Pressure ulcer prevalence in Europe: a pilot study

Vanderwee, Katrien; Clark, Michael; Dealey, Carol; Gunningberg, Lena; Defloor, Tom

doi:10.1111/j.1365-2753.2006.00684.x

Cited by 417 publications

(366 citation statements)

References 22 publications

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“…Prevalence values of pressure ulcers are high and have been reported to be 15.5 percent in U.S. healthcare facilities, with 28.0 percent of the pressure ulcers located at the sacrum and 17.2 percent at the buttocks [2]. Prevalence values of 18.1 percent have been reported in European standard and academic hospitals [3].…”

Section: Introductionmentioning

confidence: 96%

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Reenalda

Geffen²,

Nederhand³

et al. 2009

JRRD

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Abstract-Pressure ulcers are a large problem in individuals who use a wheelchair for their mobility and have limited trunk stability and motor function. Because no relation between interface pressure and pressure ulcer development has been established and no clinical threshold for pressure ulcer development can be given, looking at the sitting behavior of nondisabled individuals is important. Nondisabled individuals do not develop pressure ulcers because they continuously shift posture. We analyzed the sitting behavior of 25 nondisabled male subjects by using a combination of interface pressure measurement and subcutaneous tissue oxygenation measurement by means of the Oxygen to See. These subjects shifted posture on average 7.8 +/-5.2 times an hour. These posture shifts were merely a combination of posture shifts in the frontal and sagittal plane. Subcutaneous oxygen saturation increased on average 2.2% with each posture adjustment, indicating a positive effect of posture shifts on tissue viability. The results of this study can be used as a reference for seating interventions aimed at preventing pressure ulcers. Changing the sitting load at least every 8 minutes is recommended for wheelchair users.

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Section: Introductionmentioning

confidence: 96%

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Reenalda

Geffen²,

Nederhand³

et al. 2009

JRRD

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“…In this time, the reported prevalence of pressure ulcers in patientcare settings has not improved and may have even deteriorated [1][2][3]. Although much attention has been directed to the reduction of ischemia-initiated soft tissue injury through mechanical means, the influence of tissue temperature and the effect of moisture have been neglected.…”

Section: Introductionmentioning

confidence: 99%

Thermodynamic rigid cushion loading indenter: A buttock-shaped temperature and humidity measurement system for cushioning surfaces under anatomical compression conditions

Ferguson-Pell¹,

Nicholson²,

Call³

2009

JRRD

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Abstract-A method is described for measuring the heat and water vapor dissipation characteristics of wheelchair cushions and seating systems while under simulated loading conditions. Thermal interaction between the body and seating surfaces can result in elevated tissue temperature and moisture build-up, which may increase the risk of pressure ulcers associated with prolonged ischemia or due to macerative damage. Both the materials and geometry of commercial seating systems are thought to influence the body-support surface microclimate. A thermodynamic rigid cushion loading indenter (TRCLI) has been developed to simulate the thermal and loading conditions of the body on seating surfaces. Results are reported for 32 commercially available wheelchair cushions. The results differentiate the cushions into clusters of comparable properties that offer the potential for classification of support surfaces based on their heat and water vapor dissipation performance. This study has shown that deducing the heat and water vapor dissipation characteristics of a seating system from material physical properties is of limited value because of the influences of particular design features of combinations of materials. Testing of individual products with the use of the TRCLI can, however, reliably differentiate wheelchair cushions by their ability to dissipate heat and water vapor.

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“…Studies have indicated the high prevalence (6)(7)(8) and incidence (9)(10)(11) of lesions in elderly people living in institutions and during hospitalization. The prevalence of this problem in elderly people living in the community remains largely unexplored.…”

Section: Introductionmentioning

confidence: 99%

Prevalência e características das feridas em pessoas idosas residentes na comunidade

Duim

Sá

Duarte

et al. 2015

Rev. esc. enferm. USP

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Prevalência e características das feridas em pessoas idosas residentes na comunidade Prevalencia y características de las lesiones en personas mayores que viven en la comunidade aBStract Objective: To describe the profile and the characteristics of elderly people with mobility restrictions who are residents in the community and have skin lesions. Method: This was an exploratory and descriptive study that was part of the Health, Welfare and Ageing (SABE) study which assessed the presence of skin lesions in a probabilistic sample of elderly people living in the city of São Paulo in relation to factors such as sociodemographic issues, blood biomarkers, health conditions and the use of services. The analysis used the chi-square test with the Rao-Scott correction for complex samples, with a level of significance of 5%. Results: In 2010, 20.7% of elderly people with restricted mobility had skin lesions due to this problem. The most common sites of these lesions were the sacral region for both sexes, the scapular region for women and the trochanteric region for men. Older age, multimorbidity and functional impairment were more prevalent among the elderly people with lesions, as well as greater levels of care that were required. Family dysfunction was associated with higher burdens on caregivers, which may affect the quality of care provided. It was observed that elderly people who are priorities for home care do not receive such care adequately. Conclusion: The prevalence of skin lesions in the elderly with mobility restrictions living in the community was low; however, these elderly people require special attention, which is not currently being adequately provided. The reorganization of policies and care services appears to be essential.

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Pressure ulcer prevalence in Europe: a pilot study

Cited by 417 publications

References 22 publications

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Analysis of healthy sitting behavior: Interface pressure distribution and subcutaneous tissue oxygenation

Thermodynamic rigid cushion loading indenter: A buttock-shaped temperature and humidity measurement system for cushioning surfaces under anatomical compression conditions

Prevalência e características das feridas em pessoas idosas residentes na comunidade

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