The prevalence of pressure ulcers in four paediatric institutions

Schlüer, Anna‐Barbara; Cignacco, Eva; Müller, Marianne; Halfens, Ruud J.G.

doi:10.1111/j.1365-2702.2009.02951.x

Cited by 58 publications

(47 citation statements)

References 39 publications

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“…2,4,19,20 Our results provide new information on the factors associated with development of OPUs in this age group. Our study is the first one with a focus on OPUs in infants and children.…”

Section: Discussionmentioning

confidence: 98%

“…4,6,7,21,22 In young children, the occiput is the most frequently reported location for pressure ulcers. 2,8,13,22 Development of a pressure ulcer on the occiput makes sense: a young child's head is proportionately larger and heavier than the head of an older child.…”

Section: Discussionmentioning

confidence: 99%

“…We now know that pressure ulcers do occur in these patients [2][3][4] ; the reported incidence is 4% to 27%. [5][6][7][8][9] Despite the growing awareness of pressure ulcers in infants and children, little is known about the nuances of risk in this age group.…”

mentioning

confidence: 99%

“…Few specific data 4,11,12 are available on factors associated with the development of occipital pressure ulcers (OPUs), the type most common in infants and children. These unique pressure ulcers are particularly important because of their high potential for more severe injury, such as osteomyelitis, and life-long scarring alopecia.…”

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confidence: 99%

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Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Manning¹,

Gauvreau²,

Curley³

2015

American Journal of Critical Care

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Background The occiput is a common location for development of pressure ulcers in hospitalized infants and young children. However, risk factors associated with occurrence of the ulcers have not been fully described. Objective To identify factors associated with development of occipital pressure ulcers in acutely ill infants and children. Methods Charts of all patients with occipital pressure ulcers reported in a computerized safety event reporting system since its implementation in 2005 and of any patients with such ulcers recalled by members of the skin care special interest group were reviewed retrospectively. Results During a 4-year period, 60 cases of occipital pressure ulcers were identified: 40% stage I, 12% stage II, 30% unstageable, and 18% deep tissue Injury. The median age of the sample was 12 months. Among the patients, 86% were in the intensive care unit with cardiovascular or pulmonary problems. A total of 68% had comorbid conditions. Most of the patients were less than 1 year old; were critically ill, requiring high-risk therapies; and had multiple medical devices in place. Patients with the ulcers were commonly treated with mechanical ventilation (83%) and sedation (74%) and were described as agitated (42%). Many of these patients were receiving vasoactive medications (50%) and had vascular access devices in the neck that restricted head movement (45%). When documented, the median Braden Q score was 16. Conclusions Infants and children at risk for occipital pressure ulcers can be prospectively identified, allowing implementation of nursing interventions to prevent these ulcers.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Manning¹,

Gauvreau²,

Curley³

2015

American Journal of Critical Care

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“…Na Holanda, estima-se que o custo anual das medidas preventivas e tratamento das UP ronde os 350.000.000€, constituindo cerca de 1-3% do custo total anual dos gastos em saúde. Na Alemanha, o custo médio do tratamento de uma UP é de 50.000€ (4). Apesar dos dados internacionais evidenciarem custos elevados, em Portugal não existe qualquer tipo de estudo económico relacionado com esta realidade (5).…”

Section: A Definição De Padrões De Qualidade Dos Cuidados Deunclassified

Localização e medidas preventivas de úlceras de pressão em idade pediátrica: revisão integrativa da literatura

Lomba

Bessa²,

Santos³

2015

Rev Cuid

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RESUMO Introdução:As úlceras de pressão (UP) são um problema de saúde pública e indicador da má qualidade dos cuidados. A sua problematização é consensual em adultos mas não é reconhecida em pediatria. Apesar de consideradas raras, estudos existentes revelam o contrário. Materiais e Métodos: Realizou-se uma revisão integrativa da literatura on-line nas bases de dados CINAHL, Academic Search Complete e Elsevier ScienceDirect seleccionando estudos que identificassem as localizações anatómicas mais frequente das úlceras de pressão em pediatria e medidas preventivas mais eficazes. Foi adicionada uma pesquisa a partir das referências bibliográficas dos estudos selecionados. A avaliação dos resultados permitiu selecionar 5 estudos: 3 abordam as localizações anatómicas mais frequentes e 2 as medidas preventivas mais eficazes. Resultados: As localizações anatómicas mais referidas são a região occipital e sacrococcígea havendo alguma discrepância entre autores. Apesar da escassez de estudos de eficácia de materiais e de a maioria das medidas se basearem na eficácia em adultos, as medidas preventivas apontadas como mais eficazes são as consultas de nutrição, a alternância de decúbitos, almofadas no alívio de pressão, superfícies adequadas e placas de gel. Discussão e Conclusões: Os estudos evidenciam algumas discordâncias acerca das localizações mais frequentes das úlceras de pressão, sendo as variações justificadas pelas diferenças anatómicas entre crianças e mudança nos locais de pressão consoante o crescimento em pediatria. Verifica-se ainda uma escassez de evidência empírica sobre a eficácia de medidas preventivas. Sendo vital o reconhecimento desta problemática em pediatria, sugerem-se investigações futuras. Palavras chave: Úlcera por Pressão, Pediatria, Prevenção Secundária. (Fonte: DeCS BIREME). http://dx.doi.org/10.15649/cuidarte.v6i2.169 RESUMEN Introducción: Las úlceras por presión (UP) son un problema de salud pública y un indicador de la mala calidad de los cuidados. Su cuestionamiento es consensual en adultos pero no es reconocida en pediatría. Aunque considerado raro, los estudios existentes revelan lo contrario. Materiales y Métodos: Se realizó una revisión integrativa de la literatura en las bases de datos on-line CINAHL, Academic Search Complete y Elsevier ScienceDirect seleccionando los estudios que identifican las localizaciones anatómicas más frecuentes de UP en pediatría y las medidas preventivas más eficaces. La evaluación de los resultados permitió seleccionar 5 estudios: 3 cubren las localizaciones más frecuentes y 2 las medidas preventivas más eficaces. Resultados: Las localizaciones anatómicas mencionadas son la región occipital y sacro coccígea habiendo alguna discrepancia entre autores. A pesar de la escasez de estudios de eficacia de los materiales y que la mayoría de las medidas se basan en efectividad en adultos, las medidas preventivas que se destacan cómo más eficaces son consultas de nutrición, alternando posiciones decúbitos, almohadas en alivio de la presión, superficies apropiadas y pl...

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Patient and lay carer education for preventing pressure ulceration in at-risk populations

O’Connor

Moore

Dumville

et al. 2015

Cochrane Database of Systematic Reviews

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The prevalence of pressure ulcers in four paediatric institutions

Abstract: The high prevalence rate in paediatric patients is disconcerting and requires further exploration in terms of interventions needed to improve outcomes for this patient group.

Cited by 58 publications

References 39 publications

Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Localização e medidas preventivas de úlceras de pressão em idade pediátrica: revisão integrativa da literatura

Patient and lay carer education for preventing pressure ulceration in at-risk populations

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The prevalence of pressure ulcers in four paediatric institutions

Abstract: The high prevalence rate in paediatric patients is disconcerting and requires further exploration in terms of interventions needed to improve outcomes for this patient group.

Cited by 58 publications

References 39 publications

Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Factors Associated With Occipital Pressure Ulcers in Hospitalized Infants and Children

Localização e medidas preventivas de úlceras de pressão em idade pediátrica: revisão integrativa da literatura

​Patient and lay carer education for preventing pressure ulceration in at-risk populations

Contact Info

Product

Resources

About

Patient and lay carer education for preventing pressure ulceration in at-risk populations