Predicting pressure ulcer risk: a multifactorial approach to assess risk factors in a large university hospital population

Nonnemacher, Michael; Stausberg, Jürgen; Bartoszek, Gabriele; Lottko, Birgit; Neuhäeuser, Markus; Maier, Irene

doi:10.1111/j.1365-2702.2008.02425.x

Cited by 43 publications

(41 citation statements)

References 17 publications

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“…This finding is consistent with research that demonstrated the relationship between age and the development of PU (19)(20)(21) . In contrast, a study of the theme indicates that despite the elderly having a known susceptibility for the development of PU, the proper thing is not to evaluate this variable in an isolated manner (22) .…”

Section: Discussionsupporting

confidence: 92%

Ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas

Ursi

Galvão

2012

Acta paul. enferm.

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Objective: To identify the occurrence of stages II, III and IV pressure ulcers in patients undergoing elective surgery. Methods: A quantitative approach, with non-experimental research design, of a descriptive and prospective type. The sample consisted of 148 adult patients of both genders, undergoing elective surgery, according to predetermined selection criteria. Results: Of the sample evaluated, 108 patients were discharged from hospital, three patients died and 37 developed pressure ulcers. These patients presented 44 lesions, the majority of which were diagnosed as stage II (56.8%), followed by stage I (40.9%) and stage III (2.3%) lesions. The body areas most affected were the sacral / gluteal region (68.2%), the heels (18.1%), dorsal region (9%) and the external ear (4.6%). Conclusion: The occurrence of pressure ulcers was 25%, indicating the need for implementation of effective interventions for the prevention of these adverse events in the perioperative period. Keywords: Pressure ulcer/epidemiology; Perioperative nursing; Surgical procedures, elective; Incidence RESUMOObjetivo: Identificar a ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas de porte II, III e IV. Métodos: Estudo de abordagem quantitativa, com delineamento de pesquisa não experimental, tipo descritivo e prospectivo. A amostra foi composta por 148 pacientes adultos, de ambos os gêneros, submetidos à cirurgia eletiva, conforme os critérios de seleção determinados previamente. Resultados: Da amostra avaliada, 108 pacientes receberam alta hospitalar, três faleceram e 37 desenvolveram úlceras por pressão. Esses pacientes apresentaram 44 lesões, sendo a maioria diagnosticada de estágio II (56,8%), seguida por lesões de estágio I (40,9%) e estágio III (2,3%). As áreas corporais mais acometidas foram a região sacro/glútea (68,2%), calcâneos (18,1%), região dorsal (9%) e o pavilhão auricular (4,6%). Conclusão: A ocorrência de úlcera por pressão foi de 25% indicando a necessidade de implementação de intervenções efetivas para a prevenção desse evento adverso no perioperatório. Descritores: Úlcera por pressão/epidemiologia; Enfermagem perioperatória; Procedimentos cirúrgicos eletivos; Incidência RESUMEN Objetivo: Identificar la ocurrencia de úlcera por presión en pacientes sometidos a cirugías electivas de porte II, III y IV. Métodos: Estudio de abordaje cuantitativo, con delineamiento de investigación no experimental, tipo descriptivo y prospectivo. La muestra estuvo compuesta por 148 pacientes adultos, de ambos géneros, sometidos a la cirugía electiva, conforme los criterios de selección determinados previamente. Resultados: De la muestra evaluada, 108 pacientes recibieron alta hospitalaria, tres fallecieron y 37 desarrollaron úlceras por presión. Esos pacientes presentaron 44 lesiones, siendo la mayoría diagnosticada de estadío II (56,8%), seguida por lesiones de estadío I (40,9%) y estadío III (2,3%). Las áreas corporales más afectadas fueron la región sacro/glútea (68,2%), calcáneos (18,1%), región dorsal (9%...

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Section: Discussionsupporting

confidence: 92%

Ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas

Ursi

Galvão

2012

Acta paul. enferm.

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“…2,7,8,[11][12][13][14][15][16][17][18][19] Four studies focused specifically on cardiac surgery patients, but the majority included cardiac surgery patients within a heterogeneous population of acute or critical care patients. A summative list of risk factors was compiled based on the findings from each of these studies.…”

Section: Resultsmentioning

confidence: 99%

Risk Factors Associated With Pressure Ulcer Formation in Critically Ill Cardiac Surgery Patients

Rao

Preston

Strauss

et al. 2016

Journal of Wound, Ostomy &Amp; Continence Nursing

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The relatively high PU incidence among cardiac surgery patients suggests that typical PU prevention methods are insufficient for this population. Targeted prevention measures must be developed and implemented. Completion of this task required identification of risk factors unique to this population. Specific risk factors likely to increase risk among cardiac surgery patients include prolonged exposure to pressure during long surgical procedures, vascular disease, and/or vasopressor use postoperatively. Additional research concerning risk factors specific to this population is urgently needed.

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“…Also important, data of 34,238 hospital patients showed that patients with insufficient nutrition were 61% more likely to develop a pressure ulcer than those patients who did not have nutritional insufficiency. Evidently, correction of the serum albumin levels constitutes a key factor in pressure ulcers prevention and treatment (23, 24). …”

Section: Discussionmentioning

confidence: 99%

Pressure Ulcers: Developing Clinical Indicators in Evidence-based Practice. A Prospective Study

Τσάρας¹,

Chatzi²,

Kleisiaris³

et al. 2016

Med Arh

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Aims and objectives:It is widely recognized that Intensive Care Unit (ICU) patients have a greater likelihood of developing pressure ulcers in comparison to hospital or home care patients. Accordingly, this study aimed to evaluate whether specific clinical characteristics could be used as clinical indicators towards pressure ulcers prevention.Method:We monitored 210 hospitalized ICU patients during a 12-month period. Pressure ulcers were assessed following the current guidelines. Clinical characteristics such as gender, age, hospitalized days, hemodialysis treatment, hematocrit, and serum albumin levels were considered as the most common predictors for pressure ulcers development. The significance of associations was controlled using multiple logistic regression after adjusting for clinical characteristics and was presented as adjusted odds ratio (AOR).Results:The prevalence of pressure ulcers was 24.3%. Logistic regression revealed that patients with increased age AOR=1.04; (CI: 1.01-1.07) and last-long hospitalization AOR=1.17; (CI: 1.11-1.23) were significantly more likely to present pressure ulcers compared to the younger ones and patients with less length of stay, respectively. We also found that patients under hemodialysis treatment were more likely to present pressure ulcers AOR=4.09; (CI: 1.12-14.98) compared to patients that did not underwent hemodialysis and the risk of pressure ulcers development was decreased by 9% for every single unit of hematocrit value increase AOR=0.91; (CI: 0.82-0.99).Conclusion:Our data analysis confirms that the clinical characteristics that were studied are independently associated with pressure ulcers development, and therefore, it is a crucial incentive to consider that these specific clinical characteristics are important indicators in the evidence-based practice.

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Predicting pressure ulcer risk: a multifactorial approach to assess risk factors in a large university hospital population

Abstract: The derived risk assessment scale is an easy-to-understand, easy-to-use tool with good prognostic validity and can assist in effective application of preventive measures against pressure ulcer.

Cited by 43 publications

References 17 publications

Ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas

Ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas

Risk Factors Associated With Pressure Ulcer Formation in Critically Ill Cardiac Surgery Patients

Pressure Ulcers: Developing Clinical Indicators in Evidence-based Practice. A Prospective Study

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