Incidence and Predicted Risk Factors of Pressure Ulcers in Surgical Patients: Experience at a Medical Center in Taipei, Taiwan

Abstract

Purpose. To explore the context of incidence of and associated risk factors for pressure ulcers amongst the population of surgical patients. Methods. The initial study cohort was conducted with a total of 297 patients admitted to a teaching hospital for a surgical operation from November 14th to 27th 2006 in Taipei, Taiwan. The Braden scale, pressure ulcers record sheet, and perioperative patient outcomes free from signs and symptoms of injury related to positioning and related nursing interventions and activities were collected. Results. The incidence of immediate and thirty-minute-later pressure ulcers is 9.8% (29/297) and 5.1% (15/297), respectively. Using logistic regression model, the statistically significantly associated risk factors related to immediate and thirty-minute-later pressure ulcers include operation age, type of anesthesia, type of operation position, type of surgery, admission Braden score, and number of nursing intervention after adjustment for confounding factors. Conclusion. Admission Braden score and number of nursing intervention are well-established protected factors for the development of pressure ulcers. Our study shows that older operation age, type of anesthesia, type of operation position, and type of surgery are also associated with the development of pressure ulcers.

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

“…According to the data we obtained from BRDs, while pressure ulcers were found in 27.8% of low-risk patients and in 29 Though it is not in the scope of our survey, the localizations and stages of the pressure ulcers are consistent with other studies (6,7,10,12,14,(16)(17)(18)(19)(20)(21).…”

“…The loss of consciousness, mechanical ventilation, physical activity limitation, prolonged bed dependence, the use of sedatives-analgesics and muscle relaxant drugs, metabolic problems, circulatory problems, and frequent problems in the control of urine/defecation can be considered among the risk factors of pressure ulcers in these patients (16)(17)(18)(19)(20).…”

Pressure Injuries: Predisposing Conditions And Risk Factors In Adult ICU

“…In order to conduct preventive measures tailored to each patient, assessing the risk of developing PL must be continuous, because it is imperative for the effective implementation of preventive measures based on clinical evidence and cost [5]. The assessment by means of validated scales should be continuously carried out because it can prevent the onset of PL in other places, as well as the worsening of those already existing [6].…”

Risk Factors for Pressure Ulcers at the Ala of Nose in Oral Surgery

“…2,3 However, there are few reports in the literature regarding these pressure ulcers. 3 Although nasal pressure ulcers after nasotracheal intubation and placement of other nasal tubes might be minor enough to be easily ignored medically, they might be painful and/or a cosmetic problem for patients.…”