Pre-operative Waterlow score: Predicts risk of post-operative infection in patients with neck of femur fractures

El-Daly, Ibraheim; Ibraheim, Hajir; Culpan, Paul; Bates, Peter

doi:10.1016/j.injury.2015.09.034

Cited by 6 publications

(7 citation statements)

References 26 publications

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“…A positive correlation has been shown between surgical patients with WS above 15 and mortality 19. It also correlated with rates of postoperative infections in a study in patients with fractured neck of femur20 and in predicting outcomes in patients with acute pancreatitis, with an AUC score of 0.73 for mortality 21. Furthermore, it has specifically been found to be an independent predictor of mortality among acute medical patients suffering from dementia 22.…”

Section: Discussionmentioning

confidence: 84%

Can Waterlow score predict 30-day mortality and length of stay in acutely admitted medical patients (aged ≥65 years)? Evidence from a single centre prospective cohort study

et al. 2019

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ObjectiveThis study aimed to explore the potential for the Waterlow score (WS) to be used as a predictor of 30-day mortality and length of hospital stay (LHS) in acutely admitted medical patients aged 65 years and older.DesignProspective observational cohort study.SettingUK District General Hospital.Subjects834 consecutive patients aged 65 years and older admitted acutely to medical specialties between 30 May and 22 July 2014.MethodsAdmission WS (range 4–64) assessment paired with the patient’s status at 30 days in terms of mortality and their LHS.Primary outcomes30-day mortality and length of inpatient stay.Results834 consecutive acute medical admissions had their WS recorded. 30-day mortality was 13.1% (109 deaths). A significant difference in the distribution of WS (p<0.001) was seen between those who survived (median 12) and those who died (median 16) within 30 days, particularly within respiratory (p<0.001), stroke (p<0.001), cardiology (p<0.016), non-respiratory infections (p<0.018) and trauma (p<0.044) subgroups. Odds of dying within 30 days increased threefold for every 10-unit increase in the WS (p<0.001, 95% CI 2.1 to 4.3). LHS was also positively linearly associated with the WS in those who survived 30 days (median=5, IQR=10; r=0.32, p<0.01). A five-unit increase in WS was associated with approximately 5 days increase in LHS. On the other hand, quadratic regression showed this relationship was curvilinear and negative (concave) for those who died within 30 days where a five-unit increase in WS was associated with an approximately 10 days decrease in LHS.ConclusionThis study demonstrates an association between a high WS and both 30-day mortality and LHS. This is particularly significant for mortality in patients in the respiratory, stroke and cardiac subcategories. The WS, a nursing-led screening tool that is carried out on virtually all admissions to UK hospitals, could have additional use at the time of patient admission as a risk assessment tool for 30-day mortality as well as a predictor of LHS.

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Section: Discussionmentioning

confidence: 84%

Can Waterlow score predict 30-day mortality and length of stay in acutely admitted medical patients (aged ≥65 years)? Evidence from a single centre prospective cohort study

et al. 2019

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“…Prevenci vzniku těchto lézí můžeme zajistit i využitím některých s již výše zmiňovaných měřících nástrojů. Nedílnou součástí kvalitně poskytované ošetřovatelské péče je vyškolený personál a motivace samotného pacienta (Forni et al, 2011, s. 679;El-Daly et al, 2015, s. 2395Ham et al, 2016Ham et al, , s. 1928.…”

Section: Prevenceunclassified

Pressure Ulcer Caused by Fixation Pressure - Review

Ševčíková¹,

Šáteková²,

Machálková³

2019

Osetrovatelske perspektivy

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Tlakové léze představují významné riziko a následně komplikaci pro pacienty, kterým je v rámci léčby přiložena fixace (sádra, sádrové dlahy, krční límce, ortézy). Cíl: Vytvořit přehled odborných informací popisujících tlakové léze vzniklých v důsledku přiložení fixace (sádra, sádrové dlahy, krční límce, ortézy). Metody: Pro tvorbu přehledu bylo zvoleno jednoduché vyhledávání ve dvou licencovaných a elektronických databázích a jednom nakladatelství (EBSCO, PROQUEST, SOLEN). Vyhledávání probíhalo v měsíci lednu a únoru 2019. Zařazovací kritéria splňovalo sedmnáct odborných publikací. Výsledky: Tlakové léze jsou způsobeny zejména vysokým působením tlaku, zevními a vnitřními faktory. Nesprávné a nedostatečné umístění fixace, která intenzivně tlačí na kůži, má za následek nedostatečný arteriální průtok krve. Dochází ke tkáňové perfuzi a následně vzniku tlakové léze. V horším případě může dojít k tvorbě trombu. Závěry: Monitorování kůže patří mezi základní činnosti ošetřovatelského personálu během přijetí a následné péče o pacienta v nemocnici. Vzdělávání ošetřovatelského personálu o správném přikládání kompenzačních pomůcek a péče o kůži, by měla být prioritou. Klíčová slova dekubit, fixace, ošetřovatelství, tlakový vřed, všeobecná sestra 1 Ústav ošetřovatelství, Fakulta zdravotnických věd, Univerzita Palackého v Olomouci

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“…Risk assessment and improved scoring system to identify patient as risk is of huge importance [1]. Assessing risk factors is importance especially in the elderly and fragile patients [2]. Thirty day and one year mortality following acute femur neck fracture is high but primarily related to patients' age background medical history [3,4].…”

Section: Introductionmentioning

confidence: 99%

Safe Perioperative Practice, How Can We Further Improve Clinical Every Day Work?

Brattwall¹,

MW²

2015

J Perioper Crit Intensive Care Nurs

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Anaesthesia has become reassuringly safe. All modern anaesthetic agents are effective and associated to only minor side effects, anaesthetic machines and monitors helps delivery and closely in real time observation of vital signs. Anaesthesia practice has expanded and includes today perioperative care, preoperative assessment and optimisation, anaesthesia and postoperative care. Following the postoperative course up to day 30 after surgery is today of increasing interest and importance to document value based perioperative. Interprofessional care where the perioperative nurse has a major commitment will help to further improve the perioperative process.

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Pre-operative Waterlow score: Predicts risk of post-operative infection in patients with neck of femur fractures

Cited by 6 publications

References 26 publications

Can Waterlow score predict 30-day mortality and length of stay in acutely admitted medical patients (aged ≥65 years)? Evidence from a single centre prospective cohort study

Can Waterlow score predict 30-day mortality and length of stay in acutely admitted medical patients (aged ≥65 years)? Evidence from a single centre prospective cohort study

Pressure Ulcer Caused by Fixation Pressure - Review

Safe Perioperative Practice, How Can We Further Improve Clinical Every Day Work?

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