Prevalence, characteristics and risk factors of pressure ulcers in public and private hospitals care units and nursing homes in France

Barrois, B.; Colin, D.; Allaert, François-André

doi:10.1080/21548331.2018.1418139

Cited by 18 publications

(23 citation statements)

References 16 publications

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“…As age progresses, the fragility of the skin increases and PUs can develop more easiliy. 1,7,16,20 Age had an effect on the development of PUs in all patients in our study, as in many other studies. 1,7,16,20 Presence of a risk factor and prolonged hospital stay can increase the development of PUs.…”

Section: Discussionsupporting

confidence: 89%

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Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: A multicentre, point prevalence study

Sayan

Girgin

Aşan

2020

Evaluation Clinical Practice

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Rationale, aims, and objectives: Pressure ulcers (PUs), which are preventable complications, increase the cost of health care and the risk of prolonged hospital stay, as well as morbidity and mortality. In this study, we aimed to describe the prevalence, clinical features, and risk factors for PUs among hospitalized patients. Method: This study was cross-sectional and conducted over a single day in all the care units. Data were recorded on a patient observation form that included demographic data, diagnosis of admission to the hospital or intensive care unit (ICU), comorbidity and chronic diseases, location, stage of PU, and Braden Scale score. Acute physiology and chronic health evaluation (APACHE) II score, Glasgow coma score (GCS), PaO 2 /FiO 2 ratio, and albumin level were recorded for ICU patients. Results: A total of 1548 adult patients participated in the study. Of these patients, 177 (11.43%) had PU. The patients with PU had more advanced age, lower body mass index (BMI), and longer duration of hospital and ICU stay (for all P = .001). Evaluation of PU in the first 24 hours after hospital admission and the last PU evaluation time also showed a significant effect (both P = .001). Braden Scale score less than or equal to 13 in the first evaluation after hospital admission increased the risk of PU. Albumin was 2.78 ± 0.57 gm/dL in ICU patients, and albumin level was significantly lower in patients with PU (P = .001). PUs were located mainly in the sacrum (47.59%) and were classified as stage II (42.76%) for all patients. Conclusions: The prevalence of PU is related to the age and severity of patient clinical status, as predicted by the Braden Scale score and APACHE II score, and length of hospital and ICU stay. Low albumin level is also related to development of PUs in ICU patients.

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Section: Discussionsupporting

confidence: 89%

“…Prevalence studies of PUs have been conducted in many different countries, and the prevalence in the literature varies widely (8.1% to 16.8%). 1,7,15,20,21 These results might be due to different patient populations and health care conditions in different countries.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: A multicentre, point prevalence study

Sayan

Girgin

Aşan

2020

Evaluation Clinical Practice

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“…This corresponds to a prevalence of 3.9% [2.4, 6.2]. This figure is significantly lower than those recorded in the PerSe Study 6 These 58 pressure ulcers were located on the pelvis for 32.8% (N.=19) of them, on the heels for 13.8% (N.=8), on the ischions for 1.7% (N.=1), on the occiput for 1.0% (N.=1). Other localizations included the foot but not the heel for 31.0% (N.=18), the upper limb for 5.2% (N.=3), the lower limb (knee, calf) for 5.2% (N.=3), the genitals (testes and penis) for 3.4% (N.=2), the face for 3.4% (N.=2), and the back for 1.7% (N.=1).…”

Section: Primary Endpoint: Total Prevalence Of Pressure Ulcers and Himentioning

confidence: 69%

“…1 For more than 20 years, the PerSe Study has been conducting major national surveys in France of the prevalence of pressure ulcers and these have become benchmarks in the field. [2][3][4][5] The most recent survey conducted in 2015 6 up-dated the data on the national prevalence of pressure ulcers, i.e. for all hospital departments and by type of department.…”

mentioning

confidence: 99%

Prevention of pressure ulcers with a motorized air support in at-risk patients hospitalized in rehabilitation departments APAM + an observational prevalence study with historical control and incidence study

Barrois

Gaubert-Dahan

Allaert³

et al. 2018

Panminerva Med

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BacKGrOUNd: The main study was a cross-sectional multicenter study of the prevalence of pressure ulcers in rehabilitation services (rS) where axtair automorpho ® Plus mattresses were made available ad libitum. The primary objective was to enable comparison with prevalence as observed in the national PerSe study (historical control) in similar departments using a variety of prevention aids. meTHOdS: This cross-sectional prevalence study was combined with a prospective study of the incidence of pressure ulcer occurrence in the high-risk target population whose beds were systematically equipped with the studied support. reSULTS: On the day of the prevalence study, 18 of the 456 patients presented pressure ulcers which occurred during the period when axtair automorpho ® Plus supports were made available to the departments. This corresponds to a prevalence of 3.9% [2.4, 6.2] which is significantly lower than those recorded in the PerSe study: 11.8% [10.8; 12.8] p <0.0001. The ulcer incidence study covers 57 patients who were hospitalized on a bed with an axtair automorpho ® Plus support because of their risk of contracting pressure ulcers. One pressure ulcer occurred in 3 patients and 3 pressure ulcers occurred in another patient, i.e. 4 out of 57 corresponding to an incidence of 7.0% [2.0; 17.0]. cONcLUSiONS: The results of the pressure ulcer prevalence study in rehabilitation departments where axtair automorpho ® Plus supports were available as well as results of the study of pressure ulcer incidence in patients bedridden on axtair automorpho ® Plus, confirm the expected benefit provided to patients in terms of prevention.

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“…Authors point out that the premature discovery of PI and risky conditions, such as dry and brittle skin, the presence of erythema, maceration, fragility, high temperature or hardening, are essential during nursing care (25)(26) . However, at the time the injury formation process is already lodged, certain care must be taken into account as: assessment of the injury as to its nature, shape and location, type of tissue, exudate and odor present; measurement of its extension; examination of the skin around the injury for the presence of edema, hyperemia, hyperthermia and pain; besides the dressing performance according to the characteristics of PI (27) .…”

Section: Terms Of Specialized Nursing Language For People With Pressumentioning

confidence: 99%

Terms of specialized nursing language for people with pressure injury

et al. 2019

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Objective: to validate the terms of the specialized nursing language used in care for hospitalized patients with Pressure Injury, identified in nurses’ records, mapping them with the terms of the International Classification for Nursing Practice (ICNP® 2017). Methods: methodological study, carried out at a School Hospital in 2018. It was performed: extraction of terms of medical records; normalization; cross-mapping between extracted terms and those in ICNP®; distribution in the seven axes; theoretical definition and validation of terms. Results: 27,756 terms were extracted. The normalization resulted in 370 relevant terms, being: 225 listed and 145 not listed in the ICNP®, being 60 similar, 13 more comprehensive, 38 more restricted and 34 without agreement, all of which are validated. Conclusion: this study identified and validated terms used by nurses to assist people with Pressure Injury. These may contribute to the unification of professional nursing language in care for these clients.

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Prevalence, characteristics and risk factors of pressure ulcers in public and private hospitals care units and nursing homes in France

Abstract: The actions performed daily by healthcare professionals to prevent pressure ulcers, supported by research and training programs, including those by PERSE, are having a real impact over time.

Cited by 18 publications

References 16 publications

Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: A multicentre, point prevalence study

Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: A multicentre, point prevalence study

Prevention of pressure ulcers with a motorized air support in at-risk patients hospitalized in rehabilitation departments APAM + an observational prevalence study with historical control and incidence study

Terms of specialized nursing language for people with pressure injury

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