Care-related risk factors for hospital-acquired pressure ulcers in elderly adults with hip fracture.

Journal of the American Geriatrics Society
Mona BaumgartenJay Magaziner

Abstract

To identify care-related factors associated with hospital-acquired pressure ulcers (HAPUs). Prospective cohort study. Nine hospitals in Baltimore Hip Studies network. Six hundred fifty-eight individuals aged 65 and older who underwent surgery for hip fracture. Skin examinations at baseline and on alternating days until hospital discharge. Participants were deemed to have a HAPU if they developed one or more new Stage 2 or higher pressure ulcers (PUs) during the hospital stay. Longer emergency department stays were associated with lower HAPU incidence (>4-6 hours: adjusted incidence rate ratio (aIRR) = 0.68, 95% confidence interval (CI) = 0.48-0.96; >6 hours: aIRR = 0.68, 95% CI = 0.46-0.99, both vs ≤ 4 hours). Participants with 24 hours or longer between admission and surgery had a higher postsurgery HAPU rate than those with less than 24 hours (aIRR = 1.62, 95% CI = 1.24-2.11). Surgery with general anesthesia had a lower postsurgery HAPU rate than surgery with other types of anesthesia (aIRR = 0.66, 95% CI = 0.49-0.88). There was no significant association between HAPU incidence and timing of transport to the hospital, type of transport to the hospital, or surgery duration. Most of the factors hypothesized to be associated wit...Continue Reading

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Oct 17, 1990·JAMA : the Journal of the American Medical Association·E B KeelerR H Brook
Apr 25, 2000·Journal of Wound Care·A Parnham
Sep 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J MagazinerJ Kenzora
Aug 8, 2002·Journal of the American Geriatrics Society·Gretchen M OroszAlbert L Siu
Mar 13, 2003·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Mona BaumgartenJeffrey L Carson
Aug 11, 2004·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Sara Peich, Ronit Calderon-Margalit
Sep 17, 2004·Acta Orthopaedica Scandinavica·Ronald HouwingJeen Haalboom
Mar 3, 2005·Journal of Wound Care·D Thompson
May 28, 2005·Advances in Skin & Wound Care·Catherine R Ratliff, UNKNOWN WOCN
Jul 28, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Mona BaumgartenAlthea Ruffin
Aug 24, 2006·JAMA : the Journal of the American Medical Association·Madhuri ReddyPaula A Rochon
Aug 31, 2006·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·A Russell LocalioMona Baumgarten
Jul 31, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Ami HommelKerstin Ulander
Oct 19, 2007·The New England Journal of Medicine·Meredith B Rosenthal
Feb 1, 2008·Injury·S HaleemM J Parker
Jul 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Amer N Al-AniMargareta Hedström
Nov 20, 2008·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Lee Ann Krapfl, Mikel Gray
Jun 2, 2009·Journal of the American Geriatrics Society·Mona BaumgartenJay Magaziner
Jul 2, 2009·The Journal of Bone and Joint Surgery. British Volume·K A LefaivreH M Broekhuyse
Dec 8, 2010·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Shayna E RichMona Baumgarten
Jun 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Leonard M F RademakersSven H van Helden

❮ Previous
Next ❯

Citations

Dec 19, 2015·International Journal of Older People Nursing·Ami Hommel, Carina Bååth
Aug 8, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·Simon C Mears, Stephen L Kates
May 27, 2017·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Kathleen FrancisPeter Homel
Apr 20, 2018·Advances in Skin & Wound Care·Cristiana ForniMattia Morri
Jun 6, 2014·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Laura E EdsbergMargaret Goldberg
May 1, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K J SheehanB Sobolev
Jan 26, 2018·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·João Lindo SimõesIsabel Bolhão
Jul 2, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Mireia Ladios-MartinMaría José Cabañero-Martínez
Feb 16, 2012·Journal of the American Geriatrics Society·Heidi L Wald
Jan 8, 2021·BMC Medical Informatics and Decision Making·Jenny AlderdenTracey L Yap
Feb 16, 2021·Advances in Skin & Wound Care·Tracey L YapCaroline E Fife
Aug 28, 2021·JAAPA : Official Journal of the American Academy of Physician Assistants·Meagan L Barry, Kristopher R Maday
Dec 23, 2021·Advances in Skin & Wound Care·Kelley Saindon, Dan Berlowitz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.