Kammuang-lue, Pratchayapon and Pattanakuhar, Sintip and Engkasan, Julia Patrick and Wahyuni, Luh K. and Fauzi, Aishah Ahmad and Chotiyarnwong, Chayaporn and Kovindha, Apichana (2024) Association between health service systems and pressure injury problems of individuals with chronic spinal cord injury in Malaysia, Indonesia, and Thailand: A cross-sectional study. American Journal of Physical Medicine & Rehabilitation, 103 (10). pp. 867-874. ISSN 0894-9115, DOI https://doi.org/10.1097/PHM.0000000000002437.
Full text not available from this repository.Abstract
ObjectiveThe aim of the study is to determine whether a health service system is an independent influencing factor of having pressure injury problems in individuals with chronic spinal cord injury living in three countriesDesignThis is a cross-sectional study.MethodsData from the International Spinal Cord Injury Community Survey were analyzed. The pressure injury problems were assessed using the Spinal Cord Injury Secondary Condition Scales (dichotomized to ``having problem'' and ``not having problem''). Health service systems were categorized as an inpatient-oriented spinal cord injury-specialized system and a primary care-oriented system. A directed acyclic graph was applied to create a multivariable logistic regression model to determine the independent influencing factors of pressure injury problems.ResultsOf 790 included participants, 277 (35%) had pressure injury problems. Being recruited from countries with inpatient-oriented spinal cord injury-specialized systems (model 1) and visiting rehabilitation medicine/spinal cord injury physicians at least once a year (model 2) is an independent negative correlating factor of pressure injury problems (odds ratio = 0.569 95% confidence interval = 0.374-0.866] and 0.591 95% confidence interval = 0.405-0.864], respectively).ConclusionsSpinal cord injury-specialized health service systems might be a protective factor of pressure injury problems in middle-income country contexts. This result suggests the importance of having spinal cord injury-specialized services in middle-income countries to reduce the prevalence of pressure injury problems.To Claim CME CreditsComplete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCMECME ObjectivesUpon completion of this article, the reader should be able to: (1) Identify the best strategy for managing pressure injury problems in people with spinal cord injury. (2) Describe common methods for determining health service utilization and evaluating secondary health conditions in people with spinal cord injury. (3) Discuss the advantage of having a SCI-specialized rehabilitation system in middleincome countries as a protective factor from having pressure injury problems.LevelAdvancedAccreditationThe Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim credit commensurate with the extent of their participation in the activity.AccreditationThe Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim credit commensurate with the extent of their participation in the activity.
| Item Type: | Article |
|---|---|
| Funders: | Maharaj Nakorn Chiang Mai Hospital, Hospital Raja Permaisuri Bainun, Ratchaburi Hospital, Fatmawati Hospital, Hospital Umum Sarawak, Thai Rehabilitation Medicine Association, Faculty of Medicine Siriraj Hospital, Mahidol University, Cipto Mangunkusumo Hospital, Sirindhorn National Rehabilitation Institute in Thailand, Pusat Perubatan Universiti Malaya [Grant no. 101:2227-32] |
| Uncontrolled Keywords: | Spinal cord injury; InSCI; Pressure injury; Health service systems; Prevalence |
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine > Rehabilitation Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 27 Oct 2025 03:37 |
| Last Modified: | 27 Oct 2025 03:37 |
| URI: | http://eprints.um.edu.my/id/eprint/46415 |
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