The prevalence and prevention of pressure ulcers: A multicenter study of nine nursing homes in eastern China

Yang³

et al. 2023

Preprint

Background Medical device-related pressure injuries(MDRPI) are prevalent and attracting more attention. During ambulance transfer, the shear force caused by braking and acceleration; extensive medical equipment crowed in a narrow space add external risk factors for MDRPIs. However, there is insufficient research on the relationship between MDRPIs and ambulance transfers. This study aims to clarify the prevalence and characteristics of MDRPI during ambulance transfer. Method A descriptive observational study was conducted with convenience sampling. Before starting the study, six PI specialist nurses certified by the Chinese Nursing Association trained emergency department nurses for three MDRPI and Braden Scale sessions, one hour for each session. Data and images of PIs and MDRPIs are uploaded via the OA system by emergency department nurses and reviewed by these six specialist nurses. The information collection begins on 1 July 2022 and ends on 1 August 2022. Demographic and clinical characteristics and a list of medical devices were collected by emergency nurses using a screening form developed by researchers. Results One hundred one referrals were eventually included. The mean age of participants was (58.3±11.69) years, predominantly male (67.32%, n=68), with a mean BMI of 22.48±2.2. The mean referral time among participants was 2.26 ± 0.26 hours, the mean BRADEN score was 15.32 ± 2.06, 53.46% (n=54) of participants were conscious, 73.26% (n=74) were in the supine position, 23.76% (n=24) were in the semi-recumbent position, and only 3 (2.9%) were in the lateral position. Eight participants presented with MDRPIs, and all MDRPIs are stage 1. Patients with spinal injuries are most prone to MDRPIs (n=6). The jaw is the area most prone to MDRPIs, caused by the cervical collar (40%, n=4), followed by the heel (30%, n=3) and nose bridge (20%, n=2) caused by the respiratory devices and spinal board. Conclusion During long ambulance referrals, the prevalence of MDRPIs is higher than in some inpatient settings. The characteristics and related high-risk devices are also different. The prevention of MDRPIs during ambulance referrals deserves more research.

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Ambulance referral of more than 2 hours could result in a higher prevalence of medical- devices-related pressure injuries (MDRPIs) with different characteristics compared to the inpatient setting: A descriptive observational study

luo¹,

Yang³

et al. 2023

Preprint

“… 2 Among the 1158 residents of nine nursing homes in eastern China, 56 (4.8%) had at least one PI. 3 In 33 nursing homes in Geneva, Switzerland, the overall prevalence of PI was 5.7%. 4 In 720 long-term care homes in Japan, the average incidence of PI is 9.6%/month.…”

Section: Introductionmentioning

confidence: 99%

“…Although improvements have been seen in some countries in recent years, there is still scope for further reductions in the PI prevalence of long-term homes in most countries 2. Among the 1158 residents of nine nursing homes in eastern China, 56 (4.8%) had at least one PI 3. In 33 nursing homes in Geneva, Switzerland, the overall prevalence of PI was 5.7% 4.…”

Section: Introductionmentioning

confidence: 99%

Interventions to promote the implementation of pressure injuries prevention measures in nursing homes: a scoping review protocol

Yang

et al. 2022

BMJ Open

IntroductionCurrently, various guidelines and documents on the prevention of pressure injuries have been published, but there are many serious lags in the actual practice in nursing homes. So some interventions are required to promote the implementation of normative practices. There was a review of preventive interventions for pressure injuries in long-term care facilities, but there is no systematic review of how to promote the implementation of preventive measures. This review aims to summarise interventions that promote the implementation of pressure injuries prevention measures in nursing homes, explore the research scope and gaps in this field and provide evidence and striving direction for global nursing homes to improve existing preventive behaviours.Methods and analysisThis scoping review will combine the Arksey and O’Malley framework with further clarification and advice of the scoping review by Levac et al as methodological guidance. Systematic retrieval of relevant literature databases, grey literature and references included studies will be conducted. Two reviewers will screen titles and abstracts independently, and then screen the full text of potentially relevant articles to determine final inclusion. After that, two reviewers will extract data based on a predesigned data extraction table independently. Inductive analysis and narrative analysis will be used to collate, summarise and report the results. Finally, managers of nursing homes in China will be consulted for additional information and their viewpoints on the research findings.Ethics and disseminationSince the scoping review is a secondary analysis of the literature, there is no need to apply for ethical approval. Our goal is to share the results with key stakeholders to help them find the direction of effort and improve clinical practice. Therefore, dissemination plans include publication in international journals and sharing it at conferences to inform more healthcare workers about the scope and gaps of the studies.

“…According to the Chinese Ministry of Civil Affairs reported that about 170 million people (accounted for 12.6% of the total population) are estimated to be aged 65 years and older, and there are more than 44 million disabled and semi‐disabled older persons in 2019 15 . In recent years, some studies about the prevalence of pressure injuries in adult patients conducted in China 16,17 . The prevalence of pressure injuries in 9 Chinese nursing homes was 4.8% 16 and in 198 Chinese ICUs was 12.26% 17 .…”

Section: Introductionmentioning

confidence: 99%

Relationship between dry skin and pressure injury in older patients: A multicentre cross‐sectional survey in China

Jiang

Chen

International Wound Journal

et al. 2022

Self Cite

Dry skin and pressure injuries in older persons have become global health care problems. This was a multicentre, prospective cross‐sectional study in 44 hospitals and 8 long term care institutions from 20 provinces, autonomous regions and municipalities in China and aimed to explore the relationship between the two skin problems in older patients. We mainly found 11 602 cases with dry skin and 1076 cases with pressure injuries in a total of 33 769 valid participants. The overall prevalence of dry skin and pressure injuries was 34.4% (95% confidence interval [CI] 33.9–34.9) and 3.1% (95% CI 2.9–3.3). Stage 2+ pressure injuries were the most (32.9%), followed by stage 1 (32.4%). The patients with dry skin had more pressure injuries than ones without dry skin (50.0% vs 33.9%). The patients with very severe and severe dry skin had more pressure injury risk (OR 2.22 and 1.90) and more stage 2+ pressure injury risk (OR 2.83 and 1.63). Other nine predictors associated with overall pressure injuries and stage 2+ pressure injuries. The area under receiver operating characteristic (ROC) curve of the predictive models of overall pressure injuries and stage 2+ pressure injuries were 0.89 (95% CI 0.88–0.90) and 0.91 (95% CI 0.90–0.92), respectively.