Analyses of pressure ulcer point prevalence at the first skin assessment in a Portuguese hospital. Issue 2 (May 2016)

• Record Type: Journal Article
• Authors: Sardo, Pedro Miguel Garcez; Simões, Cláudia Sofia Oliveira; Alvarelhão, José Joaquim Marques; Costa, César Telmo de Oliveira e; Simões, Carlos Jorge Cardoso; Figueira, Jorge Manuel Rodrigues; Simões, João Filipe Fernandes Lindo; Amado, Francisco Manuel Lemos; Amaro, António José Monteiro; Melo, Elsa Maria Oliveira Pinheiro de
• Is Part Of: Journal of tissue viability. Volume 25:Issue 2(2016:May)
• Page Start: 75
• Page End: 82
• Publication Date: 2016-05
• Subjects: International classification of diseases -- Nursing -- Nursing assessment -- Pressure ulcer -- Prevalence -- Risk assessment; Wounds and injuries -- Periodicals; Ulcers -- Periodicals; Bedsores -- Periodicals; Bedsores; Ulcers; Wounds and injuries; Electronic journals; Periodicals; 617.1406
• DOI: 10.1016/j.jtv.2016.02.006
• Languages: English
• ISSNs: 0965-206X

Abstract

Abstract: Aim: To analyze the first pressure ulcer risk and skin assessment records of hospitalized adult patients in medical and surgical areas of Aveiro Hospital during 2012 in association with their demographic and clinical characteristics. Material and methods: Retrospective cohort analysis of electronic health record database from 7132 adult patients admitted to medical and surgical areas in a Portuguese hospital during 2012. The presence of (at least) one pressure ulcer at the first skin assessment in inpatient setting was associated with age, gender, type of admission, specialty units, length of stay, patient discharge and ICD-9 diagnosis. Results: Point prevalence of participants with pressure ulcer category/stage I–IV of 7.9% at the first skin assessment in inpatient setting. A total of 1455 pressure ulcers were documented, most of them category/stage I. The heels and the sacrum/coccyx were the most problematic areas. Participants with pressure ulcer commonly had two or more pressure ulcers. Conclusions: The point prevalence of participants with pressure ulcer of our study was similar international literature. The presence of a pressure ulcer at the first skin assessment could be an important measure of frailty and the participants with pressure ulcer commonly had more than one documented pressure ulcer. Advanced age or lower Braden Scale scores or Emergency Service admission were relevant variables for the presence of (at least) one pressure ulcer at the first skin assessment in inpatient setting as well as respiratory, infectious or genitourinary system diseases. Highlights: Point prevalence of participants with pressure ulcers of 7.9%. Most of the pressure ulcers recorded were category/stage I. The most problematic areas were the heels and the sacrum/coccyx. 60.4% of the participants with pressure ulcer had two or more pressure ulcers.