Best Practice Recommendations for Prevention and Management of Skin Tears in Aged Skin

LeBlanc, Kimberly; Campbell, Karen E.; Wood, Eleanor; Beeckman, Dimitri

doi:10.1097/won.0000000000000481

Cited by 102 publications

(279 citation statements)

References 15 publications

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“…42 Several studies state dietetic consultation as a beneficial strategy for skin tear prevention and management in order to promote and monitor adequate nutrition and hydration. 8,25,28,36,43,44 This study further supports the role of nutrition in the prevention and management of skin tears. Findings also highlight a significant reduction in the point prevalence of malnutrition over the 6-year period; these findings are the subject of a separate manuscript for future publication.…”

Section: Discussionsupporting

confidence: 60%

“…Inadequate nutrition and hydration has been suggested as a modifiable intrinsic risk factor for skin tears in multiple studies . Demonstration of an independent relationship between malnutrition and skin tears may support clinical practice interventions.…”

Section: Introductionmentioning

confidence: 99%

“…30 Inadequate nutrition and hydration has been suggested as a modifiable intrinsic risk factor for skin tears in multiple studies. 25,35,36 Demonstration of an independent relationship between malnutrition and skin tears may support clinical practice interventions. These interventions may inform changes to reduce the prevalence and incidence of skin tears and improve the management of skin tears in the hospital setting.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Malnutrition is independently associated with skin tears in hospital inpatient setting—Findings of a 6‐year point prevalence audit

Munro

Hickling

Williams

et al. 2018

International Wound Journal

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Skin tears cause pain, increased length of stay, increased costs, and reduced quality of life. Minimal research reports the association between skin tears, and malnutrition using robust measures of nutritional status. This study aimed to articulate the association between malnutrition and skin tears in hospital inpatients using a yearly point prevalence of inpatients included in the Queensland Patient Safety Bedside Audit, malnutrition audits and skin tear audits conducted at a metropolitan tertiary hospital between 2010 and 2015. Patients were excluded if admitted to mental health wards or were <18 years. A total of 2197 inpatients were included, with a median age of 71 years. The overall prevalence of skin tears was 8.1%. Malnutrition prevalence was 33.5%. Univariate analysis demonstrated associations between age (P ˂ .001), body mass index (BMI) (P < .001) and malnutrition (P ˂ .001) but not gender (P = .319). Binomial logistic regression analysis modelling demonstrated that malnutrition diagnosed using the Subjective Global Assessment was independently associated with skin tear incidence (odds ratio, OR: 1.63; 95% confidence interval, CI: 1.13-2.36) and multiple skin tears (OR 2.48 [95% CI 1.37-4.50]). BMI was not independently associated with skin tears or multiple skin tears. This study demonstrated independent associations between malnutrition and skin tear prevalence and multiple skin tears. It also demonstrated the limitations of BMI as a nutritional assessment measure.

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Section: Discussionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Malnutrition is independently associated with skin tears in hospital inpatient setting—Findings of a 6‐year point prevalence audit

Munro

Hickling

Williams

et al. 2018

International Wound Journal

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“…The prevalence of skin tears prevalence in long-term care facilities has been identified at 10-54% (Everett and Powell, 1994;LeBlanc et al, 2013a;Carville and Smith, 2004;McErlean et al, 2004;Woo and LeBlanc, 2014), and 4.5-19.5% in all age groups in the community (Carville and Smith, 2004;LeBlanc et al, 2008;Strazzieri-Pulido et al, 2015). While in acute care prevalence ranges from 3.3-22% (Amaral et al, 2012; Clinical Focus © 2018 MA Healthcare Ltd Strazzieri-Pulido et al, 2015), and 30% in palliative care settings (Maida et al, 2012).…”

Section: Prevalence Of Skin Tearsmentioning

confidence: 99%

Skin tears: Prediction, prevention, assessment and management

Campbell

Baronoski²,

Gloeckner

et al. 2018

Nurse Prescribing

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Skin tears are a significant problem for patients and the nurses who treat them. Estimates of their prevalence differs around the world, but there is strong evidence to suggest that they occur more frequently than pressure ulcers. In the past few years there has been an increased focus and research into skin tears, and the International Skin Tear Advisory Panel has developed internationally recognised best practice recommendations in this important field for the global wound care community. This article will review the most current research and best practice recommendations for the prediction, prevention, assessment and treatment of skin tears.

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“…Skin tears (STs) are acute traumatic wounds caused by shear, friction, and/or brute force, including the removal of adhesives, resulting in the rupture of skin layers, dermis and epidermis, or even between them and the underlying tissues . STs are associated with factors such as extremes of age (neonatal and elderly), dehydration, malnutrition (decrease in albumin serum level), pharmacological therapy (corticoids and anticoagulants), mobility impairment, and mechanical factors associated with basic care being, in many cases, underreported.…”

Section: Introductionmentioning

confidence: 99%

ISTAP classification for skin tears: Validation for Brazilian Portuguese

Silva

Campanili²,

Freitas

et al. 2019

International Wound Journal

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The objective of this study was to evaluate interobserver reliability and the concurrent criterion validity of the adapted version of the International Skin Tear Advisory Panel (ISTAP) Skin Tear Classification System to Brazilian Portuguese. For the evaluation of interobserver reliability using the photograph database, 36 nurses classified 30 skin tears (STs) into three groups, according to its definitions (adapted version). For the evaluation through clinical application, 23 nurses classified 12 STs present in 8 thoracic and cardiovascular postoperative patients at a tertiary hospital in Sao Paulo, Brazil. For the data collection of patients, an enterostomal therapist nurse classified the ST found by simultaneously using the adapted ISTAP version and the Skin Tear Audit Research (STAR) Classification System to test the concurrent criterion validity. The average of 17.83 correct answers (SD = 5.03) resulted from 1080 photograph observations, with Fleiss κ = 0.279 (reasonable concordance level). The interobserver reliability in the clinical application resulted in a global correct answer percentage of 76.7% in 85 observations. The concurrent criterion validity was attested by the total correlation (r = 1) between ISTAP and STAR. The ISTAP classification for ST is a reliable instrument and also valid in Brazil, making it another option to be used in clinical practice.

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Best Practice Recommendations for Prevention and Management of Skin Tears in Aged Skin

Abstract: (ISTAP and expert group co-chairs) EXPERT WORKING GROUP Kimberly LeBlanc, Canada (co-chair of working group) Karen Campbell, Canada (co-chair of working group

Cited by 102 publications

References 15 publications

Malnutrition is independently associated with skin tears in hospital inpatient setting—Findings of a 6‐year point prevalence audit

Malnutrition is independently associated with skin tears in hospital inpatient setting—Findings of a 6‐year point prevalence audit

Skin tears: Prediction, prevention, assessment and management

ISTAP classification for skin tears: Validation for Brazilian Portuguese

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