The International Pressure Ulcer Prevalence™ Survey

VanGilder, Catherine; Lachenbruch, Charlie; Algrim-Boyle, Corrine; Meyer, Stephanie

doi:10.1097/won.0000000000000292

Cited by 157 publications

(95 citation statements)

References 6 publications

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“…The high curvature of the nearly rigid sacral bone and the stiffness gradients of the layered soft tissue structures (eg, muscle vs. adipose) intensifies the internal shear stresses and may spread the tissue distortions and associated injury to the depth of the soft tissues. Despite the vast government, academic, industry, and health care service efforts and resources are being now invested in PU prevention, and although clinical studies testing different interventions are now able to report on decline in PUs incidence, the prevalence of these wounds is still high, and sometimes they can be unavoidable . Approximately, one‐third of the reported PUs are severe and classified as category 3 or 4 …”

Section: Introductionmentioning

confidence: 99%

The biomechanical protective effects of a treatment dressing on the soft tissues surrounding a non‐offloaded sacral pressure ulcer

Schwartz

Gefen

2019

International Wound Journal

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Patients who are immobile endure prolonged bodyweight‐related compressive, tensional and shear loads at their body‐support contact areas that over time may lead to the onset of pressure ulcers (PUs). Approximately, one‐third of the common sacral PUs are severe and classified as category 3 or 4. If a PU has occurred, off‐loading is the basic, commonly accepted clinical intervention; however, in many situations, complete off‐loading of sacral PUs is not possible. Minimising the exposure of wounds and their surroundings to elevated mechanical loads is crucial for healing. Accordingly, in the present study, we aimed to investigate the biomechanical effects of the structural and mechanical properties of different treatment dressings on stresses in soft tissues surrounding a non‐offloaded sacral PU in a supine patient. Using a novel three‐dimensional anatomically realistic finite element modelling framework, we have compared performances of three dressing designs: (a) The Mepilex Border Sacrum (MBS) multilayer anisotropic silicone foam dressing (Mölnlycke Health Care), (b) an isotropic stiff dressing, and (c) an isotropic flexible dressing. Using our newly developed protective efficacy index (PEI) and aggravation index (AI) for assessing prophylactic and treatment dressings, we identified the anisotropic stiffness feature of the MBS dressing as a key design element.

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Section: Introductionmentioning

confidence: 99%

The biomechanical protective effects of a treatment dressing on the soft tissues surrounding a non‐offloaded sacral pressure ulcer

Schwartz

Gefen

2019

International Wound Journal

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“…The incidence of these four complications is very high. For example, the prevalence of pressure ulcers in USA was 9.3% (Vangilder, Lachenbruch, Algrim-Boyle, & Meyer, 2017), whereas it was 23.9% among long-term bedridden patients (Lyder, 2003). In China, the incidence of hospital-acquired pneumonia was 1.3%-3.4% among inpatients (Society CT, 2002), but the value was 14.4% among long-term bedridden patients (Na, 2014).…”

Section: Introductionmentioning

confidence: 99%

Nursing resources and major immobility complications among bedridden patients: A multicenter descriptive study in China

et al. 2019

J Nurs Manag

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Background Being bedridden, which is a common clinical phenomenon, causes a series of complications related to immobilization. Effective management of immobility complications requires a reasonable allocation of nursing resources. Unit‐level evidence about the relationship between nursing resources and immobility complications is lacking. Objectives To gain insight into nursing resources in China and explore the relationship between nursing resources and the incidence of major immobility complications among bedridden patients. The major immobility complications included in our study were pressure ulcers, deep vein thrombosis, pneumonia and urinary tract infection. Design A nationwide, multicenter, cross‐sectional survey. Setting From November 2015 to June 2016, 18 hospitals (six tertiary and 12 secondary) from six provinces and cities in different geographic regions (eastern, southern, western, northern and central) in China participated in our study. Participant Intensive care units, internal medicine and surgery wards with high proportions of bedridden patients were chosen as investigation sites. Of the total of 23,637 available patients in the selected wards, 19,530 were recruited. Methods Data on nursing resources and ward characteristics were collected mainly by questionnaire. The incidence of major immobility complications among bedridden patients was measured by trained investigators. Data on patient characteristics were collected from the patient record system of each hospital. Multilevel regression analysis was used to estimate the impact of nursing resources on the incidence of major immobility complications, adjusting for patient and ward characteristics. Results The study included 23,637 patients in 213 wards, and 19,530 were recruited. The incidence of the four complications was 0.77% (pressure ulcers), 0.82% (deep vein thrombosis), 3.39% (pneumonia) and 0.86% (urinary tract infection), and the overall incidence of major immobility complications was 5.41%. The incidence of major immobility complications was higher in wards not attaining the target bed‐to‐nurse ratios than in those that met these criteria (β = 0.44, 95% confidence interval [CI]: 0.02–0.87; OR = 1.553, 95% CI: 1.002–2.387). The incidence of major immobility complications was negatively associated with the proportion of nurses with intermediate or senior job titles (β = −2.12, 95% CI: −3.78 to −0.45; OR = 0.120, 95% CI: 0.023–0.638). However, the incidence of major immobility complications was unexpectedly positively associated with the proportion of nurses with a bachelor's degree or higher (β = 1.06, 95% CI: 0.31–1.81; OR = 2.886, 95% CI: 1.363–6.110). Conclusions Sufficient nurse staffing and higher professional titles of nurses might contribute to reducing the incidence of major immobility complications. Nurse experience was not related to the incidence of major immobility complications. However, the association between nurse education level and the incidence of major immobility complications requires further investigation....

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“…In this study, the devices that correlated with the lesion were not described. 7 The patients with higher risks of MDRPI generation are those with impaired sensory perception, such as neuropathy and communication deficit (oral intubation, language barriers, unconsciousness or nonverbal state). 8 Therefore, the evaluation and prevention of the PIs are paramount, so that professionals use the systematization of care by means of scales, as a reference to the Braden scale, which is scientifically based on the pathophysiology that involves PI development, allowing the evaluation of aspects inherent to the process of injury generation, addressing six parameters: sensory perception, moisture, mobility and activity, nutrition, friction and shear.…”

Section: Introductionmentioning

confidence: 99%

Medical-Device-Related Pressure Injury on Adults: An Integrative Review

Cavalcanti

Kamada

2020

Texto contexto - enferm.

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Objective: to identify factors associated with medical-device-related pressure injury. Method: an integrative review of published articles on the subject related to the adult population in the databases of PUBMED, Scopus, MEDLINE, Latin American and Caribbean Health Sciences Literature (Literatura Latino-Americana e do Caribe em Ciências da Saúde, LILACS), Web of Science and Nursing Database (Banco de Dados em Enfermagem, BDENF), between 2013 and 2018. Results: medical-device-related pressure injuries were common in adults, especially in the elderly, due to capillary fragility, among other changes. Other observed factors were length of stay, critically ill patients or those requiring any type of medical device. Numerous medical devices have been associated with skin lesions; among the most frequent were breathing, feeding, and orthopedic devices, tubes, oximeters, neck collars, patches and nasogastric tubes. Conclusion: the first step towards prevention is exploration in terms of identifying the types of injury-causing devices and evidence-based interventions, and disseminating information to the entire multidisciplinary team.

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The International Pressure Ulcer Prevalence™ Survey

Cited by 157 publications

References 6 publications

The biomechanical protective effects of a treatment dressing on the soft tissues surrounding a non‐offloaded sacral pressure ulcer

The biomechanical protective effects of a treatment dressing on the soft tissues surrounding a non‐offloaded sacral pressure ulcer

Nursing resources and major immobility complications among bedridden patients: A multicenter descriptive study in China

Medical-Device-Related Pressure Injury on Adults: An Integrative Review

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