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Pressure injuries are common in children with myelomeningocele : Results from a follow-up programme and register

Stockman, Jessica LU orcid ; Westbom, Lena LU and Alriksson-Schmidt, Ann I LU (2022) In Acta Pædiatrica 111(8). p.1566-1572
Abstract

AIM: To investigate the occurrence of pressure injuries (PIs) in children with myelomeningocele (MMC) and to investigate the association between PIs and orthoses use by disability-specific variables.

METHODS: Population-based registry study including participants in the Swedish multidisciplinary follow-up programme for MMC. Risks of PIs were investigated by birth cohort, country of birth, sex, type of MMC, muscle function level (MFL), and continence status.

RESULTS: Of 180 participants, 29% had PIs recorded. Of the 132 participants with >1 assessment records, 17.4% reported multiple PI occasions. More assessments increased the likelihood of PIs (Odds Ratio [OR] = 1.33, 95% CI 1.15-1.54) and participants born 2015-2018 had... (More)

AIM: To investigate the occurrence of pressure injuries (PIs) in children with myelomeningocele (MMC) and to investigate the association between PIs and orthoses use by disability-specific variables.

METHODS: Population-based registry study including participants in the Swedish multidisciplinary follow-up programme for MMC. Risks of PIs were investigated by birth cohort, country of birth, sex, type of MMC, muscle function level (MFL), and continence status.

RESULTS: Of 180 participants, 29% had PIs recorded. Of the 132 participants with >1 assessment records, 17.4% reported multiple PI occasions. More assessments increased the likelihood of PIs (Odds Ratio [OR] = 1.33, 95% CI 1.15-1.54) and participants born 2015-2018 had a lower OR of PIs than those born 2007-2010 (OR = 0.08, 95% CI = 0.01-0.74). Those at MFL I had lower OR of PIs than those at MFL V (OR = 0.06, 95% CI 0.01-0.64). Of the 73 participants with orthoses on the lower extremities, 47% reported skin irritations/injuries in the last 4 weeks; 30% reported that it made them stop using orthoses.

CONCLUSION: Pressure injuries are common even in young children with MMC. Many have recurring skin irritations. Inspecting for PIs should be part of a daily routine and tools to increase compliance are needed.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Pædiatrica
volume
111
issue
8
pages
1566 - 1572
publisher
Wiley-Blackwell
external identifiers
  • pmid:35567518
  • scopus:85130745012
ISSN
1651-2227
DOI
10.1111/apa.16406
language
English
LU publication?
yes
additional info
© 2022 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
id
e49d211a-f9e0-4523-8f84-cc7b6d9be0df
date added to LUP
2022-06-27 14:33:06
date last changed
2024-08-06 20:21:45
@article{e49d211a-f9e0-4523-8f84-cc7b6d9be0df,
  abstract     = {{<p>AIM: To investigate the occurrence of pressure injuries (PIs) in children with myelomeningocele (MMC) and to investigate the association between PIs and orthoses use by disability-specific variables.</p><p>METHODS: Population-based registry study including participants in the Swedish multidisciplinary follow-up programme for MMC. Risks of PIs were investigated by birth cohort, country of birth, sex, type of MMC, muscle function level (MFL), and continence status.</p><p>RESULTS: Of 180 participants, 29% had PIs recorded. Of the 132 participants with &gt;1 assessment records, 17.4% reported multiple PI occasions. More assessments increased the likelihood of PIs (Odds Ratio [OR] = 1.33, 95% CI 1.15-1.54) and participants born 2015-2018 had a lower OR of PIs than those born 2007-2010 (OR = 0.08, 95% CI = 0.01-0.74). Those at MFL I had lower OR of PIs than those at MFL V (OR = 0.06, 95% CI 0.01-0.64). Of the 73 participants with orthoses on the lower extremities, 47% reported skin irritations/injuries in the last 4 weeks; 30% reported that it made them stop using orthoses.</p><p>CONCLUSION: Pressure injuries are common even in young children with MMC. Many have recurring skin irritations. Inspecting for PIs should be part of a daily routine and tools to increase compliance are needed.</p>}},
  author       = {{Stockman, Jessica and Westbom, Lena and Alriksson-Schmidt, Ann I}},
  issn         = {{1651-2227}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{8}},
  pages        = {{1566--1572}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Pædiatrica}},
  title        = {{Pressure injuries are common in children with myelomeningocele : Results from a follow-up programme and register}},
  url          = {{http://dx.doi.org/10.1111/apa.16406}},
  doi          = {{10.1111/apa.16406}},
  volume       = {{111}},
  year         = {{2022}},
}