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Titre : | Early Detection of Pressure Ulcer Development Following Traumatic Spinal Cord Injury Using Inflammatory Mediators (2016) |
Auteurs : | Shilpa Krishnan ; Patricia E. Karg ; Michael L. Boninger |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/10, 2016) |
Article en page(s) : | pp. 16561662 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Diagnostic précoce ; Escarre ; Facteurs de risque ; Marqueurs biologiques ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Biomarkers ; Early diagnosis ; Pressure ulcer ; Risk factors ; Spinal cord injuries |
Résumé : |
Objective To identify changes in concentrations of inflammatory mediators in plasma and urine after traumatic spinal cord injury (SCI) and before the occurrence of a first pressure ulcer. Design Retrospective; secondary analysis of existing data. Setting Acute hospitalization and inpatient rehabilitation sites at a university medical center. Participants Individuals with a pressure ulcer and plasma samples (n=17) and individuals with a pressure ulcer and urine samples (n=15) were matched by age and plasma/urine sample days to individuals with SCI and no pressure ulcer (N=35). Interventions Not applicable. Main Outcome Measures Plasma and urine samples were assayed in patients with SCI, capturing samples within 4 days after the SCI to a week before the formation of the first pressure ulcer. The Wilcoxon signed-rank test was performed to identify changes in the inflammatory mediators between the 2 time points. Results An increase in concentration of the chemokine interferon-γinduced protein of 10kd/CXCL10 in plasma (P<.01 and a decrease in concentration of the cytokine interferon- urine were observed before occurrence first pressure ulcer compared with matched controls.> Conclusions Altered levels of inflammatory mediators in plasma and urine may be associated with pressure ulcer development after traumatic SCI. These inflammatory mediators should be explored as possible biomarkers for identifying individuals at risk for pressure ulcer formation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931600037X |