The influence of comorbidity on the prevalence of pressure ulcers in geriatric patients

Abstract

hospitalizations and altered consciousness are the most consistently reported risk factors for pressure ulcers [8].Although previous studies have suggested that certain conditions, such as spinal cord injuries, hip fractures, cardiovascular disease, and diabetes, increase the likelihood that a patient will develop a PU, the role of thecomorbidity status in the development of PUs in geriatric hospitals is rarely investigated.The objective of this study was to investigate the prevalence of PUs in a geriatric hospitaland explore the possible connections between prevalence rate and comorbidity status. Material and methodThe study was carried out at the Geriatric and Palliative Care Hospital in Skopje, an institution that serves the 1200000 population, offering geriatric and palliative care. It is the largest specialized geriatric and palliative hospital in the country and exclusively attends to patients through the Public Health System. The study design was approved by the Hospital Ethics Committee. Informed consent was waived because of the study's observational nature.

Implementation of pressure ulcer prevention and management in elderly patients: a retrospective study in tertiary care hospital in Qatar

“…In our study, BMI, aspiration pneumonia, chronic kidney disease, and malignancy were more common in pressure ulcer patients compared to normal. Lenche et al also reported that more than 90% of study participants suffered from at least one comorbid condition, with cardiovascular and neurological diseases being the most prevalent [12]. The authors also reported that increasing number of comorbid conditions was associated with pressure ulcer in hospitalized geriatric patients [7].…”

“…Blood transfusion might be an important tool in the treatment of pressure ulcer in patients with low hemoglobin. Erythropoietin and intravenous iron supplementation (if there is concomitant iron deficiency) and other supplements (if there are concomitant vitamin B12 or folate deficiencies) are used in pressure ulcer patients with anemia of chronic disease [12][13][14][15][16].…”

Pressure Injury Risk Assessment and the Use of Intraoperative Polyurethane Foams to Prevent the Pressure Injuries

“…Other factors such as nutritional deficiencies and advanced age 60 years have increased the risk of pressure sores. Lenche et al also found that from 2099 patients who were hospitalized; there were 1289 (61.4%) patients with an average age of 76.32 years having a total pressure ulcer prevalence of 12.19%, which was significantly affected by the presence of disease (p = 0.021) and neurological disorders (p = 0.051) [13]. Chiari et al also stated that the patients most at risk for pressure ulcers were adults older than 80 years [16].…”

“…Based on the assessment from 81 respondents, it was found that most of the respondents, or 62.5% were 60 years old. A study conducted in Sweden found that 97% of patients aged 65 years had pressure sores, and 63% were over 80 years old [13]. The results showed that most of the types of surgery performed were neurosurgery as many as 42 (51.9%) respondents with a supine position as 51 (63%).…”

The influence of anaemia on pressure ulcer healing in elderly patients

“…The prevalence of pressure ulcers (PU) is significantly increased in the elderly individuals and is also related to other factors such as dementia, socioeconomic status, long term conditions, malnutrition low oxygen level and tissue ischemia (Jaul et al, 2018;Børsting et al, 2018;Margolis, 2002;Olivo et al, 2020;Azevedo Macena et al, 2017;Liao et al, 2019;Galivanche et al, 2020;Lenche et al, 2016;Neloska et al, 2016;Kim et al, 2019 ).…”