Forni C, D'Alessandro F, Genco R, Mini S, Notarnicola T, Vitulli A, Capezzali D, Morri M, et al.
Advances in skin & wound care. Date of publication 2018 May 1;volume 31(5):218-224.
1. Adv Skin Wound Care. 2018 May;31(5):218-224. doi:
10.1097/01.ASW.0000530685.39114.98.
Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients
with Hip Fractures.
Forni C(1), D'Alessandro F, Genco R, Mini S, Notarnicola T, Vitulli A, Capezzali
D, Morri M.
Author information:
(1)In the Nursing and Allied Profession Research Unit, Rizzoli Orthopaedic
Institute, Bologna, Italy, Cristiana Forni, MA, RN, is Head of Department,
Nursing Clinical Research Unit; Fabio D'Alessandro, RN, is a Staff Nurse; Rossana
Genco, RN, is a Nurse Coordinator; Sandra Mini, RN, is a Staff Nurse; Teresa
Notarnicola, RN, is a Staff Nurse; Arianna Vitulli, RN, is a Staff Nurse; Daniela
Capezzali, RN, is a Staff Nurse; and Mattia Morri, PH, is a Physiotherapist.
OBJECTIVE: The aim of this study was to assess the rate of pressure injury and
real predictors thereof in the older adult population with hip fractures in an
orthopedic hospital.
METHODS: In this prospective prognostic cohort study, all patients admitted with
fragility hip fractures were monitored over a 12-month period. On a daily basis,
ward nurses and physiotherapists assessed the condition of the patients' skin and
collected data about all the predictors connected to their healthcare and
hospital organization until the patients were discharged from hospital or until
the onset of pressure injury.
RESULTS: From October 1, 2013, to September 30, 2014, 467 older adult patients
with fragility fractures were enrolled in the study. Of these, 27% (n = 127)
developed a pressure injury. Multivariate analysis identified the following
predictive factors: age older than 81 years, type of surgery, and placing the
limb in a foam rubber splint. No other factor connected to the patient or
medical, nursing, or rehabilitation treatment was significantly correlated to the
onset of pressure injury, even when the univariate analysis showed some of them
were possible predictors.
CONCLUSIONS: Pressure injury in older adults with hip fractures is a relatively
common complication, especially in high-risk patients or following certain
treatments. These potential indicators could help provide safe and targeted care
by preemptively identifying patients at highest risk of pressure injury.
DOI: 10.1097/01.ASW.0000530685.39114.98
PMID: 29672393 [Indexed for MEDLINE]
