Analyses of pressure ulcer incidence in inpatient setting in a Portuguese hospital

Sardo, Pedro Miguel Garcez; Simões, Cláudia; Alvarelhão, José; Simões, João Filipe Fernandes Lindo; Machado, Paulo; Amado, Francisco; A, Amaro Cendón; Melo, Elsa Maria Oliveira Pinheiro de

doi:10.1016/j.jtv.2016.08.003

Cited by 29 publications

(27 citation statements)

References 42 publications

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“…Almost half of these were Stage 1, and more than one‐third were Stage 2. It has previously been noted that there may be a lack of identification and documentation of PIs, especially at Stage 1 . The higher percentage of Stage 1 PIs in the present study may indicate, to some extent, timely assessments and early detection of changes in skin status.…”

Section: Discussionmentioning

confidence: 46%

“…It has previously been noted that there may be a lack of identification and documentation of PIs, especially at Stage 1. 2 The higher percentage of Stage 1 PIs in the present study may indicate, to some extent, timely assessments and early detection of changes in skin status. Our findings contrasted with the conclusion of several previous studies that Stages 2 and 3 are the most common PI stages.…”

Section: Pi Stage and Locationmentioning

confidence: 53%

“…The prevalence and incidence found in the present study was lower than those reported in the literature. This difference may be related to significant variations in PI prevention practices across settings, and the methodologies used to collect prevalence data, which makes it impossible to compare PI prevalence . Finally, strong research evidence reported that repositioning is an effective preventive measure for PI .…”

Section: Discussionmentioning

confidence: 99%

“…This difference may be related to significant variations in PI prevention practices across settings, and the methodologies used to collect prevalence data, which makes it impossible to compare PI prevalence. 2,29 Finally, strong research evidence reported that repositioning is an effective preventive measure for PI. 1 In this study, 89.9% of immobile inpatients received regular repositioning.…”

Section: Pi Period Prevalence and Cumulative Incidencementioning

confidence: 99%

“…Worldwide, studies conducted in recent years have shown that pressure injuries (PIs) occur frequently, with the prevalence of PIs varying from 1.58% to 16.6% among inpatients in different countries . PIs are a serious global health concern that can increase mortality, prolong hospital stay, reduce patients' quality of life, increase workload for nurses, and increase health care cost .…”

Section: Introductionmentioning

confidence: 99%

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The prevalence, incidence, and associated factors of pressure injuries among immobile inpatients: A multicentre, cross‐sectional, exploratory descriptive study in China

Liu

et al. 2019

International Wound Journal

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The aim of this study was to assess the prevalence, incidence, and the associated factors of pressure injuries (PIs) among immobile hospitalised patients in China. Being immobile during hospitalisation put these patients at a higher risk of PIs. There is little literature about pressure injury (PI) prevalence or PI incidence in immobile hospitalised patients in hospitals in China. This was a multicentre, cross‐sectional, exploratory descriptive study. A total of 23 985 immobile patients were recruited from 25 general hospitals in six provinces of China from November 1, 2015 to March 18, 2016. Information was collected on demographic characteristics, physical assessment information, and treatment and nursing care measures. The PI period prevalence was 3.38%, and the PI cumulative incidence was 1.23%. Most PIs (84.03%) were Stage 1 or Stage 2. A total of 48.22% of PIs occurred in the sacrum or heel region. In the multivariate analysis, the following factors were associated with higher PI prevalence: age, gender, length of immobility, type of hospital, modified Braden Scale score, urinary incontinence, faecal incontinence, low serum albumin, the usage of fixation or restraint devices, and patient's discharge diagnosis (lower limb fracture, malnutrition, and spinal cord injury). PI prevalence for immobile hospitalised patients in the study was lower than those reported in literature. However, because of the large population in China, the number of patients who suffer with PIs can be very high. The relating factors of higher PI prevalence identified in this study were consistent with current literature. Patients with a higher number of these associated factors should be monitored more closely, and preventative measures should be taken to prevent PI occurrence in high‐risk populations.

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Section: Discussionmentioning

confidence: 46%

Section: Pi Stage and Locationmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Pi Period Prevalence and Cumulative Incidencementioning

confidence: 99%