Prevalence of pressure ulcers among the elderly living in long-stay institutions in São Paulo

Chacon, Julieta Maria Ferreira; Blanes, Leila; Hochman, Bernardo; Ferreira, Lydia Masako

doi:10.1590/s1516-31802009000400006

Cited by 35 publications

(33 citation statements)

References 16 publications

(38 reference statements)

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“…In our study, the age of patients with pressure ulcers was found to be statistically significantly higher than those without it. This finding is consistent with the literature, and the decrease in skin turgor along with aging and the changes in the structure of collagen increase the risk of pressure ulcer development (15,(30)(31)(32)(33)(34). However, age is not evaluated in BRDs for pressure ulcers.…”

Section: Discussionsupporting

confidence: 88%

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Gül¹,

Köprülü²,

Haspolat³

et al. 2016

JAREM

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Objective: To prevent pressure ulcer, detecting risk factors and planning how to act with respect to patients provide to find solution. Thus, Braden Scale is the most common tool that is used in Turkey. This study aimed to measure Braden Scale effectiveness at detecting the risk groups of level 3 intensive care unit patients.Methods: This prospective, single-center study includes 206 level 3 intensive care unit patients whose risk factors were standardized as much as possible in the intensive care unit between January 2014 and May 2015. Routine clinical care was applied to the patients whose risk groups were determined by Braden Scale, and the patients were divided into two groups depending on the presence of a pressure ulcer before discharging from the hospital. Demographic findings, hospitalization duration, mental status, Apache II score, expected/actual mortality, blood albumin levels, and Braden Scale score were compared. Results:Comparison of the groups showed that patients' age, length of stay in intensive care unit, mental status, and blood albumin levels are significantly different between patients with and without pressure ulcers. Furthermore, scores of patients with pressure ulcers were not significantly different from those of patients without pressure ulcers. Data also illustrated that pressure ulcers occurred in no risk patients with the ratio of 7.14%; in low-risk patients with the ratio of 27.8%; in moderate-risk patients with the ratio of 29.73%; in high-risk patients with the ratio of 17.72%.Conclusion: Data evaluation demonstrates that Braden Scale is not effective to detect the risk factors, and parameters related to pressure ulcer development are not sufficiently represented by Braden Scale. Modification of an existing scale or a new risk assessment scale that includes all other risk parameters and that is more suitable for the patients of our country is required. (JAREM 2016; 6: 98-104)

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Section: Discussionsupporting

confidence: 88%

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Gül¹,

Köprülü²,

Haspolat³

et al. 2016

JAREM

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“…(12,13) The material under study -transparent polyurethane film -was not applied to the sacral region, due to the fact that this region is a singular site and therefore it would be impossible to analyze it simultaneously in the same patient during the period intended for this study. The transparent polyurethane film was not applied on other skin sites mentioned in the literature as likely to develop pressure ulcer due to the fact that we did not want to expose a very large body area of the patient to the application of the material.…”

Section: Methodsmentioning

confidence: 99%

Prevenção de úlceras por pressão no calcanhar com filme transparente de poliuretano

et al. 2013

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Objective: Evaluate the effectiveness of transparent polyurethane film in prevention of pressure ulcer of the calcaneus. Methods: A sample of 100 patients enrolled in a non-randomized controlled trialreceived a paired analysis of both calcaneus areas; each received the experimental intervention on the left heel and the control intervention on the right heel (clinical guideline only), constituting a total of 200 heel sites for analysis. Results: The incidence of pressure ulcers was 32%, with 6% occurring in the experimental intervention, 18% in the control intervention, and 8% bilaterally, with significant incidence in the first 15 days of hospitalization. The length of time without pressure ulcers occurrence with the experimental intervention was 19.2 days, with a 95% confidence interval. Conclusion: It was concluded that the transparent polyurethane film associated with the pressure ulcers clinical guideline was effective in the prevention of heel pressure ulcer. ResumoObjetivo: Avaliar a efetividade do filme transparente de poliuretano na prevenção de úlceras por pressão no calcâneo. Métodos: Uma amostra de 100 pacientes inscritos em um ensaio controlado não-randomizado recebeu uma análise pareada de ambas as áreas do calcâneo; cada um deles recebeu a intervenção experimental (filme transparente poliuretano) no calcanhar esquerdo e a intervenção controle no calcanhar direito (somente diretrizes clínicas), constituindo um total de 200 áreas de calcanhar para análise. Resultados: A incidência de úlceras por pressão foi de 32%, com 6% ocorrendo na intervenção experimental, 18% na intervenção de controle e 8% bilateralmente, com incidência significante nos primeiros 15 dias de hospitalização. A duração de tempo sem ocorrências de úlceras por pressão na intervenção experimental foi de 19,2 dias, com um intervalo de confiança de 95%. Conclusão: Foi concluído que o filme transparente de poliuretano associado às diretrizes clínicas das úlceras por pressão foi efetivo na prevenção da úlcera por pressão no calcanhar.Clinical Trials Registry: REQ: 284

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“…At this juncture, a study of prevalence of cross-sectional, conducted with 365 institutionalized elderly people in São Paulo, found that there were not significant differences in demographic and clinical characteristics of elderly patients with pressure ulcers for each month of data collection [18].…”

Section: Discussionmentioning

confidence: 95%

Pressure Ulcers in Institutionalized Elderly People: Association of Sociodemographic and Clinical Characteristics and Risk Factors

Matos¹,

Diniz²,

Lucena³

et al. 2017

OJN

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Objective: To evaluate the association of socio-demographic and clinical characteristics, and risk factors with occurrence of pressure ulcers in institutionalized elderly people. Method: This cross-sectional, analytical study, in quantitative approach, performed from the database analysis linked to the project "Pressure Ulcer in institutionalized elderly people: Association of incidence with the risk factors to functional and nutritional assessment" developed in six long-stay institutions for the elderly people in João Pessoa. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 20.0. Associations were made through chi square test and Odds Ratio. Results: The clinical conditions of significant associations with the occurrence of pressure ulcers were the variables neurological disorders (p = 0.011) and visual impairment (p = 0.005). As for risk factors, the most important was fecal incontinence (p < 0.001), urinary incontinence (p < 0.001), cognitive impairment (p = 0.007) and physical limitation (p < 0.001). The chance for the occurrence of injury was nine times higher for elderly people with physical limitations and about three times higher among those who use diapers. Conclusion: The analysis of the associations pointed out problems that require intervention in order to prevent health implications of the elderly people and to minimize the risk and occurrence of this injury.

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Prevalence of pressure ulcers among the elderly living in long-stay institutions in São Paulo

Cited by 35 publications

References 16 publications

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Prevenção de úlceras por pressão no calcanhar com filme transparente de poliuretano

Pressure Ulcers in Institutionalized Elderly People: Association of Sociodemographic and Clinical Characteristics and Risk Factors

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