Retrospective review of predisposing factors for intraoperative pressure ulcer development

Lumbley, Joshua; Ali, S. Ahmed; Tchokouani, Loic

doi:10.1016/j.jclinane.2014.01.012

Cited by 63 publications

(86 citation statements)

References 30 publications

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“…The minimum prevalence of pressure ulcer was reported as 4.5% in men in the study by Pokorny et al conducted on a sample of 222 men (18), and its maximum was reported as 18.5% in the study by Lumbley et al, which was conducted on a sample of 553 men (10). In the present study, the review of the eight articles that examined a total of 3632 men showed the prevalence of an ulcer to be 10.1% (7.2, 13.01) in men.…”

Section: Resultsmentioning

confidence: 99%

“…The initial search carried out in this study revealed the prevalence of a pressure ulcer to range from 8.1% to 27.3% in the United States (10, 11) and from 11.1% to 54.8% in Turkey (12, 13) and to be 21.3% in Iran (14). Given the substantial difference in the prevalence rates reported for pressure ulcers in different studies, the present study seeks to integrate the results obtained from the initial studies examined through a meta-analysis and a systematic review and to present credible evidence on the subject.…”

Section: Introductionmentioning

confidence: 96%

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Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

et al. 2016

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IntroductionA pressure ulcer is a serious safety issue in healthcare systems. The patient’s rate of infection with an ulcer, especially a postoperative ulcer, is critical, as it is dictated by factors such as being in a fixed position during surgery, the type of anesthesia used, the duration of surgery, and patient-related factors. The present study was conducted to carry out a systematic assessment of the prevalence of a postoperative pressure ulcer and to find its general prevalence using a meta-analysis.MethodsThe researchers searched databases, including PubMed, Google Scholar, Scopus, Science Direct, the Thomson Reuters’ Web of Science (WOS). For English articles published online between January 2000 and October 2015 on the subject of a pressure ulcer, a total of 19 articles were ultimately selected based on the study inclusion criteria. Then results were analyzed in Stata-11.ResultsThe 19 articles qualified for entering the meta-analysis examined a total of 9527 patients. The studies estimated the general prevalence of a postoperative pressure ulcer as 18.96% (CI 95%: 15.3–22.6); the prevalence by gender was reported as 10.1% (CI 95%: 7.2–13.01) in men and 12.8% (CI 95%: 8.3–17.2) in women. Stage 1 ulcer had a 17.02% prevalence (CI 95%: 11.04–22.9), stage 2 a 6.7% prevalence (CI 95%: 3.8–9.7), stage 3 a 0.9% prevalence (CI 95%: 0.2–1.6), and stage 4 a 0.4% (CI 95%: −0.05–0.8) prevalence.ConclusionThe prevalence of a postoperative pressure ulcer is high among the entire population; however, it is still higher in women than in men. The prevalence of a stage 1 ulcer is higher than the prevalence of the other stages of an ulcer.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

et al. 2016

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“…Triggering or risk factors are associated with the development of PU (22)(23)(24) . In a retrospective study using 222 medical charts of patients with different diseases who were submitted to surgeries lasting more than two hours, the authors related the development of PU to factors that affected tissue perfusion, like hypertension and diabetes (25) . In a comprehensive review of the literature on the use of vasopressors in critical patients and the development of PU (26) , the use of a vasopressor (noradrenaline) along with age and extended stay in the ICU were found to be risk factors for the development of PU.…”

Section: Discussionmentioning

confidence: 99%

Incidência de úlceras por pressão em pacientes de Unidade de Terapia Intensiva Cardiopneumológica

Campanili

Santos

Strazzieri-Pulido

et al. 2015

Rev. esc. enferm. USP

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RESUMO Objetivo Identificar e analisar os coeficientes de incidência de úlceras por pressão (UP) e os fatores de risco para o seu desenvolvimento em pacientes críticos com doenças cardiopneumológicas. Método Estudo de coorte, prospectivo realizado na Unidade de Terapia Intensiva (UTI) Cardiopneumológica de um hospital de grande porte na cidade de São Paulo, durante os meses de novembro de 2013 a fevereiro de 2014. Participaram do estudo 370 pacientes maiores de 18 anos, que não apresentavam UP na admissão e que estavam na UTI há menos de 24 horas. Os dados foram analisados por meio de análises univariadas e multivariada (Classification And Regression Tree - CART). Resultados Os coeficientes de incidência de UP foram: 11,0% para o total, distribuindo-se em 8,0% entre os homens e 3,0% para as mulheres (p=0,018); 10,0% na raça branca e 6,5% em pessoas com idade igual e superior a 60 anos. Os principais fatores de risco encontrados foram tempo de permanência na UTI igual ou superior a 9,5 dias, idade igual ou superior a 42,5 anos e raça branca. Conclusão O estudo contribui para os conhecimentos relacionados à epidemiologia das UP em pacientes críticos com doenças cardiopneumológicas, favorecendo o planejamento de cuidados preventivos específicos para essa clientela.

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“…Surgery (44 h) is a risk factor for HAPU in SCI 12,13 and an indicator of the presence of secondary health conditions. 12,22 Focussing on highest occurrence per patient-years, our orthopaedic SCI patients had more HAPUs in the immediate postoperative period than non-SCI patients (25% versus 5%) 14 and a similar rates after 5 days of surgery (66.7% versus 58%).…”

Section: Time Until Occurrencementioning

confidence: 99%

“…11 Events, such as a surgery, are known to enhance the risk of HAPUs in all and especially in SCI patients. [12][13][14] Complete healing of a PU is difficult to determine because molecular and cellular processes of healing continue for months after the epithelial covering. Therefore, measuring the closure of a PU is a more pragmatic approach.…”

Section: Introductionmentioning

confidence: 99%

Hospital-acquired pressure ulcers in spinal cord injured patients: time to occur, time until closure and risk factors

et al. 2016

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Study design: Prospective observational cohort study. Objectives: To describe time to occur and time until closure of hospital-acquired pressure ulcers (HAPUs) in patients with spinal cord injury (SCI). Setting: Specialised SCI acute care and rehabilitation clinic in Switzerland. Methods: Daily registration of the presence and severity of HAPUs in a consecutive sample of SCI patients during their entire in-patient stay. Results: Out of 185 observed SCI patients, 55 patients (29.7%) developed at least one HAPU. Within the first 30 days after admission, 50% of all HAPUs occurred. Less severe HAPUs occurred earlier than severe HAPUs. The occurrence of HAPUs was significantly associated with reason of admission (Po0.01), and was highest in first rehabilitation (51.4%) and orthopaedic surgery patients (41.4%). The incidences of first HAPU in these groups were 1.04 and 2.31 per patient-year, respectively. Patients in first rehabilitation or readmitted because of pressure ulcer (PU) showed an initial lower risk for HAPUs in the Kaplan-Meier curve compared with patients readmitted for other reasons. Cox regression analysis revealed an association between longer time since SCI and time until occurrence (P = 0.01). Closure of the HAPUs during hospitalisation was observed in 37 patients (67.3%) after 38.9 days on average. No significant associations were found between patient characteristics and time until closure. Conclusion: The dynamics of HAPUs varied according to admission reason and time since lesion. However, ongoing awareness to prevent HAPUs is needed in all patients with SCI.

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Retrospective review of predisposing factors for intraoperative pressure ulcer development

Cited by 63 publications

References 30 publications

Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

Prevalence of postoperative pressure ulcer: A systematic meta-analytic review

Incidência de úlceras por pressão em pacientes de Unidade de Terapia Intensiva Cardiopneumológica

Hospital-acquired pressure ulcers in spinal cord injured patients: time to occur, time until closure and risk factors

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