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Risk factors and prevention among patients with hospital-acquired and pre-existing pressure ulcers in an acute care hospital

Wann-Hansson, Christine LU ; Hagell, Peter LU and Willman, A (2008) In Journal of Clinical Nursing 17(13). p.1718-1727
Abstract
Aims and objectives. This study aimed to describe and identify risk factors associated with hospital-acquired pressure ulcers among adults in an acute care hospital compared with patients with pre-existing pressure ulcers present on admission. A further aim was to identify the preventive measures performed with both groups respectively. Background. Pressure ulcers occur most often in older and immobile persons with severe acute illness and neurological deficits. However, few studies have addressed risk factors that are associated with hospital-acquired pressure ulcers compared with patients with pre-existing pressure ulcers. Design. A point prevalence study with a cross-sectional survey design was conducted at a Swedish university... (More)
Aims and objectives. This study aimed to describe and identify risk factors associated with hospital-acquired pressure ulcers among adults in an acute care hospital compared with patients with pre-existing pressure ulcers present on admission. A further aim was to identify the preventive measures performed with both groups respectively. Background. Pressure ulcers occur most often in older and immobile persons with severe acute illness and neurological deficits. However, few studies have addressed risk factors that are associated with hospital-acquired pressure ulcers compared with patients with pre-existing pressure ulcers. Design. A point prevalence study with a cross-sectional survey design was conducted at a Swedish university hospital. Method. Data on 535 patients were recorded using a modified version of the protocol developed and tested by the European Pressure Ulcer Advisory Panel, including the Braden scale for risk assessment. Results. The prevalence of pressure ulcers was 27% (95% confidence interval, 23-31%). Higher age and a total Braden score below 17 were significantly associated with the presence of pressure ulcers. Among individual risk factors higher age, limited activity level and friction and shear while seated or lying down were associated with hospital-acquired pressure ulcers, whereas only higher age and friction and shear were associated with the presence of pressure ulcers in the overall sample. There was an overall sparse use of preventive measures to relieve pressure. Conclusion. The findings of the present study revealed that pressure ulcers and the insufficient use of preventive measure to relieve pressure is still a problem in acute care settings. A continued focus must be placed on staff training in identifying patients at risk for pressure ulcers development. Relevance to clinical practice. Increasing the ability to identify patients who are at risk for pressure ulcer development can assist in preventing unnecessary complications and suffering as well as reduce costs. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Sweden, risk factors, prevention, prevalence, pressure ulcers, nurses, nursing
in
Journal of Clinical Nursing
volume
17
issue
13
pages
1718 - 1727
publisher
Wiley-Blackwell
external identifiers
  • wos:000256635600006
  • scopus:44949175792
ISSN
1365-2702
DOI
10.1111/j.1365-2702.2008.02286.x
language
English
LU publication?
yes
id
c1eeef92-e4d2-4713-9194-ad867aa4f3d7 (old id 1191376)
date added to LUP
2008-09-08 14:38:27
date last changed
2017-05-07 04:00:15
@article{c1eeef92-e4d2-4713-9194-ad867aa4f3d7,
  abstract     = {Aims and objectives. This study aimed to describe and identify risk factors associated with hospital-acquired pressure ulcers among adults in an acute care hospital compared with patients with pre-existing pressure ulcers present on admission. A further aim was to identify the preventive measures performed with both groups respectively. Background. Pressure ulcers occur most often in older and immobile persons with severe acute illness and neurological deficits. However, few studies have addressed risk factors that are associated with hospital-acquired pressure ulcers compared with patients with pre-existing pressure ulcers. Design. A point prevalence study with a cross-sectional survey design was conducted at a Swedish university hospital. Method. Data on 535 patients were recorded using a modified version of the protocol developed and tested by the European Pressure Ulcer Advisory Panel, including the Braden scale for risk assessment. Results. The prevalence of pressure ulcers was 27% (95% confidence interval, 23-31%). Higher age and a total Braden score below 17 were significantly associated with the presence of pressure ulcers. Among individual risk factors higher age, limited activity level and friction and shear while seated or lying down were associated with hospital-acquired pressure ulcers, whereas only higher age and friction and shear were associated with the presence of pressure ulcers in the overall sample. There was an overall sparse use of preventive measures to relieve pressure. Conclusion. The findings of the present study revealed that pressure ulcers and the insufficient use of preventive measure to relieve pressure is still a problem in acute care settings. A continued focus must be placed on staff training in identifying patients at risk for pressure ulcers development. Relevance to clinical practice. Increasing the ability to identify patients who are at risk for pressure ulcer development can assist in preventing unnecessary complications and suffering as well as reduce costs.},
  author       = {Wann-Hansson, Christine and Hagell, Peter and Willman, A},
  issn         = {1365-2702},
  keyword      = {Sweden,risk factors,prevention,prevalence,pressure ulcers,nurses,nursing},
  language     = {eng},
  number       = {13},
  pages        = {1718--1727},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Risk factors and prevention among patients with hospital-acquired and pre-existing pressure ulcers in an acute care hospital},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2008.02286.x},
  volume       = {17},
  year         = {2008},
}