Nutritional Parameters as Predictors of Pressure Ulcers in Surgical Patients

1985 ◽  
Vol 34 (6) ◽  
pp. 383 ◽  
Author(s):  
NANCY A. STOTTS
2011 ◽  
Vol 5 (7) ◽  
pp. 1684
Author(s):  
Miguir Terezinha Vieccelli Donoso ◽  
Eline Lima Borges ◽  
Camila Patrícia Rennó Carazzato

ABSTRACTObjective: to identify the prevalence, staging, and risk for developing pressure ulcers (PU) of patients hospitalized in a surgical unit. Method: this is a transversal study, carried out with 20 surgical patients hospitalized in a university hospital in Minas Gerais, from both sexes, and older than 18 years. For the analysis the descriptive statistics – with distribution of frequency, minimum and maximum values, mean, standard deviation, and prevalence of PU – was used. The project was approved by the Universidade Federal de Minas Gerais Research Ethics Committee (process ETIC 150/05), Results: the prevalence of PU was 10%, 90% are not at risk for developing PU, two patients with PU presented 2 and 3 ulcers, respectively, classified as belonging to the stages I and II. Conclusion: considering the prevalence of PU, the need of an appropriate and individualized nursing care planning emerges, having as a reference each patient’s risk for developing this kind of ulcer. The need of adopting appropriate nursing practices has been realized, according to each patient’s risk score for developing PU. Descriptors: pressure ulcer; nursing; prevalence. RESUMOObjetivo: identificar a prevalência, o estadiamento e o risco de desenvolvimento de úlceras por pressão (UP) em pacientes internados em uma unidade cirúrgica, Método: estudo transversal, realizado com 20 pacientes cirúrgicos, internados em um hospital universitário de Minas Gerais, de ambos os sexos e com idade superior a 18 anos. Para análise utilizou-se estatística descritiva com a distribuição de freqüência, valores mínimos e máximos, mediana, desvio-padrão e prevalência de UP. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal de Minas Gerais com parecer ETIC 150/05, Resultados: a prevalência de UP foi de 10%, 90% eram sem risco para formação de UP, dois pacientes com UP apresentaram duas e três úlceras, respectivamente, classificadas em estágio I e II, Conclusão: diante da prevalência de UP, surge a necessidade de uma planificação de cuidados adequados e individualizada, tendo como referência o risco que cada paciente apresenta para o desenvolvimento dessa úlcera. Percebeu-se a necessidade de implementação de cuidados adequados, de acordo com o escore que cada paciente apresente para o desenvolvimento da UP. Descritores: úlcera por pressão; enfermagem; prevalência.RESUMENObjetivo: identificar la prevalencia, estadiamiento y el riesgo de desarrollo de úlceras por presión (UP) en pacientes internados en una unidad quirúrgica. Método: estudio transversal, realizado con 20 pacientes quirúrgicos, internados en un hospital universitario de Minas Gerais, de ambos sexos y con edad superior a 18 años. Para el análisis se utilizó la estadística descriptiva mediante la distribución de frecuencia, valores mínimos y máximos, mediana, desvío-estándar y prevalencia de UP. El proyecto se aprobó por el Comité de Ética en Pesquisa de la Universidad Federal de Minas Gerais con parecer/laudo ETIC 150/05. Resultados: la prevalencia de UP fue de 10%, 90% lo eran sin riesgo para formación de UP, dos pacientes con UP presentaron dos o tres úlceras, respectivamente, clasificadas en estadio I y II. Conclusión: cara a la prevalencia de UP, surge la necesidad de una planificación de cuidados y de forma individualizada, teniendo como referencia el riesgo que cada paciente presenta al desarrollo de esta úlcera. Se detectó la necesidad de implementación de cuidados adecuados, según el marcador que cada paciente presente al desarrollo de la UP. Descriptores: úlcera por presión; enfermería; prevalencia.


2018 ◽  
Vol 20 (3) ◽  
pp. 341-344
Author(s):  
Mirto N. Prandini ◽  
Andrea S. Martinez

Introduction: According to literature review, pressure ulcers (PU) are a very concerning problem in cases where the time of surgery is superior to 4 hours. A better knowledge of PU incidence and the necessity of its prevention have demonstrated to be very important in the surgical practice. Material and methods: A brief description of PU as well as its classification and socioeconomic importance is presented. Results: Pressure ulcers may be considered an important and in some cases one undisclosed early complication in the post operative period, mainly in spine surgery. Conclusion: Diagnosis and prevention of pressure ulcers are mandatory in patients considered at increased risk to develop PU. Further studies should be carried out in order to investigate factors associated with PU development and prevention among surgical patients. 


2017 ◽  
Vol 14 (5) ◽  
pp. 864-869 ◽  
Author(s):  
Hong-Lin Chen ◽  
Wang-Qin Shen ◽  
Peng Liu ◽  
Kun Liu

2015 ◽  
Vol 28 (10) ◽  
pp. 444-450 ◽  
Author(s):  
Wang-Qin Shen ◽  
Hong-Lin Chen ◽  
Yang-Hui Xu ◽  
Qun Zhang ◽  
Juan Wu

2005 ◽  
Vol 35 (1) ◽  
pp. 125 ◽  
Author(s):  
Hyoung Sook Park ◽  
Kyung Yeon Park ◽  
Sung Mi Yu

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ling Fu Shaw ◽  
Pao-Chu Chang ◽  
Jung-Fen Lee ◽  
Huei-Yu Kung ◽  
Tao-Hsin Tung

Purpose. To explore the context of incidence of and associated risk factors for pressure ulcers amongst the population of surgical patients.Methods. The initial study cohort was conducted with a total of 297 patients admitted to a teaching hospital for a surgical operation from November 14th to 27th 2006 in Taipei, Taiwan. The Braden scale, pressure ulcers record sheet, and perioperative patient outcomes free from signs and symptoms of injury related to positioning and related nursing interventions and activities were collected.Results. The incidence of immediate and thirty-minute-later pressure ulcers is 9.8% (29/297) and 5.1% (15/297), respectively. Using logistic regression model, the statistically significantly associated risk factors related to immediate and thirty-minute-later pressure ulcers include operation age, type of anesthesia, type of operation position, type of surgery, admission Braden score, and number of nursing intervention after adjustment for confounding factors.Conclusion. Admission Braden score and number of nursing intervention are well-established protected factors for the development of pressure ulcers. Our study shows that older operation age, type of anesthesia, type of operation position, and type of surgery are also associated with the development of pressure ulcers.


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