Strazzieri-Pulido KC, Peres GR, Campanili TC, de Gouveia Santos VL, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2017 Jan 1;volume 44(1):29-33.
1. J Wound Ostomy Continence Nurs. 2017 Jan/Feb;44(1):29-33. doi:
10.1097/WON.0000000000000288.
Incidence of Skin Tears and Risk Factors: A Systematic Literature Review.
Strazzieri-Pulido KC(1), Peres GR, Campanili TC, de Gouveia Santos VL.
Author information:
(1)Kelly Cristina Strazzieri-Pulido, PhD, ETN, Graduate Program in Adult Health
Nursing, University of São Paulo School of Nursing (PROESA-EEUSP), Sao Paulo, SP,
Brazil. Giovana Ribau Picolo Peres, MSN, ETN, São Camilo Hospital, Sao Paulo, SP,
Brazil. Ticiane Carolina Gonçalves Faustino Campanili, MSN, ETN, University of
São Paulo School of Medicine (FMUSP), Sao Paulo, SP, Brazil. Vera Lúcia Conceição
de Gouveia Santos, PhD, CETN (TiSOBEST), Medical-Surgical Nursing Department,
University of São Paulo School of Nursing (EE-USP), Sao Paulo, SP, Brazil.
Skin tears are traumatic wounds resulting from friction and shearing forces.
Clinical practice strongly indicates that skin tears are a prevalent problem but
their incidence is not well established in the literature. This systematic
literature review identified and evaluated the available literature on the
incidence and risk factors for skin tears in adults and the elderly. Inclusion
criteria were epidemiological studies published in English, Spanish, or
Portuguese languages from January 1990 through June 2014 and available in full
text. Study quality was assessed using the Strengthening the Reporting of
Observational Studies in Epidemiology (STROBE) statement and the Guidelines for
Critically Appraising Studies of Prevalence or Incidence of a Health Problem.
Five studies reporting incidence of skin tears met the selection criteria.
Reported incidence rates of skin tears ranged from 2.23% to 92% in long-term care
facilities and varied from 2.1% among men to 4.6% among women living in the
community. The most prevalent risk factor for skin tears was old age, followed by
impaired mobility, falls and accidental injuries, previous skin tears, cognitive
deficit/dementia, dependence in transfers, and upper limbs. Further
epidemiological studies on skin tears are necessary to elucidate the cause of
these injuries and identify the profile of people at risk for skin tears,
contributing to the development and implementation of appropriate preventive
interventions.
DOI: 10.1097/WON.0000000000000288
PMID: 28060001 [Indexed for MEDLINE]
