Baumgarten M, Margolis D, Berlin JA, Strom BL, Garino J, Kagan SH, Kavesh W, Carson JL, et al.
Wound repair and regeneration : official publication of the Wound Healing Society [and] the Eur.... Date of publication 2003 Mar 1;volume 11(2):96-103.
1. Wound Repair Regen. 2003 Mar-Apr;11(2):96-103.
Risk factors for pressure ulcers among elderly hip fracture patients.
Baumgarten M(1), Margolis D, Berlin JA, Strom BL, Garino J, Kagan SH, Kavesh W,
Carson JL.
Author information:
(1)Department of Epidemiology and Preventive Medicine, University of Maryland
School of Medicine, Baltimore, Maryland 21201, USA. mbaumgar@epi.umaryland.edu
The purpose of this study was to estimate the incidence of hospital-acquired
pressure ulcers among elderly patients hospitalized for hip fracture surgery and
to identify extrinsic factors that are associated with increased risk. We
conducted a secondary analysis of data abstracted from medical records at 20
hospitals in Pennsylvania, Texas, New Jersey, and Virginia. Participants were
patients aged 60 years and older admitted with hip fracture to the study
hospitals between 1983 and 1993. The incidence of hospital-acquired pressure
ulcers was 8.8% (95% confidence interval 8.2%-9.4%). After adjusting for
confounding variables, longer wait before surgery, intensive care unit stay,
longer surgical procedure, and general anesthesia were significantly associated
with higher pressure ulcer risk. Extrinsic factors may be important markers for
high pressure ulcer risk in hospitalized hip fracture patients. Although it is
not possible to eliminate factors such as requiring an intensive care unit stay
or having a long surgical procedure, it may be possible to develop interventions
that minimize pressure ulcer risk in patients who experience these factors.
PMID: 12631296 [Indexed for MEDLINE]
