Analyses of pressure ulcer incidence in inpatient setting in a Portuguese hospital. Issue 4 (November 2016)

• Record Type: Journal Article
• Authors: Sardo, Pedro Miguel Garcez; Simões, Cláudia Sofia Oliveira; Alvarelhão, José Joaquim Marques; Simões, João Filipe Fernandes Lindo; Machado, Paulo Alexandre Puga; Amado, Francisco Manuel Lemos; Amaro, António José Monteiro; Melo, Elsa Maria Oliveira Pinheiro de
• Is Part Of: Journal of tissue viability. Volume 25:Issue 4(2016:Nov.)
• Page Start: 209
• Page End: 215
• Publication Date: 2016-11
• Subjects: Incidence -- 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.2016.08.003
• Languages: English
• ISSNs: 0965-206X

Abstract

Abstract: Aim: To gain more insight into the magnitude of the problem of pressure ulcer incidence in general wards of a Portuguese hospital. Material and methods: Retrospective cohort analysis of electronic health record database from 7132 adult patients admitted to medical and surgical wards of Aveiro Hospital during 2012. The development of (at least) one pressure ulcer during the length of stay was associated with age, gender, type of admission, specialty units, first Braden Scale score, length of stay, patient discharge outcome and ICD-9 diagnosis. Results: An incidence of 3.4% participants with pressure ulcer category I-IV in inpatient setting during 2012. During the length of stay, 320 new pressure ulcers were developed, most of them category/stage II. The sacrum/coccyx and the trochanters were the most problematic areas. Conclusions: The major risk factor for the development of a new pressure ulcer during the length of stay was the presence of (at least) one pressure ulcer at the first skin assessment. The length of stay itself, age and lower Braden Scale scores of our participants also played an important role in the odds of developing a pressure ulcer. Infectious diseases, traumatism and fractures and respiratory diseases were the ICD-9 diagnoses with higher frequency of participants that developed (at least) one pressure ulcer during the length of stay. It's important to standardize procedures and documentation in all care settings. The documentation of nursing interventions is vital to evaluate the impact of evidence-based nursing. Highlights: Pressure ulcer (risk) assessment in Portugal. Incidence of participants with pressure ulcers of 3.4%. Most of the pressure ulcers developed were category/stage II. The most problematic areas were the sacrum/coccyx and trochanters. Pressure ulcer(s) presence at the first skin assessment is a measure of frailty.