Anrys C, Van Tiggelen H, Verhaeghe S, Van Hecke A, Beeckman D, et al.
International wound journal. Date of publication 2018 Nov 9;volume ():.
1. Int Wound J. 2018 Nov 9. doi: 10.1111/iwj.13032. [Epub ahead of print]
Independent risk factors for pressure ulcer development in a high-risk nursing
home population receiving evidence-based pressure ulcer prevention: Results from
a study in 26 nursing homes in Belgium.
Anrys C(1), Van Tiggelen H(1), Verhaeghe S(1)(2), Van Hecke A(1)(3), Beeckman
D(1)(4)(5).
Author information:
(1)Skin Integrity Research Group (SKINT), University Centre for Nursing and
Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent,
Belgium.
(2)Department Health Care, VIVES University College, Roeselare, Belgium.
(3)Nursing Department, Ghent University Hospital, Ghent, Belgium.
(4)School of Health Sciences, Örebro University, Örebro, Sweden.
(5)School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI),
Dublin, Ireland.
The aim of this study was to identify independent risk factors for pressure ulcer
(PU) development in a high-risk nursing home population receiving evidence-based
PU prevention. This study was part of a randomised controlled trial examining the
(cost-)effectiveness of static air support surfaces compared with alternating
pressure air mattresses. The sample consisted of 308 residents at a high risk of
PU development (presence of non-blanchable erythema, Braden score ≤ 12 or Braden
subscale "mobility" ≤ 2). PU incidence was monitored for 14 days. Demographic
variables; functional, physical, and psychological characteristics; and data on
skin assessment were collected. Independent risk factors were identified using
multiple logistic regression analysis. The overall PU incidence (category II-IV)
was 8.4% (n = 26), and 1.9% (n = 6) of the residents developed a deep PU
(category III-IV). PUs (category II-IV) were significantly associated with
non-blanchable erythema, a lower Braden score, and pressure area-related pain in
high-risk residents even if preventive care was provided. These results highlight
the need of a systematic risk assessment, including pain assessment and skin
observations, in order to determine and tailor preventive care to the needs of
high-risk individuals.
© 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.13032
PMID: 30412652
