A preliminary discriminant function analysis of elderly orthopaedic patients who will or will not contract a pressure sore

Goldstone, Leonard A.; Roberts, Bronwyn V.

doi:10.1016/0020-7489(80)90004-8

Cited by 19 publications

(6 citation statements)

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“…However, whether incontinence is an independent predictor for pressure sore development remains unclear. While one study demonstrated a fivefold increase in the incidence of pressure sores among incontinent patients, 24 another study found that incontinence failed to add any discriminatory information above that contained in measures of patient mobility and activity 25 . Allman et al 1 could demonstrate no association between urinary incontinence and pressure sores at an acute care hospital.…”

Section: Discussionmentioning

confidence: 98%

Risk Factors for Pressure Sores

Berlowitz

Wilking

1989

J American Geriatrics Society

249

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The purpose of this study was to identify prospectively risk factors for pressure sores and to compare these results with a cross-sectional analysis in the same population. Medical records on all admissions to a chronic care hospital over a 13-month period were reviewed. Data on potential risk factors were abstracted from the initial history, physical examination, nursing assessment, and laboratory studies. Pressure sore status on admission and at three weeks was determined from a standardized from completed on all patients with a score. The cross-sectional analysis was performed by comparing patients with and without a pressure sore at the time of admission. The cohort analysis used patients initially without a pressure sore and monitored for a new sore at three weeks. Factors associated with pressure sores on univariate testing were entered into a stepwise logistic regression model. One hundred of the 301 admissions presented with a pressure sore. Factors significantly associated with the presence of a sore were altered level of consciousness (OR = 4.1), bed- or chair-bound (OR = 2.4), impaired nutritional intake (OR = 1.9), and hypoalbuminemia (OR = 1.8 for 10 mg/mL decrease). Of the 185 patients without a pressure sore, 20 (10.8%) developed a sore. Factors significantly associated with the development of a new pressure sore were a history of cerebrovascular accident (OR = 5.0), bed- or chair-bound (OR = 3.8), and impaired nutritional intake (OR = 2.8). Neither urinary nor fecal incontinence, nor the presence of hypoalbuminemia, was associated with sore development. We have prospectively identified risk factors for pressure sores.(ABSTRACT TRUNCATED AT 250 WORDS)

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Section: Discussionmentioning

confidence: 98%

Risk Factors for Pressure Sores

Berlowitz

Wilking

1989

J American Geriatrics Society

249

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“…Several attempts have been made to develop tools that assess or predict PS risk 3 – 10 . Only the Norton Scale 6 , 11 , 12 and the Braden Scale 10 , 13 , 14 have undergone testing for reliability and/or validity in more than one study, and both were recommended by the Agency for Health Care Policy and Research for predicting pressure sore risk 15 . These instruments quantify a number of risk factors using rating scales whose summative scores serve as the basis for risk prediction.…”

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confidence: 99%

A Prospective Study of Pressure Sore Risk among Institutionalized Elderly

Bergstrom

Braden²

1992

J American Geriatrics Society

347

190

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“…These scales quantify a range of risk factors by using ratings whose summative scores are the basis for risk of pressure sores 36 37 38 39 40 41. Predictions are based on mobility, activity, level of consciousness or sensory perception, incontinence, nutrition, friction, and shear.…”

Section: Risk Scalesmentioning

confidence: 99%