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Pressure ulcer incidence and Braden subscales: Retrospective cohort analysis in general wards of a Portuguese hospital

2018Journal article Restricted access
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dc.contributor.authorSardo, Pedro Miguel Garcez
dc.contributor.authorGuedes, Jenifer Adriana Domingues
dc.contributor.authorAlvarelhão, José Joaquim Marques
dc.contributor.authorMachado, Paulo Alexandre Puga
dc.contributor.authorMelo, Elsa Maria Oliveira Pinheiro
dc.date.accessioned2020-08-05T16:23:30Z
dc.date.available2020-08-05T16:23:30Z
dc.date.issued2018
dc.description.abstractAim: To study the influence of Braden subscales scores (at the first pressure ulcer risk assessment) on pressure ulcer incidence using a univariate and a multivariate time to event analysis. Materials and methods: Retrospective cohort analysis of electronic health record database from adult patients admitted without pressure ulcer(s) to medical and surgical wards of a Portuguese hospital during 2012. The hazard ratio of developing a pressure ulcer during the length of inpatient stay was calculated by univariate Cox regression for each variable of interest and by multivariate Cox regression for the Braden subscales that were statistically significant. Results: This study included a sample of 6552 participants. During the length of stay, 153 participants developed (at least) one pressure ulcer, giving a pressure ulcer incidence of 2.3%. The univariate time to event analysis showed that all Braden subscales, except “nutrition”, were associated with the development of pressure ulcer. By multivariate analysis the scores for “mobility” and “activity” were independently predictive of the development of pressure ulcer(s) for all participants. Conclusion: (Im)“mobility” (the lack of ability to change and control body position) and (in)“activity” (the limited degree of physical activity) were the major risk factors assessed by Braden Scale for pressure ulcer development during the length of inpatient stay. Thus, the greatest efforts in managing pressure ulcer risk should be on “mobility” and “activity”, independently of the total Braden Scale score.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJournal of Tissue Viability 27 (2018) 95-100pt_PT
dc.identifier.doi10.1016/j.jtv.2018.01.002pt_PT
dc.identifier.issn0965-206X
dc.identifier.urihttp://hdl.handle.net/10400.26/33062
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0965206X17300499pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectCohort Studiespt_PT
dc.subjectFemalept_PT
dc.subjectHospitalizationpt_PT
dc.subjectHumanspt_PT
dc.subjectLength of Staypt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectPatients' Roomspt_PT
dc.subjectPhysical Examinationpt_PT
dc.subjectPortugalpt_PT
dc.subjectPressure Ulcerpt_PT
dc.subjectProportional Hazards Modelspt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectRisk Assessmentpt_PT
dc.subjectRisk Factorspt_PT
dc.subjectIncidencept_PT
dc.titlePressure ulcer incidence and Braden subscales: Retrospective cohort analysis in general wards of a Portuguese hospitalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage100pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage95pt_PT
oaire.citation.titleJournal of Tissue Viabilitypt_PT
oaire.citation.volume27pt_PT
person.familyNamePuga Machado
person.givenNamePaulo Alexandre
person.identifier.ciencia-id2F1B-0A7D-9EFA
person.identifier.orcid0000-0002-3187-6860
person.identifier.ridD-2964-2017
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication82218689-5e97-41b2-9cc6-a4214660e805
relation.isAuthorOfPublication.latestForDiscovery82218689-5e97-41b2-9cc6-a4214660e805

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