scholarly journals The Belgian pressure ulcer risk assessment project: Is assessing mobility and skin status a more accurate, reliable, and feasible approach to assess pressure ulcer risk in hospitalised patients?

2019 ◽  
Vol 16 (6) ◽  
pp. 1577-1578
Author(s):  
Steven Smet ◽  
Annelies Graaf ◽  
Kris Bernaerts ◽  
Michael P. Casaer ◽  
Dimitri Beeckman
Keyword(s):  
Risk Assessment ◽  
Pressure Ulcer ◽  
Hospitalised Patients

Pressure ulcer incidence in acute care settings: a multicentre prospective study

2021 ◽  
Vol 30 (11) ◽  
pp. 930-938
Author(s):  
Ma'en Aljezawi
Keyword(s):  
Risk Factors ◽  
Acute Care ◽  
Pressure Ulcer ◽  
Conflicts Of Interest ◽  
White Blood Cells ◽  
Albumin Level ◽  
Advisory Panel ◽  
Hospitalised Patients ◽  
Acute Care Settings ◽  
Associated Risk Factors

Objective: Pressure ulcers (PUs) are one of the most commonly occurring complications in hospitalised patients. Knowing the size of the problem and its risk factors will help in preventing it. The aim of this study is to measure the incidence of PUs in acute care settings in Jordan and to explore associated risk factors. Method: A prospective incidence study for hospitalised patients in Jordan according to the European Pressure Ulcer Advisory Panel methodology. All patients admitted into four Jordanian hospitals over a period of six months were included. Results: The cumulative incidence rate was 0.48%. Using multivariate analysis, a low albumin level, elevated white blood cells, incontinence and having more chronic illnesses were significantly associated with acquiring PUs. Conclusion: Incidence of PUs in Jordan is lower when compared with other parts of the world; this could be related to the relatively younger Jordanian population compared with other populations. Declaration of interest: The author has no conflicts of interest to declare.

scholarly journals PREDIÇÃO DE RISCO DE LESÃO POR PRESSÃO EM PACIENTES DE UNIDADE DE TERAPIA INTENSIVA: REVISÃO INTEGRATIVA

2018 ◽  
Vol 27 (3) ◽  
Author(s):  
Guilherme dos Santos Zimmermann ◽  
Mariana Fernandes Cremasco ◽  
Suely Sueko Viski Zanei ◽  
Satomi Mori Takahashi ◽  
Cibelli Rizzo Cohrs ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Pressure Ulcer ◽  
Pressure Sores ◽  
Receiver Operator Characteristic ◽  
Terapia Intensiva

RESUMO Objetivo: identificar os instrumentos que são utilizados para avaliar o risco de lesão por pressão em pacientes críticos adultos de unidade de terapia intensiva e analisar a capacidade preditiva dos mesmos. Método: revisão integrativa observando-se os critérios para seleção dos estudos: avaliação do risco de lesão por pressão em pacientes internados em unidade de terapia intensiva de adultos por meio de escala ou índice; mensuração da capacidade preditiva do instrumento aplicado; idiomas inglês, português ou espanhol; período entre 1962 e 2016. Os descritores utilizados foram: pressure ulcer ou pressure sores e risk assessment. As variáveis de interesse foram: sensibilidade, especificidade, valor preditivo positivo, valor preditivo negativo e área sob a curva receiver operator characteristic. Resultados: : foram identificadas 1032 publicações e deste total foram selecionados 13 estudos para análise. A predição do risco para lesão por pressão foi mensurada unicamente com escalas genéricas em sete dos 13 estudos. Nos estudos comparativos de escalas específicas de unidade de terapia intensiva com escalas genéricas, o valor preditivo negativo foi elevado e todos com área da curva receiver operator characteristic com valores acima de 0,700. Entre as escalas genéricas predominou a escala de Braden. Foram identificadas seis escalas que apresentaram boa capacidade preditiva para avaliar risco de lesão por pressão em pacientes de unidade de terapia intensiva. Conclusão: : esta revisão revelou uma variedade de escalas preditivas, genéricas e específicas, que são utilizadas para avaliação de risco de lesão por pressão no paciente de unidade de terapia intensiva.

scholarly journals The Turkish Validity Reliability Study of the Neonatal Braden Q Pressure Ulcer Risk Assessment Scale

2020 ◽  
Author(s):  
Nalan Yalçın Baltacı ◽  
Nazmiye Can ◽  
Mehmet Yalaz ◽  
Elif Kocaöğüt Erol ◽  
Özgün Uygur ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Pressure Ulcer ◽  
Assessment Scale ◽  
Reliability Study

Follow-up of pressure ulcer treatment with photodynamic therapy, low level laser therapy and cellulose membrane

2021 ◽  
Vol 30 (4) ◽  
pp. 304-310
Author(s):  
Luciano Pereira Rosa ◽  
Francine Cristina da Silva ◽  
Suzete Carvalho Landulfo Luz ◽  
Regiane Lima Vieira ◽  
Beatriz Rocha Tanajura ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Laser Therapy ◽  
Pressure Ulcer ◽  
Low Level Laser Therapy ◽  
Cellulose Membrane ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser ◽  
Hospitalised Patients

Objective: A pressure ulcer (PU) is an area of tissue trauma caused by continuous and prolonged pressure, often associated with hospitalised patients immobilised due to neurological problems, negatively affecting their quality of life, and burdening the public budget. The aim of this study was to report the follow-up, for 45 weeks, of three patients with neurological lesions due to trauma who subsequently developed PUs, and who were treated with a combination of photodynamic therapy (PDT), low level laser therapy (LLLT) and cellulose membrane (CM). Method: PDT was mediated by the photosensitiser curcumin on a 1.5% emulsion base. Blue LED light at 450 nm was delivered continuously for 12 minutes at an irradiance of 30mW/cm2 and total energy delivered to the tissue was 22J/cm2. LLLT was performed with 660 nm laser, punctuated and continuous, twice a week with parameters: spot size 0.04cm2, power of 40mW, 10 seconds per point, fluence of 10J/cm2 and irradiance of 1000mW/cm2. Results: All PUs had a significant reduction (range: 95.2–100%) of their area after 45 weeks of follow-up and two PUs had complete healing at 20 weeks and 30 weeks. All of the PUs showed a reduction in contamination with the PDT treatments in different proportions. Conclusion: From the results obtained, we conclude that the combination of PDT, LLLT and CM is a promising treatment for PU healing.

scholarly journals Predictive efficacy of the Braden Q Scale for pediatric pressure ulcer risk assessment in the PICU: a meta-analysis

2019 ◽  
Vol 86 (4) ◽  
pp. 436-443
Author(s):  
Xiao Chun ◽  
Yan Lin ◽  
Jingxiang Ma ◽  
Jing He ◽  
Liyan Ye ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Pressure Ulcer ◽  
Meta Analysis

Improved clinical outcomes in pressure ulcer prevention using the SEM scanner

2019 ◽  
Vol 28 (5) ◽  
pp. 278-282 ◽  
Author(s):  
Glenn Smith
Keyword(s):  
Risk Assessment ◽  
Patient Outcomes ◽  
Pressure Ulcer ◽  
Tissue Injury ◽  
Skin Damage ◽  
Pressure Ulcer Prevention ◽  
Surgical Ward ◽  
Objective Evidence ◽  
Prevention Interventions ◽  
Assessment Strategies

Objective: An in-practice evaluation of an sub-epidermal moisture (SEM) scanner, to detect non-visible pressure damage, allowing appropriate, targeted pressure ulcer (PU) prevention interventions. Method: The evaluation included patients on a single medical-surgical ward over a period of two months. Results: The evaluation included 35 patients. The outcomes of the evaluation suggest that the SEM scanner provided objective evidence that both the interventions being employed and the increase in repositioning and assessment prevented further incipient skin damage. Conclusion: We conclude that the early detection of non-visible tissue injury using the SEM scanner as an adjunct to the usual PU risk assessment strategies can reduce PU incidence, leading to improved patient outcomes and released productivity.

Automating pressure ulcer risk assessment using documented patient data

2010 ◽  
Vol 79 (12) ◽  
pp. 840-848 ◽  
Author(s):  
Hyeoneui Kim ◽  
Jeeyae Choi ◽  
Sarah Thompson ◽  
Lindsay Meeker ◽  
Patricia Dykes ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Pressure Ulcer ◽  
Patient Data

Prevalence of pressure ulcers in hospitalised patients: a cross-sectional study

2020 ◽  
Vol 29 (Sup3) ◽  
pp. S20-S28
Author(s):  
Stella Olivo ◽  
Cristina Canova ◽  
Angela Peghetti ◽  
Maurilio Rossi ◽  
Renzo Zanotti
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospitalised Patients ◽  
Number Of Patients ◽  
Present On Admission

Objective: The main aim of this study was to estimate the prevalence of pressure ulcers (PU) and related risk factors of PU development in hospitalised patients in Italy. Furthermore, the study investigated the association between risk factors for PU present on admission and the development during hospitalisation (hospital-acquired pressure ulcer, HAPU). Methods: A cross-sectional study, using two separate designs at two separate timepoints: 2010 and 2015. The methodology used to measure PU prevalence was that recommended by the European Pressure Ulcer Advisory Panel (EPUAP). Results: The total sample was 7681 hospitalised patients (3011 patients in 2010, 4670 in 2015). Prevalence of PU in hospital was 19.5% in 2010 and 17% in 2015. The number of patients with PU present on admission were 9.60% in 2010 and 9.42% in 2015. Patients with HAPU were 5.08% in 2010 and 5.87% in 2015. Older age and comorbidities, and a total Braden score of ≤16 were positively associated with PU present on admission and HAPU in hospitals (p<0.05). A longer length of stay appeared to correlate positively with a better clinical outcome for PU if there were already present on admission. Heterogeneous results emerged for length of stay of >30 days and being admitted to intensive care unit (ICU). Conclusion: Our results are comparable with other European and Italian studies. Most of the risk factors associated with PU development have been confirmed. However, further studies are needed to examine the effects of context on PU present on arrival and HAPU, especially regarding hospital length of stay.

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