2019
DOI: 10.1016/j.aucc.2018.10.002
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Prevalence of pressure injury in adults presenting to the emergency department by ambulance

Abstract: Introduction: Pressure injuries are harmful, painful, and potentially preventable. Although hospital-acquired pressure injury prevalence is decreasing, it is unclear if some pressure injuries develop before hospital admission. The objective of this study was to investigate the prevalence of pressure injury in adults on arrival by ambulance to the emergency department (ED). Methods: An observational, cross-sectional descriptive study design was used. Participants (n ¼ 212) were recruited from the EDs of two Aus… Show more

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Cited by 22 publications
(30 citation statements)
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References 33 publications
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“…One study suggests that skin assessment at the least should be undertaken at point of entry to hospital care. 61 It would appear that this view is supported by the results of this study, with consensus indicating that risk assessment should be undertaken within 2 hours of intensive care admission. This is particularly pertinent given critically ill people are acutely vulnerable to PI development.…”
Section: Discussionsupporting
confidence: 56%
See 1 more Smart Citation
“…One study suggests that skin assessment at the least should be undertaken at point of entry to hospital care. 61 It would appear that this view is supported by the results of this study, with consensus indicating that risk assessment should be undertaken within 2 hours of intensive care admission. This is particularly pertinent given critically ill people are acutely vulnerable to PI development.…”
Section: Discussionsupporting
confidence: 56%
“…Thus, it has been argued that interventions should be planned and implemented as soon as possible, 22 and risk assessment is required at the earliest opportunity to inform intervention use. One study suggests that skin assessment at the least should be undertaken at point of entry to hospital care 61 . It would appear that this view is supported by the results of this study, with consensus indicating that risk assessment should be undertaken within 2 hours of intensive care admission.…”
Section: Discussionsupporting
confidence: 55%
“…This may occur, for example, when a patient is unable to move themselves while lying in a hospital bed, resulting in sustained force being applied to the areas of the body touching the bed surface (Gillespie et al, 2014;Krapfl & Gray, 2008). Given that this force may result in PI development, the application of PI preventative measures during the early stages of hospital admission is crucial for patient safety (Fulbrook, Miles, & Coyer, 2019).…”
mentioning
confidence: 99%
“…Various factors are associated with PI risk, such as older age, limited mobility, perfusion impairments, and poorer nutritional status, with combinations of such factors potentially contributing to the overall PI risk in an individual patient (Coleman et al, 2013). The risk assessment must be undertaken as soon as possible after admission to a healthcare facility, including following entry via the emergency department (Fulbrook et al, 2019).…”
mentioning
confidence: 99%
“…If PIs were documented throughout the intraoperative process, clinicians could potentially prevent the onset of this debilitating complication. There is evidence to suggest that prevention is more effective than treatment 9 in the form of a device and human intervention. Schuurman et al 10 suggest both strategies are equally effective at preventing PIs.…”
Section: Introductionmentioning
confidence: 99%