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Pressure ulcer prevalence, incidence, risk, clinical features, and outcomes among patients in a Turkish hospital: A Cross-sectional, Retrospective Study

Wound Management and Prevention · Ocak 2019

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YÖKSİS Kayıtları
Pressure Ulcer Prevalence, Incidence, Risk, Clinical Features, and Outcomes Among Patients in a Turkish Hospital: A Cross-sectional, Retrospective Study
Ostomi Wound Management /Wound Management Prevention · 2019 SCI-Expanded
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Makale Bilgileri

DergiWound Management and Prevention
Yayın TarihiOcak 2019
Cilt / Sayfa65 · 20-28
Özet Pressure ulcers (PUs) are a common problem with serious health care implications. PURPOSE: This study was conducted to assess PU prevalence, incidence, clinical features, nursing care measures, and patient variables and outcomes among inpatients admitted to 13 internal medicine departments at a university hospital in Turkey between 2010 and 2014. METHODS: Using a cross-sectional, retrospective design, records of all hospitalized patients were reviewed and records from patients with a PU abstracted. Patient demographics, diagnosis, Braden Scale score, and PU information were abstracted from patient files/electronic records. Data were collected to an electronic data collection form between January and December 2015 and analyzed using descriptive statistics, chi-squared, one-way analysis of variance, and Student's t test. RESULTS: From a population of 20 175 patients, the records of 664 patients showed the presence of a PU; the total PU prevalence rate was 3.3% and the overall PU incidence rate for 5 years was 1.8%. Ulcers were most often Stage 1 (326. 49.1%), located at the sacrum (364, 54.8%), and hospital-acquired (370, 55.7%; 175 (56%) of PU patients were oncology patients, followed by dementia/Alzheimer's patients (31, 9.2%). A significant relationship between Braden scores and general diagnoses was found (P <.01). CONCLUSION: PU incidence was highest in patients with cancer and patients >65 years old, and patients with a diagnosis of dementia/Alzheimer's were at highest risk. Many patients outside of acute care settings have a PU. Risk assessments should be conducted and appropriate nursing interventions should be provided during facility admission and follow-up care. Prospective studies on the prevention of PU development in patients at risk are warranted.

Yazarlar (6)

1
Emine Kir Biçer
2
Yasemin Güçlüel
3
Müjgan Türker
4
Nurcan Aslan Kepiçoğlu
5
Yasemin Gümüş Şekerci
ORCID: 0000-0002-9661-0924
6
Aysun Say

Anahtar Kelimeler

Cross-sectional study Incidence Pressure ulcers Prevalence Quality of health care

Kurumlar

İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine
Istanbul Turkey
Mustafa Kemal Üniversitesi
Antakya Turkey

Metrikler

27
Atıf
6
Yazar
5
Anahtar Kelime