Pressure injury prevalence and predictors among older adults in the first 36 hours of hospitalisation

Latimer, Sharon; Chaboyer, Wendy; Thalib, Lukman; McInnes, Elizabeth; Bucknall, Tracey; Gillespie, Brigid M.

doi:10.1111/jocn.14967

Cited by 40 publications

(56 citation statements)

References 35 publications

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“…Nosso estudo apresenta limitações, primeiramente não avaliamos a interação entre diversas comorbidades, já que literatura aponta um impacto maior no risco para LP quando várias comorbidades estão associadas (Liu et al, 2019). Um estudo realizado em junho de 2019 encontrou que idade e o número de comorbidades é fator preditivo para LP entre pessoas com idade ≥65 anos com mobilidade limitada (Latimer et al, 2019). Em segundo lugar, temos um desenho de estudo que, por ser um corte transversal, não nos permite fazer fortes inferências sobre causa e efeito.…”

Section: Discussionunclassified

Fatores associados à lesão por pressão em idosos com câncer no trato gastrointestinal

Pontes

Santos²,

Lima

et al. 2020

RSD

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Objective: To evaluate the frequency of pressure injuries and associated factors in the older pacients with gastrointestinal cancer. Methods: Cross-sectional study of 212 individuals aged 60 years and older and diagnosed with untreated gastrointestinal cancer confirmed by histology, cytology or immunohistochemistry. Patients who had undergone previous cancer treatment, except surgical ones, were excluded. The variables studied were: pressure injury, nutritional status, weight loss in the three months prior to the assessment, functionality, level of physical activity, presence of comorbidities and laboratory variables. For media comparisons, Student's test and categorical variables or square test or Fisher's exact test were used. In the multivariate analysis using logistic regression, the Wald test was used to evaluate the independent effects of factors with p <0.20 and applied to the Hosmer-Lemesho test. Results: The frequency of LP was 68/212 (32.1%). In the multivariate analysis, variables that may remain associated with the presence of LP were: hypertension and cerebrovascular disease. The final model presents an adequate fit to the data (Hosmer-Lemeshow test (p = 0.736). Conclusion: these findings can guide future research and can serve as a guide in health care services decisions about the use of pressure injury prevention strategies.

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Section: Discussionunclassified

Fatores associados à lesão por pressão em idosos com câncer no trato gastrointestinal

Pontes

Santos²,

Lima

et al. 2020

RSD

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“…Regrettably, while a large number of studies on the prevalence and incidence of HAPI have been published, only a few studies considered the prevalence and characteristics of patients presenting CAPI at hospital admission, so this should be considered a vital research field (Latimer et al, 2019).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…A complete skin inspection and a PI risk assessment are therefore recommended as soon as possible (and no later than eight hours) after hospital admission to identify and document the presence of PIs and implement appropriate interventions (National Pressure Ulcer Advisory Panel et al, 2014). Regrettably, while a large number of studies on the prevalence and incidence of HAPI have been published, only a few studies considered the prevalence and characteristics of patients presenting CAPI at hospital admission, so this should be considered a vital research field (Latimer et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Stage‐related implications of community‐acquired pressure injuries for the acute medical inpatients

Sanson

Barbin

Matteis

et al. 2020

Journal of Clinical Nursing

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Aims To analyse the prevalence of any‐stage pressure injuries at hospital admission and their impact on short‐, mid‐ and late‐term mortality. Patient characteristics associated with pressure injuries and the impact on hospital costs were also investigated. Background In medical patients acutely admitted to hospital, no study analysed the presence of pre‐existing pressure injuries and the related short‐ and long‐term mortality according to the overall stages of severity thereof. Design Retrospective cohort study following the STROBE guideline. Methods In a population of 7217 acute medical inpatients, the presence and staging of pressure injuries were assessed at hospital admission. The impact of pressure injury on 30‐, 180‐ and 365‐day mortality was analysed by multivariate Cox regression models. Results The prevalence of community‐acquired pressure injuries was 14.9% (stage‐1: 8.1%; stage‐2: 3.5%; stage‐3: 1.6%; stage‐4: 1.1%; unstageable: 0.5%). Hemiplegia/paraplegia, anaemia, poor functional status, high nutritional risk, clinical instability and systemic inflammatory response, but not hydration status, were found to be associated with the occurrence of stage‐2‐and‐above pressure injuries. An increasing difference was found in Diagnosis‐Related Groups (DRG) weight according to pressure injury stages. A distinct and progressively increasing risk‐of‐death for any‐stage pressure injury was shown after 365‐days. A significantly increased mortality risk for all considered time intervals was found for unstageable and stage‐4 pressure injuries. Conclusions In acute medical inpatients, the presence of community‐acquired pressure injuries is part of a multidimensional clinical complexity. The presence and staging of pressure injuries have an independent dramatic impact on of early‐to‐late mortality and hospital costs. Relevance to clinical practice This study documented as community‐acquired pressure injuries are highly prevalent and represents an independent predictor of outcomes in strict dependence of the progression of thereof stage. The presence of community‐acquired pressure injuries should be interpreted as a critical marker of frailty and increased vulnerability.

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“…Some studies have confirmed that older adults living in the community become more vulnerable to developing PI with increasing age and multiple comorbidities. 5 However, current research on PI has mainly focused on the hospital setting, and research examining the presence of PI before hospitalization, known as community-acquired PI (CAPI), has been limited. 6 In addition, researchers have found that environmental factors are related to the occurrence of PI.…”

Section: Introductionmentioning

confidence: 99%

Association Between Charlson Comorbidity Index and Community-Acquired Pressure Injury in Older Acute Inpatients in a Chinese Tertiary Hospital

Zhang¹,

Yang²,

Luo³

2021

CIA

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To explore the correlation between community-acquired pressure injury (CAPI) and comorbidities in elderly patients with emergency admission. Patients and Methods: Patients aged 65 years or above were enrolled from multiple departments, such as Internal Medicine, Surgery, Geriatrics, and Intensive Care Unit of Wuhan Third Hospital, which is affiliated to Wuhan University, from January to December 2020. Comorbidity data were extracted using the 10th edition of the International Classification of Diseases (ICD-10) from the hospital electronic medical record system, and the Charlson Comorbidity Index (CCI) was calculated using these data. Participants were divided into two groups according to whether pressure injury was present at admission. The baseline characteristics of the two groups were compared using Student's t-tests, Mann-Whitney U-tests, and chi-square tests. Univariate and multivariate logistic regression models were constructed to explore the relationship between CAPI and the CCI. Smooth curve fitting was used to show the relationship between the CCI and CAPI. By drawing the receiver operating characteristic curve, the CCI was used to predict CAPI. Results: A total of 5759 participants with an average age of 75.1 ± 7.6 were included in this population-based study. The prevalence of CAPI was 4.3%. In logistic regression analysis, there was a positive relationship between the CCI and CAPI after adjustment for sex, age, hypoproteinemia, and anemia (OR = 1.37, 95% CI = 1.29-1.45, p < 0.001, trend test p < 0.001). The area under the receiver operating characteristic curve was 0.75, and the maximum value of the Youden index was 0.35, with a critical value of 5.5. Conclusion:The development of CAPI was positively correlated with the CCI. The risk of developing pressure injury increases with the number and severity of comorbidities. This study shows that the CCI has certain reference value in predicting CAPI.

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Pressure injury prevalence and predictors among older adults in the first 36 hours of hospitalisation

Cited by 40 publications

References 35 publications

Fatores associados à lesão por pressão em idosos com câncer no trato gastrointestinal

Fatores associados à lesão por pressão em idosos com câncer no trato gastrointestinal

Stage‐related implications of community‐acquired pressure injuries for the acute medical inpatients

Association Between Charlson Comorbidity Index and Community-Acquired Pressure Injury in Older Acute Inpatients in a Chinese Tertiary Hospital

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