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Pressure Injury Data Reconciliation in a Randomized Controlled Trial.

Jeanine Blanchard¹, Cheryl Vigen¹, Trudy Mallinson¹

¹Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA.

Archives of Physical Medicine and Rehabilitation

|April 30, 2023

Summary

Medical record review is the most effective method for tracking pressure injuries in spinal cord injury patients. Careful data reconciliation is crucial when using multiple information sources for accurate wound care research.

Keywords:

Pressure injury Pressure ulcer Rehabilitation Research design Spinal cord injuries

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Area of Science:

Clinical research
Wound care
Spinal cord injury (SCI) research

Background:

Pressure injuries (PrIs) are a significant concern for individuals with spinal cord injury (SCI).
Effective prevention and wound care strategies require accurate data collection.
Previous research has focused on intervention effectiveness, with less emphasis on data ascertainment methods.

Purpose of the Study:

To advance pressure injury (PrI) research in individuals with spinal cord injury (SCI).
To describe lessons learned and recommendations for future research in PrI prevention and wound care.
To detail procedures for collecting and reconciling PrI data and identify discrepancies.

Main Methods:

Secondary analysis of data from a randomized controlled trial (2009-2014).
Inclusion of 232 participants with SCI and a history of medically serious PrIs (MSPrIs).
Comparison of data from phone interviews, skin checks, and medical records (MRs) for PrI detection.

Main Results:

The majority (62%) of MSPrIs occurred in the pelvic region.
Medical records (MRs) were the most sensitive data source, detecting 82% of MSPrIs.
Scheduled skin checks were the second-most sensitive, identifying 37% of MSPrIs.

Conclusions:

Medical record review is the preferred method for ascertaining MSPrIs in clinical trials.
Accurate reconciliation of reports from multiple data sources is essential for reliable research findings.
Improved data collection methods can enhance PrI prevention and wound care for SCI populations.