Patients With Existing Pressure Ulcers Admitted to Acute Care

Williams, Donna F.; Stotts, Nancy A.; Nelson, Karl G.

doi:10.1097/00152192-200007000-00005

Cited by 13 publications

(10 citation statements)

References 16 publications

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“…This study supports other studies, which revealed that the highest PU prevalence rates were found for PUs stage I. 6,26,29 Having the majority of the PUs to be stage I is assumed to be due to the effect of the PU preventive measures implemented in the ICUs. In addition, the patients included have had younger age when compared with most previous studies.…”

Section: Discussionsupporting

confidence: 90%

Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients

Nassaji

Askari

Ghorbani

2013

Int J of Nursing Practice

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The objective of this study was to assess relationship between smoking, some other risk factors and ulcers development in intensive care unit. This prospective cohort study was performed in two university-affiliated hospitals. The sample consisted of adult male patients who were admitted to medical-surgical intensive care units. All eligible patients were grouped according to their cigarette smoking status as smoker and non-smoker. The final sample included 160 smokers and 192 non-smokers. Pressure ulcer occurred in 62 smoker patients and 28 of non-smoker who showed significant difference. Also number of pack-year of cigarettes smoking showed significant association with ulcer development. Ulcer stage was significantly different between the two groups. Besides of smoking, age, length of stay, faecal incontinency, diabetes mellitus, anaemia and trauma were significantly associated with pressure ulcers. Our study showed significant association between smoking and development of pressure ulcers.

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Section: Discussionsupporting

confidence: 90%

Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients

Nassaji

Askari

Ghorbani

2013

Int J of Nursing Practice

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“…According to the authors, these patients most probably represent a population that is sicker than normal activeduty hospital patients and pressure ulcers might have developed during the long transport to the Hawaii Medical Center. 19 The number of pressure ulcers among patients with at least one pressure ulcer on admission was higher in our study (mean 1.6) than in the Williams et al study (mean 1.2). In both studies, approximately 10% of the pressure ulcers observed were stage 3 or 4.…”

Section: Discussioncontrasting

confidence: 65%

“…In the five previous studies, the primary aim was to estimate incidence or prevalence of pressure ulcers among patients during their hospitalization, and the results concerning pressure ulcers at admission were secondary. Only one study, by Williams et al, 19 has focused specifically on pressure ulcers on admission to a hospital. In that study of 267 patients admitted to a military medical facility in Hawaii, the prevalence at the time of admission was 12.7%.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of pressure ulcers on hospital admission among nursing home residents transferred to the hospital

Keelaghan

Margolis

Zhan

et al. 2008

Wound Repair Regeneration

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The purpose of this study was to compare the prevalence of pressure ulcers among newly hospitalized nursing home residents and among newly hospitalized patients from nonnursing home settings. Study participants were at least 65 years old and admitted through the emergency department to one of two study hospitals. Research nurses ascertained the presence of pressure ulcers (stage 1-4) by visual skin assessment on the third day following admission to the hospital unit. Other data were collected by clinical examination, interview, and medical record review. The prevalence of preexisting pressure ulcers at the time of admission was 26.2% among those admitted from a nursing home and 4.8% among those admitted from another living situation (odds ratio 5.5, 95% confidence interval 4.3-7.1). After adjustment for confounders, the association between admission from a nursing home and pressure ulcer prevalence on admission was reduced (odds ratio 1.51, 95% confidence interval 1.03-2.23). These results indicate that admission from a nursing home is a potent marker for pressure ulcer risk and that the excess risk is largely mediated by the higher prevalence of pressure ulcer risk factors among patients admitted from a nursing home. The results highlight the importance of continuity of care across transitions between care settings.

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“…In our results, LOS of pressure ulcer patients was higher (statistically significant) than in the non-pressure ulcer group. The association of LOS and pressure ulcers is supported in other studies (Williams et al 2000, Celani et al 2001, Anthony et al 2004. Findings from this study and previous research support the proposition that patients who stay for longer periods of time in the ICU have a greater risk of pressure ulcer development.…”

Section: Discussionsupporting

confidence: 54%

The relationship among pressure ulcer risk factors, incidence and nursing documentation in hospital‐acquired pressure ulcer patients in intensive care units

2016

Journal of Clinical Nursing

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Patients With Existing Pressure Ulcers Admitted to Acute Care

Cited by 13 publications

References 16 publications

Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients

Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients

Prevalence of pressure ulcers on hospital admission among nursing home residents transferred to the hospital

The relationship among pressure ulcer risk factors, incidence and nursing documentation in hospital‐acquired pressure ulcer patients in intensive care units

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