele: a study of 1500 patients. Paraplegia. 1993, 31 (1): 28-32.View ArticlePubMedGoogle Scholar

Copyright

© The Author(s) 2005

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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