Pressure ulcers: incidence and associated risk factors in patients of a university hospital

2010 ◽  
Vol 4 (3) ◽  
pp. 1506 ◽  
Author(s):  
Gabriela Fernanda Furman ◽  
Aline Franco da Rocha ◽  
Maria Helena Dantas de Menezes Guariente ◽  
Silvana Kelie Souza de Almeida Barros ◽  
Mitiko Morooka ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pressure Ulcer ◽  
University Hospital ◽  
Care Practice ◽  
Significant Variable ◽  
State University ◽  
Braden Scale ◽  
Surgical Units ◽  
Factores De Riesgo ◽  
Associated Risk Factors

ABSTRACTObjective: to identify the incidence of pressure ulcer (PU) and its risk factors in hospitalized patients in the medical-surgical units of a university hospital. Methodology: this is about a descriptive and quantitative study whose data were collected from November 2008 to February 2009 using a instrument containing demographic and clinical data, characterization of PU and Braden Scale after approved by the Ethics Committee of the State University of Londrina with protocol number 170/08. The results were organized in the database Epi info and analyzed using descriptive statistics Results: among 36 patients studied, the incidence of PU was 2.77%, nineteen patients were included already with PU, these were more frequent in the sacral region (50%) and stage III (37%). Hypertension was a statistically significant variable for the development of PU, as well as the patients with longer length of stay. Conclusion: for prevention of UP, it is the function of the nurse to know the possible risk factors, track changes and implement a clinical protocol and all available measures in health care practice. Descriptors: pressure ulcer; risk factors; incidence.RESUMOObjetivo: identificar a incidência de UP e seus fatores de risco em pacientes internados nas Unidades médico-cirúrgicas de um hospital escola. Metodologia: trata-se de estudo descritivo, com abordagem quantitativa, realizado com aprovação do Comitê de Ética da Universidade Estadual de Londrina (número de protocolo 170/08), cujos dados foram coletados de novembro de 2008 a janeiro de 2009 por meio de um instrumento com dados demográficos, clínicos, caracterização das UP e Escala de Braden. Os resultados foram armazenados no Epi-info e analisados segundo a estatística descritiva. Resultados: entre os 36 pacientes incluídos na amostra, a incidência de UP foi de 2,77%. Dezenove pacientes já apresentavam UP na inclusão do estudo, sendo estas mais frequentes na região sacral (50%) e no estágio III (37%). Em relação aos fatores de risco, a hipertensão foi uma variável estatisticamente significativa para o desenvolvimento de UP, assim como o tempo de internação mais prolongado. Conclusão: para a prevenção de UP cabe ao enfermeiro conhecer os possíveis fatores de risco, acompanhar as alterações clinicas e aplicar um protocolo e todas as medidas disponíveis na pratica assistencial. Descritores: úlcera por pressão; fatores de risco; incidência.RESUMENObjetivo: conocer la incidencia de la ulcera por presión (UP) y sus factores de riesgo en los pacientes internado en clínica médico-quirúrgica de un hospital universitario. Metodología: estudio descriptivo con abordaje cuantitativo. Después de la aprobación por el Comité de Ética de la Universidad Estadual de Londrina (número de protocolo 170/08), los datos fueron recolectados entre noviembre de 2008 y enero de 2009 a través de un instrumento con datos demográficos, la caracterización clínica de la UP y la Escala de Braden. Los resultados se almacenan en la base de datos Epi Info y analizados según la estadística descriptiva. Resultados: los 36 pacientes incluidos en la muestra, la incidencia de la UP fue del 2,77%. Diecinueve pacientes que ya tenía úlceras por presión durante la inclusión del estudio, más frecuentes en la región sacra (50%) y estadio III (37%). En relación con los factores de riesgo, la hipertensión fue una variable estadísticamente significativa para el desarrollo de la UP, así como el tiempo prolongado de admisión. Conclusión: para la prevención de la UP es la enfermera de conocer los factores de riesgo posible, cambios clínicos, aplicar un protocolo clínico y de todas las medidas posibles en la assistência práctica. Descriptores: úlcera por presión; factores de riesgo; incidencia.  

scholarly journals Incidence and Risk Factors of Pressure Ulcers in a Tunisian University Hospital

2019 ◽  
pp. 25-28
Author(s):  
Héla Ghali ◽  
Rami Chouket ◽  
Asma Ben Cheikh ◽  
Salwa Khéfacha ◽  
Lamine Dhidah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
University Hospital ◽  
Incidence Density ◽  
The World ◽  
Independent Risk Factors ◽  
Associated Risk Factors ◽  
Sensitivity Specificity ◽  
Restorative Surgery

Background: Pressure ulcers are a major problem both in our context than in studies conducted around the world. In Tunisia, few studies have focused on estimating their extent. Aim: To estimate the incidence of pressure ulcers in some at-risk departments of the Hospital of Sahloul and to identify the associated risk factors. Methods: We carried out a longitudinal study in the departments of Anesthesia-Resuscitation, Internal Medicine, and Aesthetic and Restorative Surgery at the Hospital of Sahloul during 3 months from October the 1st until December 31st, 2015. Results: Overall, 150 patients were eligible. Their mean age was 46.1 ± 20.2 years. The sex ratio was 1.94. In our study, 29 patients had pressure ulcers, which represented a patient incidence of 19.3% (95% CI: [13-25.3]). In addition, 56 episodes of pressure ulcers were observed in these patients, resulting in a pressure ulcer incidence of 37% (95% CI: [29.3-44.7]) and incidence density of 2.3 episodes per 1000 days of hospitalization. The most frequent locations were the heels followed by the buttocks. In multivariate analysis, polytrauma (p=0.048) and disorders of higher functions (p<10-3) were found as independent risk factors for pressure ulcer occurrence. Regarding the evaluation of different pressure screening scores, Braden had the best sensitivity-specificity pair. Conclusion: Our results highlight the extent of the problem of pressure ulcers in our hospital. The fight against the occurrence of this complication requires a good management of traumatized and patients with a disorder of the higher functions based on the recommendations concerning the rehabilitation and the nutrition.

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.

Risk Factors Associated With Pressure Ulcers in Patients With Traumatic Brain Injury Admitted to the Intensive Care Unit

2021 ◽  
pp. 105477382110504
Author(s):  
Jeong Eun Yoon ◽  
Ok-Hee Cho
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Traumatic Brain Injury ◽  
Intensive Care ◽  
Brain Injury ◽  
Medical Records ◽  
Injury Severity ◽  
University Hospital ◽  
Factors Associated ◽  
Braden Scale

Pressure injuries (PIs) are one of the most important and frequent complications in patients admitted to the intensive care unit (ICU) or those with traumatic brain injury (TBI). The purpose of this study was to determine the incidence and risk factors of PIs in patients with TBI admitted to the ICU. In this retrospective study, the medical records of 237 patients with TBI admitted to the trauma ICU of a university hospital were examined. Demographic, trauma-related, and treatment-related characteristics of all the patients were evaluated from their records. The incidence of PIs was 13.9%, while the main risk factors were a higher injury severity score, use of mechanical ventilation, vasopressor infusion, lower Braden Scale score, fever, and period of enteral feeding. This study advances the nursing practice in the ICU by predicting the development of PIs and their characteristics in patients with TBI.

Pressure ulcer risk factors in an ICU population

1995 ◽  
Vol 4 (5) ◽  
pp. 361-367 ◽  
Author(s):  
MK Jiricka ◽  
P Ryan ◽  
MA Carvalho ◽  
J Bukvich
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Motor Vehicle ◽  
Convenience Sample ◽  
Medical Diagnoses ◽  
Trauma Population ◽  
Braden Scale

BACKGROUND: Although it is well known that pressure ulcers are associated with negative patient outcomes and increased hospital cost, there is little research related to pressure ulcers in an intensive care unit population. OBJECTIVE: To determine the relative contribution of risk factors in the development of pressure ulcers in intensive care unit patients. METHOD: In an exploratory descriptive design, a convenience sample of 85 adults was used. Patients were enrolled in the study within 24 hours of admission to the intensive care unit; data were collected every other day until discharge from the intensive care unit. Instruments included a demographic data form, Braden Scale for Predicting Pressure Sore Risk, Skin Assessment Tool, and Decubitus Ulcer Potential Analyzer. RESULTS: The most common reasons for admission to the intensive care unit included multiple trauma from motor vehicle accidents, gunshot and stab wounds, and gastrointestinal bleeding. A pressure ulcer developed in 48 subjects. There were no significant differences in age, gender, history of diabetes or smoking, or medical diagnoses between patients in whom a pressure ulcer developed and those in whom it did not. Data analysis indicated that a Braden Scale score of 11, rather than the recommended score of 16, was statistically significant for predicting pressure ulcer risk. CONCLUSIONS: The results suggest that a cut-off score on the Braden Scale could be specific to an intensive care unit trauma population.

Prevalence of early-onset GDM and associated risk factors in a university hospital in Thailand

2020 ◽  
pp. 1-5
Author(s):  
Dittakarn Boriboonhirunsarn ◽  
Prasert Sunsaneevithayakul ◽  
Chompoonutch Pannin ◽  
Thamolwan Wamuk
Keyword(s):  
Risk Factors ◽  
Early Onset ◽  
University Hospital ◽  
Associated Risk Factors

scholarly journals Metastatic Spreading of Community AcquiredStaphylococcus aureusBacteraemia

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Giovanna Fabio ◽  
Maria Carrabba ◽  
Luca Mellace ◽  
Cinzia Hu ◽  
Diego Spagnoli ◽  
...  
Keyword(s):  
Risk Factors ◽  
Epidural Abscess ◽  
Tertiary Care ◽  
Skin Lesions ◽  
University Hospital ◽  
Serious Infection ◽  
History Of ◽  
Associated Risk Factors ◽  
Healthcare Associated ◽  
And Control

A 29-year-old woman presented to the Fondazione IRCCS “Cà Granda” Ospedale Maggiore, a tertiary care university hospital in Milan (Italy), with skin lesions, fever, myalgia, joint pain and swelling, and a one-week history of low back pain. The diagnosis wasStaphylococcus aureus(S. aureus) bacteraemia spreading to skin, bones, and joints and a lumbosacral epidural abscess L5-S2. Neither initial focus nor predisposing conditions were apparent. The antibiotic therapy was prolonged for six-weeks with the resolution of fever, skin lesions, articular inflammation, and the epidural abscess. Community-acquiredS. aureusinfections can affect patients without traditional healthcare-associated risk factors, and community acquisition is a risk-factor for the development of complications. Raised awareness ofS. aureusbacteraemia, also in patients without healthcare-associated risk factors, is important in the diagnosis, management, and control of this infection, because failure to recognise patients with serious infection and lack of understanding of empirical antimicrobial selection are associated with a high mortality rate in otherwise healthy people.

Hypertension and associated risk factors: a study among professional nursing

2011 ◽  
Vol 5 (6) ◽  
pp. 1374
Author(s):  
Ana Lucia Becker Vieira Billig ◽  
Maria Claudia Irigoyen ◽  
Silvia Goldmeier
Keyword(s):  
Risk Factors ◽  
Night Shift ◽  
Cross Sectional Study ◽  
Young Population ◽  
Cross Sectional ◽  
Questionnaire Measure ◽  
Factores De Riesgo ◽  
The Mean ◽  
Associated Risk Factors ◽  
Structured Questionnaire

ABSTRACTObjective: to identify the prevalence of hypertension and risk factors (RF) associated in nurses and nursing technicians in a general hospital, combining the results of the professions, shifts and working places. Methodology: this is about a cross-sectional study with two hundred professionals. It was applied a structured questionnaire, measure the stress (ISMA) and the measurements of BP, BMI and WC. Results: the mean age was 32,9 ± 8,9 , females 85.5%, white 91.5% and hypertension of 34%. For the multivariate model, factors associated with hypertension were the night shift, the age, the sex, the obesity, and the nursing profession. Conclusion: a rolling program of health education and a institution’s policy focused on prevention of risk factors should be adopted. For being a young population more sensitive as other measures of HRV measure is needed to refine results to be adopted by the institution because it is a young population and more sensitive measures of HRV as a measure is needed to refine results. Descriptors: hypertension; risk factors; nursing team.RESUMOObjetivo: identificar a prevalência de HAS e fatores de riscos (FR) associados em enfermeiros e técnicos de enfermagem em um Hospital geral, associando os resultados entre as profissões, turnos e locais de trabalho. Metodologia: trata-se de um estudo transversal com duzentos profissionais de enfermagem. Foi aplicado um questionário estruturado além de um inquérito para mensurar o stress (ISMA), a PA, o IMC e a CC. Resultados: a idade foi de 32,9 ± 8,9, do sexo feminino 85,5%, raça branca 91,5% e a HAS foi de 34%. Pelo modelo multivariado, o turno noturno, a idade,o sexo, a obesidade e os enfermeiros estavam associados com hipertensão. Conclusão: um programa continuado de educação em saúde e uma política da instituição enfocando a prevenção aos fatores de risco deverá ser adotada. Por tratar-se de uma população jovem outras medidas mais sensíveis como medida da VFC são necessárias para refinar resultados. Descritores: hipertensão; fatores de risco; equipe de enfermagem.RESUMENObjetivos: determinar la prevalencia de la hipertensión y factores de riesgo (FR) asociados en enfermeros y profesionales de enfermería en un Hospital General, combinando los resultados entre las profesiones, los turnos y lugares de trabajo. Metodología: estudio transversal compuesto de dos centenares de profesionales. Se aplicó un cuestionario estructurado, una encuesta para medir el estrés (ISMA) y la medición de la PA, el IMC y la CC. Resultados: edade 32,9 ± 8,9 mujeres (85,5%), los blancos (91,5%) y la HAS del 34%. Para el modelo multivariado, los factores asociados con la hipertensión fueron el turno de la noche, la edad, el sexo, la obesidad y la profesión de enfermero. Conclusión: un programa permanente de educación para la salud y una política de la institución dirigida a la prevención de factores de riesgo ha de ser adoptada. Por ser una población joven, otras medidas más sensibles de medida como la VFC se necesita para perfeccionar los resultados. Descriptores: hipertensión arterial; factores de riesgo; equipo de enfermería.

The Prevalence and Relationship between Periodontal Disease and Pre-term Low Birth Weight Infants at King Khalid University Hospital in Riyadh, Saudi Arabia

2004 ◽  
Vol 5 (2) ◽  
pp. 40-56 ◽  
Author(s):  
Sameer Abdullah Mokeem ◽  
Ghadeer Nabeel Molla ◽  
Thikriat Saleh Al-Jewair
Keyword(s):  
Risk Factors ◽  
Saudi Arabia ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Periodontal Disease ◽  
University Hospital ◽  
Low Birth Weight Infants ◽  
Study Population ◽  
Associated Risk Factors ◽  
Periodontal Indices

Abstract The aim of this study was to examine the prevalence and relationship between periodontal disease and preterm low birth weight (PLBW) among Saudi mothers at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. The periodontal status and the relative risk were also analyzed. The study consisted of 30 cases [infants <37 weeks and/or weighing ≥2.500 kilograms (kg)] and a daily random sample of 60 controls [≥37 weeks and/or weighing >2.500 kg]. Clinical periodontal indices were measured on the labor wards. Associated risk factors for periodontal disease and PLBW were ascertained by means of a structured questionnaire and maternal notes. The prevalence of the PLBW was found to be 11.3%, and the prevalence of periodontal disease was high among the study population. The risk of PLBW remained high with increasing periodontal disease (odds ratio [OR] 4.21, 95% confident interval [CI] 1.99-8.93) despite controlling the other risk factors such as age, smoking, and social class. In conclusion, there is a correlation between periodontal disease and PLBW in KKUH. Citation Mokeem SA, Molla GN, Al-Jewair TS. The Prevalence and Relationship between Periodontal Disease and Pre-term Low Birth Weight Infants at King Khalid University Hospital in Riyadh, Saudi Arabia. J Contemp Dent Pract 2004 May;(5)2:040-056.

scholarly journals Bacteria of Nosocomial Urinary Tract Infections at a University Hospital in Egypt: Identification and Associated Risk Factors

2004 ◽  
Vol 25 (11) ◽  
pp. 895-897 ◽  
Author(s):  
Fatma A. Amer ◽  
Heba A. Mohtady ◽  
Iman M. El-Behedy ◽  
Salem Khalil ◽  
Yasser A. El-Hendy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
University Hospital ◽  
Associated Risk Factors ◽  
Tract Infections

scholarly journals Urinary tract infection in patients with chronic kidney disease under conservative treatment

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
Graciana Maria de Moraes Coutinho ◽  
Emanuela Cardoso da Silva ◽  
Cássia Regina Vancini Campanharo ◽  
Angélica Gonçalves Silva Belasco ◽  
Cassiane Dezoti da Fonseca ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Kidney Disease ◽  
Tract Infection ◽  
Conservative Treatment ◽  
University Hospital ◽  
Cross Sectional ◽  
Associated Risk Factors

ABSTRACT Objectives: to assess the prevalence and associated risk factors for urinary tract infection in patients with chronic kidney disease under conservative treatment and identify the microorganisms isolated in the urine of these patients and the staging of chronic kidney disease. Methods: a cross-sectional, analytical study carried out at the Conservative Treatment Outpatient Clinic of a university hospital in the city of São Paulo. Results: the prevalence of urinary tract infection is 22%. The risk factors Diabetes Mellitus, hypertension, heart disease, neoplasms and thyroid and autoimmune diseases stand out in the infected group (p < 0.001). Most of the microorganisms found in urine cultures (87.9%) were Gram-negative, being Escherichia coli (50.70%), followed by Klebsiella pneumoniae (23.1%) and Enterococcus spp. (9.7%). Conclusions: the findings of this investigation reveal the intrinsic association between risk factors and microorganisms for the development of urinary tract infection.

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