Hypotension at emergency department admission and hospital-acquired pressure ulcers in older patients: prospective study

Abstract

Objective:To investigate the relationship between admission hypotension and hospital acquired pressure ulcers (PU) among older patients in an emergency department.Methods:The study was a prospective cohort conducted between March and May 2017 in the emergency department of a tertiary care hospital in Eastern China. Data on PUs and possible PU risk factors were collected using a pre-designed form. Multivariate logistic regression was used to calculate the adjusted odds ratio (OR).Results:A total of 157 older patients were included in the study. PU incidence was 8.3%, with 95% confidence interval (CI) of 4.5 to 13.7%. The majority (76.9%) of PUs developed in the first three days of admission. On admission, 28 patients were found to be hypotensive, and 129 non-hypotensive. In the hypotensive group, PU incidence was 21.4% (6/28), and 5.4% (7/129) in the non-hypotensive group, respectively. The crude OR was 4.753 (95%CI: 1.183 to 18.086). After adjustment by patients' age, admission to emergency intensive care unit and if requiring assistance to move, the adjusted OR of hypotension on admission for PU risk was 1.755 (95%CI: 1.356 to 3.224).Conclusion:Our study showed that admission hypotension was an independent risk factor of PU among elderly patients in emergency department. However, this conclusion should be confirmed by further studies with large sample size.

Epidemiological characteristics of pressure injury and the predictive validity of Braden scale among the older hospitalized patients: A cross‐sectional study

“…The results of this study showed that the incidence of PI in 13,064 older inpatients was 0.20%, which was lower than the results of domestic and foreign similar studies (Baumgarten et al, 2006; Gong et al, 2019; Wang & Wu, 2008). The incidence of PI in patients aged 80 years or older was the highest, up to 0.95%, lower than 1.34% of Jiang et al's research results (Q. X. Jiang et al, 2023).…”

Incidência E Prevalência De Úlceras De Pressão Em Doentes Admitidos Em Serviço De Emergência Hospitalar: Uma Revisão Da Literatura

“…Outros estudos obtiveram resultados semelhantes, como por exemplo Soares et al (2022), no qual a taxa de incidência de UP (numa amostra de doentes em SE) foi de 9,3%. Na pesquisa realizada por Gong et al (2019), a incidência de UP foi de 8,3%, também com uma amostra de doentes admitidos em SE.…”

“…As pessoas com UP têm, geralmente, um período de recuperação prolongado, causam uma dor significativa aos doentes e o seu tratamento conduz a elevados custos para o sistema de saúde. As UP podem conduzir a complicações na pessoa, como por exemplo celulite, artrite séptica e sépsis, incrementando a taxa de morbilidade e mortalidade (Gong et al, 2019;Headlam & Illsley, 2020).…”

Ambulance referral of more than 2 hours could result in a higher prevalence of medical- devices-related pressure injuries (MDRPIs) with different characteristics compared to the inpatient setting: A descriptive observational study

“…Considering the delays caused by the handover and the uncertainty of tra c conditions, the time patients spend in ambulances could be much longer. However, during the literature search, we found many Chinese studies on pressure injuries in inpatients and emergency department period (Gong et al, 2019;Jiang et al, 2021;Wei et al, 2021;Zhang et al, 2021), but fail to nd out a study on MDRPI in ambulance transfers. We hypothesize that several MDRPI occurs during ambulance transfers that are incorrectly identi ed as occurring in the emergency department period and lead to statistical errors.…”