Pressure ulcers in patients hospitalized in internal medicine: Associated factors and mortality

Díez-Manglano, Jesús; Fernández-Jiménez, Carolina; Lambán-Aranda, M.P.; Landa-Santesteban, M.C.; Isasmendi-Pérez, S. Isasi de; Moreno-García, Pablo; Bejarano-Tello, E.; Barranco-Usón, J.; Munilla-López, E.; Corral-Beamonte, Esther Del

doi:10.1016/j.rceng.2016.07.002

Cited by 3 publications

(2 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The other two were deducted one point because of insufficient follow‐up time. Two articles scored seven points, losing two points because the follow‐up time was insufficient and did not state what they used a blind method. One article scored 6 points, because it was incomparable and the follow‐up time was less than 5 years.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The relationship between pressure injury complication and mortality risk of older patients in follow‐up: A systematic review and meta‐analysis

Song

Shen

Cai

et al. 2019

International Wound Journal

View full text Add to dashboard Cite

Pressure injuries (PIs) have now become a common complication of the elderly patients. Some studies have observed that pressure injuries may increase mortality, but this area of evidence has not been evaluated and summarised. The aim of this study was to compare the mortality of patients with pressure injuries and those without pressure injuries. A meta-analysis of observational studies was performed. PubMed, Cochrane Library, Embase, and Web of Science were searched up to April 2019. Studies about mortality among the elderly patients with and without pressure injuries were included. Methodological quality was assessed by the Newcastle-Ottawa Scale (NOS). The fixed effect or random effect model was determined by the test of heterogeneity. The subgroup analysis was performed based on the pressure injuries stages, the region, and the type of study design. The meta-regression analysis was performed to investigate the relationship between the mortality and patients' enrolled year, average age, the incidence of pressure injuries, and gender ratio. The sensitivity analysis was used to explore the impact of an individual study by excluding one at a time. The hazard ratio (HR) and 95% confidence intervals (CIs) in terms of the comparison of two groups were extracted for meta-analysis. A survival curve between two groups by individual patient-level was drew. Eight studies with 5523 elderly patients were included in the analysis.Follow-up periods for the included studies ranged from about 0.5 to 3 years. The elderly patients who complicated with pressure injuries had a higher risk of death. The pooled HR was 1.78 (95% CI 1.46-2.16). A funnel plot showed no publication bias. Further subgroup analysis showed that HR values for the patient stage 3 to 4 pressure injuries (HR:2.41; 95% CI:1.08-5.37) were higher than stage 1-4 and 2-4 pressure injuries (HR: 1.66; 95% CI: 1.35-2.05; HR: 1.74; 95% CI: 1.16-2.60). The meta-regression analysis found that patients' enrolled year, average age, the incidence of pressure injuries, and gender ratio were not the sources of heterogeneity. Sensitivity analyses showed that the outcomes of the study did not change after removing the Onder's article. The survival curve at the individual patient-level also indicated that patients complicated with pressure injuries significantly increased the risk of death (HR: 1.958; 95% CI: 1.79-2.14) in elderly patients. Our metaanalysis indicated that patients complicated with pressure injuries are estimated to

show abstract

Section: Resultsmentioning

confidence: 99%

“…Table summarised the characteristics of these eight studies . These studies included a total of 5523 people, one of which was followed up to death or to hospital discharge; two studies were retrospective and six studies were prospective; five studies were from Europe, two were from Asia, and one was from North America …”

Section: Resultsmentioning

confidence: 99%

The relationship between pressure injury complication and mortality risk of older patients in follow‐up: A systematic review and meta‐analysis

Song

Shen

Cai

et al. 2019

International Wound Journal

View full text Add to dashboard Cite

show abstract

Úlceras por presión: otro evento adverso prevenible

Sánchez-Muñoz

2017

Revista Clínica Española

View full text Add to dashboard Cite

Incidence of hospital-acquired pressure ulcers in patients with "minimal risk" according to the "Norton-MI" scale

Díaz-Caro

Gómez-Heras

2020

PLoS ONE

View full text Add to dashboard Cite

Introduction Pressure ulcers (PUs) nowadays are a major health problem in society, associated with increased morbidity and increased health care costs. The incidence of HAPU is an indicator of health care quality. Objective To describe the profile of patients with minimal risk on the Norton-MI scale who developed PUs during hospitalization, and to identify the incidence of hospital-acquired pressure ulcers (HAPU). Methods Retrospective cohort study conducted between 2014 and 2017. Study population Patients over 18 years of age classified as "minimum risk" according to Norton-MI, admitted to acute hospital units of the Severo Ochoa University Hospital-Madrid-Spain. Patients were classified as patients with hospital-acquired pressure ulcers (PWHAPU) if they developed one or more new PU during their hospitalization. Variables Sociodemographic variables, hospitalization units, Morton-MI score and characteristics of the risk factors of HAPU were studied. Results The risk of PU was evaluated in 5530 patients, being 1260 patients classified as "minimum risk", with a median of 16 points in the Norton-MI scale. The average age was 76 years old and 52.5% were women. Principal causes of admission: traumatological pathologies

show abstract

Pressure ulcers in patients hospitalized in internal medicine: Associated factors and mortality

Cited by 3 publications

References 22 publications

The relationship between pressure injury complication and mortality risk of older patients in follow‐up: A systematic review and meta‐analysis

The relationship between pressure injury complication and mortality risk of older patients in follow‐up: A systematic review and meta‐analysis

Úlceras por presión: otro evento adverso prevenible

Incidence of hospital-acquired pressure ulcers in patients with "minimal risk" according to the "Norton-MI" scale

Contact Info

Product

Resources

About