A Prospective Study of Pressure Sore Risk among Institutionalized Elderly

Bergstrom, Nancy; Braden, Barbara

doi:10.1111/j.1532-5415.1992.tb01845.x

Cited by 348 publications

(213 citation statements)

References 35 publications

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“…Mean time for PU occurrence in the two hospitals, both in phase 1 and 2 is similar to the time mentioned in the literature, according to which PU incidence usually occurs in the first week after admission (23)(24) . Similar results were found in other studies.…”

Section: Discussionsupporting

confidence: 60%

Incidência de úlcera por pressão e ações de enfermagem

2009

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Objectives: To estimate the cumulative incidence (IC up ) and density incidence (DI up ) of pressure ulcer (PU) and to describe the implementation of nursing interventions in two hospitals in the State of Bahia before (phase 1) and during an educational intervention (phase 2). Methods: A prospective design was used. The sample consisted of inpatients of medical/surgical units. Data were collected through skin integrity assessment, reviewing of medical records, interviewing patients, family members, and health care team. Results: The cumulative incidence before and during the educational intervention was 31.4% and 13.6% in hospital 1, and 21.4% and 15% in hospital 2, respectively. The density incidence in hospital 1 before and during the educational intervention was 14.3 days and 43.5 days, respectively. The density incidence in hospital 2 before and during the educational intervention was 31.3 days and 37 days, respectively. Conclusion: There was a statistically significant reduction of density incidence in hospital 1. Preventive nursing interventions were effective in both before and during the educational intervention in both hospitals. Keywords: Pressure ulcers/epidemiology; Quality assurance nursing care; Nursing care RESUMO Objetivos: Estimar a incidência cumulativa (IC up ) e a densidade de incidência (DI up ) de úlcera por pressão (UP) e descrever a ocorrência de ações de enfermagem em dois hospitais do Estado da Bahia, antes (fase 1) e durante (fase 2) intervenção educativa. Métodos: Estudo de coortes prospectivo com pacientes médico-cirúrgicos, utilizando avaliação da integridade cutânea, consulta a registros no prontuário, e entrevista com paciente, família e equipe. Resultados: IC up,, fase 1 e fase 2 foi, respectivamente, no hospital 1 de 31,4% e 13,6%, e no hospital 2, de 21,4% e 15%; DI up aponta tempo médio de exposição para aparecimento de UP no hospital 1 de 14,3 dias na fase 1 e de 43,5 na fase 2; no hospital 2, de 31,3 dias na fase 1 e 37 na fase 2. Conclusão: Redução estatisticamente significante da DI up no hospital 1; cuidados de enfermagem preventivos para UP comprometidos em ambos os hospitais nas duas fases. Descritores: Úlcera por pressão/epidemiologia; Avaliação da qualidade dos cuidados de enfermagem; Cuidados de enfermagem RESUMEN Objetivos: Estimar la incidencia acumulativa (IC up ) y la densidad de incidencia (DI up ) de úlcera por presión (UP) y describir la ocurrencia de acciones de enfermería en dos hospitales del Estado de la Bahia, antes (fase 1) y durante (fase 2) la intervención educativa. Métodos: Se trata de un estudio de cohortes prospectivo realizado con pacientes médico-quirúrgicos, utilizando una evaluación de la integridad cutánea, consulta a registros en la historia clínica, y entrevista con el paciente, la familia y el equipo. Resultados: IC up, fase 1 y fase 2 fue, respectivamente, en el hospital 1 de 31,4% y 13,6%, y en el hospital 2, de 21,4% y 15%; DI up apunta un tiempo medio de exposición para la aparición de UP en el hospital 1 de 14,3 días en la fase...

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Section: Discussionsupporting

confidence: 60%

Incidência de úlcera por pressão e ações de enfermagem

2009

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“…Dada la complejidad del trabajo de campo y los límites temporales impuestos para la recogida de la información, no se pudieron reemplazar dichos pacientes, con lo que la muestra final de estudio corresponde a 62 pacientes (87,3% del total). La búsqueda activa de la información se realizó en el domicilio del paciente, cuyo instrumento de recogida de datos fue elaborado en base a la definición de las variables de estudio agrupadas en: a) variables atributo: género, edad; b) parámetros antropométricos y analíticos; c) presencia de lesiones UPP y valoración del riesgo de desarrollar UPP mediante aplicación de la escala de Braden (22)(23)(24)(25); d) aporte nutricional suplementario y e) estado nutricional valorado mediante el MNA.…”

Section: Materials Y Métodounclassified

Cribado nutricional en pacientes inmovilizados del Servicio de Atención Domiciliaria de una zona básica de salud del área de Salud de Gran Canaria

et al. 2012

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“…A relationship between increased body temperature and the development of pressure sores exists. 4 Research indicates that both the resting skin temperature and the reactivity (magnitude of change in response) of skin temperature to a stimulus are indicative of the susceptibility to pressure sore development. [5][6][7][8][9][10] An increase of 1 1C in resting skin temperature causes a 10% increase in tissue metabolism, thus increasing tissue susceptibility to ischemic injury.…”

Section: Introductionmentioning

confidence: 99%

Leg skin temperature with body-weight-supported treadmill and tilt-table standing training after spinal cord injury

et al. 2010

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Study design: Randomized crossover. Objectives: Effects of body-weight-supported treadmill (BWST) and tilt-table standing (TTS) training on skin temperature and blood flow after spinal cord injury (SCI). Setting: McMaster University, Canada. Methods: Seven individuals with SCI participated in BWST and TTS training (3 times per week for 4 weeks, 4-week detraining between protocols). Skin temperature was measured before and after a single session of BWST or TTS, pre-and post-training. Leg blood flow was measured at rest pre-and post-training. Results: Resting skin temperature decreased at four sites after 4 weeks of BWST training in comparison with the pre-training. Four weeks of TTS training resulted in resting skin temperature decreases posttraining at the right thigh only. Both BWST and TTS training resulted in altered reactivity of skin temperature at all sites except the right calf in response to a single session of BWST and TTS. Post-BWST training, a single session of BWST stimulated increased temperature at all sites, whereas after TTS training a single session of TTS resulted in temperature decreases at two of the six sites. No changes were observed in resting blood flow with either BWST or TTS training. Conclusion: Increased resting skin temperature and decreased skin temperature reactivity have been linked to the development of pressure sores. BWST and TTS may stimulate different skin temperature responses and the impact on pressure sore development warrants further investigation. Sponsorship: NSERC, ONF and GSSI.

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A Prospective Study of Pressure Sore Risk among Institutionalized Elderly

Abstract: Risk assessment is recommended upon admission to a nursing home and weekly for the first month. Risk status can be effectively predicted by using the Braden Scale in combination with knowledge of age, blood pressure, temperature, and dietary protein intake.

Cited by 348 publications

References 35 publications

Incidência de úlcera por pressão e ações de enfermagem

Incidência de úlcera por pressão e ações de enfermagem

Cribado nutricional en pacientes inmovilizados del Servicio de Atención Domiciliaria de una zona básica de salud del área de Salud de Gran Canaria

Leg skin temperature with body-weight-supported treadmill and tilt-table standing training after spinal cord injury

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