Aim:To identify the characteristics that may be predictive of development of risk of skin tears among hospitalized older adults in Singapore.Background: Skin tears are wounds that are partial or full-thickness separation of skin layers, which are common in older adults. Skin tears can result from shearing, friction, and/or blunt force. Skin tears have correlated with prolonged hospitalization, raised health-care costs and poorer quality of life.
Methods: This cross-sectional descriptive correlational study recruited a convenience sample of 140 patients aged 65 years or above from a Singapore acute hospital. A modified International Skin Tear Advisory Panel (ISTAP) Skin Tear Risk AssessmentPathway was used for data collection; this is a validated instrument to assess patients for risks of skin tears in clinical settings.
Results:The results of the multiple linear regression analysis indicated that increasing age, being underweight, caregiver-dependence and dementia predicted higher levels of risk of skin tears among hospitalized older adults in Singapore. These factors accounted for 33.6% of the variance.
Conclusion:This study can aid health-care professionals assess patients' risk of skin tears and implement appropriate interventions to minimize risks of skin tears.
K E Y W O R D Sinjuries, nursing, quality of life, risk assessment, skin tear
SUMMARY STATEMENTWhat is already known about this topic?• Skin tears run risk of becoming complicated chronic wounds and can progress into ulcerations or cellulitis.• Skin tears have been correlated to prolonged hospitalization and raised costs of health care in addition to unfavourable effects on an individual's quality of life.• Skin tears may thus become a more pressing and prevalent issue as the population ages, and appropriate attention will be required in