Multicentre study of pressure ulcer point prevalence in a Portuguese region

Lopes, Teresa Silveira; Videira, Lidia; Saraiva, Dora Maria Ricardo Fonseca; Agostinho, Evane Santos; Bandarra, António José Ferreira

doi:10.1016/j.jtv.2019.11.002

Cited by 19 publications

(36 citation statements)

References 29 publications

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“…No obstante, ambas cifras están dentro del rango encontrado en otras series internacionales que irían desde 0,168‰ en mujeres de América Central hasta 2,324‰ en mujeres del norte de África y del Medio Este 15 . Aunque puede ser difícil comparar nuestra atención primaria con la de esos países, el país vecino Portugal, en un estudio reciente, ha informado de una prevalencia del 0,2‰ en un contexto comunitario, si bien reconocen limitaciones en su estudio que podrían haber infraestimado la prevalencia 16 . Lamentablemente, nuestro estudio no obtiene datos de prevalencia dentro de los programas de atención domiciliaria, información que sería muy útil al permitir una comparación directa menos sesgada con otros estudios, especialmente teniendo en cuenta que hasta el 50% de las UPP están en sus domicilios 17 .…”

Section: Discussionunclassified

“…Al igual que notificó el 3 er Estudio Nacional (93,4%) 12 , en nuestro estudio más del 90% de los pacientes con UPP tenían una edad igual o superior a 65 años y tal como ocurría en el 4º Estudio Nacional, la prevalencia en mayores de 65 años cuadruplicó la de la población general 2 . Ello pone de relieve el perfil de alta fragilidad que generalmente se asocia a las UPP 16,20 , especialmente en el contexto de atención primaria. Así, solo el 9,8% de los pacientes con UPP era continente a nivel vesical y más de un 70,0% estaba postrado en cama/sillón.…”

Section: Discussionunclassified

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Prevalencia de úlceras por presión en atención primaria: estudio de Cuenca

Adillo

Parrilla

2021

Gerokomos

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Objectives: 1) To determine the point prevalence of pressure ulcers (PU) and 2) to characterize the identified patients and lesions. Methods: Observational, descriptive and cross-sectional study, settled in the "Gerencia de Atención Integrada" of Cuenca (Spain). An ad hoc online questionnaire was sent to all nurses attending Primary Care centres, and epidemiologic and clinic variables related to patients with PU were recorded. Results: In total, 152 professionals (response rate 98.1%) answered the questionnaire, recording data of 131,190 habitants. We identified 72 PUs from 51 patients (86.6 ±10.4 years), which represents an overall prevalence of 0.389‰ (IC 95%: 0.296-0.511). The global prevalence was higher in women than men (0.532‰ vs. 0.245‰, p = 0,008, respectively) and increased with age, finding a prevalence in patients ≥ 65 years old of 1.982‰ and 1.144‰ for women and men, respectively. A risk assessment scale for PU prevention was not used in up to 32.1% of patients, and 43.2% of patients did not use any pressure relieving support surface. Multiple lesions were identified in 47.2% of patients, and 97.2% of PUs had a category >1. A wet wound healing therapy was used in 59.7% of the lesions. Conclusions: Overall, the prevalence of PU found in a rural province was low, but the distribution of age and gender as well as the profile of the lesions were like those found in national studies. The use of preventive strategies and evidence-based treatments is still low.

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Section: Discussionunclassified

Prevalencia de úlceras por presión en atención primaria: estudio de Cuenca

Adillo

Parrilla

2021

Gerokomos

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“…Bu aşamada ileri derecede yumuşak doku nekrozu gelişmiştir. Cilt altı yağ dokusunda pis kokulu, akıntılı, enfekte hal almış, nekrozlu bir ülserasyon gelişmiştir (19) . Basınç ülserinin kenarında açık doku ve pigmentasyon bölgeleri vardır.…”

Section: Discussionunclassified

“…Evre III basınç ülserlerinin kendiliğinden kapanması oldukça zordur ve genellikle bu grup hastaların tedavisinde rekonstruksiyon cerrahisi gerekmektedir. Rekonstruksiyon cerrahisi aşamasında yara yatağı hazırlığı, granülasyon dokusu gelişimi süreci ve olu-şan dokunun kalitesi çok önemlidir (19) . Gazzabin ve ark.…”

Section: Discussionunclassified

Comparison between Traditional Dressing and Topical L-Proline Application on Pressure Ulcers in Palliative Care and Intensive Care Units

Şahiner¹,

Kendirci²

2020

jarss

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Basınç ülseri yoğun bakım ve palyatif bakım merkezlerinde sık karşılaşılan bir sorundur. Tedavi süreci uzun, zor ve büyük ölçüde maliyetlidir. Hasta, hasta yakını ve hekim için aşılması gereken bir sorun olan basınç ülseri tedavisinde yara bakımı önemlidir. Bu çalışmada, konvansiyonel yöntem ve L-prolin ile yapılan tedavilerinin etkinliği karşılaştırılmıştır. Yöntem: Haziran 2018-2019 tarihleri arasında anestezi ve cerrahi yoğun bakım, palyatif bakım ve kronik yara servisinde basınç ülseri tanısı almış, evre I-III yarası olan 96 hastanın verileri incelendi. Hastalar konvansiyonel pansuman (Grup 1, n=47) ve L-prolin topikal tedavisi uygulan (Grup 2, n=49) olarak ayrıldı. Hastaların demografik verileri, yandaş hastalıkları, yara yeri, ebatları, tedavisi için uygulanan yaklaşım, pansuman sayıları, tedavi süreleri, nihai yara durumları karşılaştırıldı. Bulgular: Gruplar arasında yara evresi, yeri, büyüklüğü ve pansuman sayısı açısından fark belirlenmedi (p>0.05). Hastanede yatış günleri karşılaştırıldığında, Grup 2'de anlamlı derecede düşük bulundu (p=0.002). Tam iyileşme açısından gruplar karşılaştırıldığında, Grup 2'de anlamlı derecede tam iyileşme sağladığı görüldü (p=0.017). Yara evresinde gerileme açısından karşılaştırmada, grup 2'de yaralarının evrelerinde gerileme olduğu görüldü (p=0.001). Yara boyutlarında küçülme açısından gruplar karşılaştırıldığında, Grup 2'de yara ebatlarında küçülme olduğu görüldü (p=0.001). Sonuç: L-prolin içeren topikal krem uygulamasının özellikle evre I ve II üzere basınç ülserinde güvenle ve etkili bir şekilde kullanılabileceği görüldü.

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“…The elderly are particularly vulnerable [5,[7][8][9]. PUs are described as localized injuries to the skin or underlying tissue, usually over a bony prominence such as sacrum, ischial tuberosity, greater trochanter, heel, and lateral malleolus, as a result of pressure associated or pressure in combination with shear, with four stage by the depth of tissue damage (stage 1 to stage 4) [7,[9][10][11][12][13]. Hospital-acquired PUs (HAPUs) have constituted heavy burden on healthcare resources because they extend length of stay (LOS) and increase medical costs [3,4,7,8,13,14].…”

Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors of Hospital-Acquired Pressure Ulcers Following Total Hip Arthroplasty: A Retrospective Nationwide Inpatient Sample Database Study

Yang

Wang

Shi

et al. 2021

Preprint

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BackgroundThe occurrence of hospital-acquired pressure ulcers (HAPUs) is disturbing and costly, leading to a variety of adverse effects. The objective of this study was to examine the incidence and risk factors of HAPUs following total hip arthroplasty (THA) using a large-scale national database. MethodsA retrospective database analysis was performed based on Nationwide Inpatient Sample (NIS) from 2005-2014. Patients who underwent THA were included. Patient demographics, hospital characteristics, length of stay (LOS), total charges during hospitalization, in-hospital mortality, preoperative comorbidities, and perioperative complications were assessed.ResultsA total of 592,174 THAs were captured from the NIS database. The general incidence of HAPUs after THA was 0.05%, with a fluctuating trend annually. Patients suffered from HAPUs were older, less likely through elective admission, more likely in large hospital, more usage of Medicare, and less possibly paying via Private insurance compared to the nonaffected individuals. Additionally, the occurrence of HAPUs was associated with more preoperative comorbidities, longer LOS, extra total charges, and higher in-hospital mortality. Risk factors of HAPUs included advanced age (≥75 years), large hospital, multiple comorbidities (n≥3), diabetes with chronic complications, drug abuse, liver disease, fluid and electrolyte disorders, metastatic cancer, peripheral vascular disorders, psychoses, chronic renal failure, peptic ulcer disease, and weight loss. Besides, HAPUs were associated with inflammatory arthritis and femoral neck fracture (compared with primary/secondary osteoarthritis), frailty/senility, osteoporosis, acute renal failure, pneumonia, postoperative delirium, urinary tract infection, deep vein thrombosis, sepsis/septicemia, wound dehiscence/non-healing surgical wound, periprosthetic joint infection, and mechanical prosthesis-related complications. Both elective admission and Private insurance were detected as protective factors. ConclusionsIt is beneficial to study the risk factors of HAPUs after THA to ensure the preventive management and optimize consequences although a really low incidence was identified.

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Multicentre study of pressure ulcer point prevalence in a Portuguese region

Cited by 19 publications

References 29 publications

Prevalencia de úlceras por presión en atención primaria: estudio de Cuenca

Prevalencia de úlceras por presión en atención primaria: estudio de Cuenca

Comparison between Traditional Dressing and Topical L-Proline Application on Pressure Ulcers in Palliative Care and Intensive Care Units

Incidence and Risk Factors of Hospital-Acquired Pressure Ulcers Following Total Hip Arthroplasty: A Retrospective Nationwide Inpatient Sample Database Study

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