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Advisor(s)
Abstract(s)
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.
Description
Keywords
Adult Age Factors Aged Aged, 80 and over Female Hospitals Humans Incidence Length of Stay Male Middle Aged Portugal Prevalence Retrospective Studies Risk Factors Skin Care Young Adult Pressure Ulcer
Citation
Journal of Tissue Viability 25 (2016) 209-215
