Independent risk factors for pressure ulcer development in a high‐risk nursing home population receiving evidence‐based pressure ulcer prevention: Results from a study in 26 nursing homes in Belgium. Issue 2 (9th November 2018)

• Record Type: Journal Article
• Authors: Anrys, Charlotte; Van Tiggelen, Hanne; Verhaeghe, Sofie; Van Hecke, Ann; Beeckman, Dimitri
• Is Part Of: International wound journal. Volume 16:Issue 2(2019)
• Page Start: 325
• Page End: 333
• Publication Date: 2018-11-09
• Subjects: high‐risk population -- nursing home -- pressure ulcers -- prevention -- risk factors; Wounds and injuries -- Treatment -- Periodicals; Wounds and injuries -- Periodicals; Wound healing -- Periodicals; 617.1005
• DOI: 10.1111/iwj.13032
• Languages: English
• ISSNs: 1742-4801

Abstract

Abstract : The aim of this study was to identify independent risk factors for pressure ulcer (PU) development in a high‐risk nursing home population receiving evidence‐based PU prevention. This study was part of a randomised controlled trial examining the (cost‐)effectiveness of static air support surfaces compared with alternating pressure air mattresses. The sample consisted of 308 residents at a high risk of PU development (presence of non‐blanchable erythema, Braden score ≤ 12 or Braden subscale "mobility" ≤ 2). PU incidence was monitored for 14 days. Demographic variables; functional, physical, and psychological characteristics; and data on skin assessment were collected. Independent risk factors were identified using multiple logistic regression analysis. The overall PU incidence (category II‐IV) was 8.4% ( n = 26), and 1.9% ( n = 6) of the residents developed a deep PU (category III‐IV). PUs (category II‐IV) were significantly associated with non‐blanchable erythema, a lower Braden score, and pressure area‐related pain in high‐risk residents even if preventive care was provided. These results highlight the need of a systematic risk assessment, including pain assessment and skin observations, in order to determine and tailor preventive care to the needs of high‐risk individuals.