Abstract
OBJECTIVE: To identify the incidence of category II or higher hospital-acquired pressure ulcers (HAPU) and significantly associated factors in older patients with hip fractures. PUs are a frequent complication in hip fracture patients, negatively impacting patients' quality of life, the health-care system and society.
METHOD: A prospective cohort study was conducted. A consecutive sample of patients with pertrochanteric, femoral neck or subtrochanteric fractures requiring surgical treatment, were included. A stepwise, multiple regression was performed to identify factors associated with PU development.
RESULTS: A total of 761 patients aged ≥65 years were sampled. The incidence of category II or higher PUs was 12%. The study identified five factors that were significantly, independently associated with category II or higher PU development, including a higher preoperative Braden score (Hazard Ratio [HR]: 0.884; 95% confidence interval [CI]: 0.806-0.969), surgical procedure with osteosynthesis (HR 1.876; 95%CI: 1.183-2.975), a higher percentage of days with the presence of foam valve before surgery (HR: 1.010; 95%CI: 1.010-1.023) and a urinary catheter (HR: 1.013; 95%CI: 1.006-1.019) and diaper (HR: 1.007; 95% CI 1.001-1.013) in the postoperative period.
CONCLUSION: Attention should be given by clinical staff to avoiding the use of foam valves, to limiting the use of diapers and to early removal of urinary catheters.
| Original language | English |
|---|---|
| Pages (from-to) | 593-599 |
| Number of pages | 7 |
| Journal | Journal of wound care |
| Volume | 28 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - Sep 2 2019 |
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Keywords
- hip fractures
- older people
- pressure ulcers
- prospective study
- risk factors
Cite this
Predictive factors for category II pressure ulcers in older patients with hip fractures: a prospective study. / Gazineo, Domenica; Chiari, Paolo; Chiarabelli, Matteo; Morri, Mattia; D'Alessandro, Fabio; Sabattini, Tania; Ambrosi, Elisa; Forni, Cristiana.
In: Journal of wound care, Vol. 28, No. 9, 02.09.2019, p. 593-599.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Predictive factors for category II pressure ulcers in older patients with hip fractures: a prospective study
AU - Gazineo, Domenica
AU - Chiari, Paolo
AU - Chiarabelli, Matteo
AU - Morri, Mattia
AU - D'Alessandro, Fabio
AU - Sabattini, Tania
AU - Ambrosi, Elisa
AU - Forni, Cristiana
PY - 2019/9/2
Y1 - 2019/9/2
N2 - OBJECTIVE: To identify the incidence of category II or higher hospital-acquired pressure ulcers (HAPU) and significantly associated factors in older patients with hip fractures. PUs are a frequent complication in hip fracture patients, negatively impacting patients' quality of life, the health-care system and society.METHOD: A prospective cohort study was conducted. A consecutive sample of patients with pertrochanteric, femoral neck or subtrochanteric fractures requiring surgical treatment, were included. A stepwise, multiple regression was performed to identify factors associated with PU development.RESULTS: A total of 761 patients aged ≥65 years were sampled. The incidence of category II or higher PUs was 12%. The study identified five factors that were significantly, independently associated with category II or higher PU development, including a higher preoperative Braden score (Hazard Ratio [HR]: 0.884; 95% confidence interval [CI]: 0.806-0.969), surgical procedure with osteosynthesis (HR 1.876; 95%CI: 1.183-2.975), a higher percentage of days with the presence of foam valve before surgery (HR: 1.010; 95%CI: 1.010-1.023) and a urinary catheter (HR: 1.013; 95%CI: 1.006-1.019) and diaper (HR: 1.007; 95% CI 1.001-1.013) in the postoperative period.CONCLUSION: Attention should be given by clinical staff to avoiding the use of foam valves, to limiting the use of diapers and to early removal of urinary catheters.
AB - OBJECTIVE: To identify the incidence of category II or higher hospital-acquired pressure ulcers (HAPU) and significantly associated factors in older patients with hip fractures. PUs are a frequent complication in hip fracture patients, negatively impacting patients' quality of life, the health-care system and society.METHOD: A prospective cohort study was conducted. A consecutive sample of patients with pertrochanteric, femoral neck or subtrochanteric fractures requiring surgical treatment, were included. A stepwise, multiple regression was performed to identify factors associated with PU development.RESULTS: A total of 761 patients aged ≥65 years were sampled. The incidence of category II or higher PUs was 12%. The study identified five factors that were significantly, independently associated with category II or higher PU development, including a higher preoperative Braden score (Hazard Ratio [HR]: 0.884; 95% confidence interval [CI]: 0.806-0.969), surgical procedure with osteosynthesis (HR 1.876; 95%CI: 1.183-2.975), a higher percentage of days with the presence of foam valve before surgery (HR: 1.010; 95%CI: 1.010-1.023) and a urinary catheter (HR: 1.013; 95%CI: 1.006-1.019) and diaper (HR: 1.007; 95% CI 1.001-1.013) in the postoperative period.CONCLUSION: Attention should be given by clinical staff to avoiding the use of foam valves, to limiting the use of diapers and to early removal of urinary catheters.
KW - hip fractures
KW - older people
KW - pressure ulcers
KW - prospective study
KW - risk factors
U2 - 10.12968/jowc.2019.28.9.593
DO - 10.12968/jowc.2019.28.9.593
M3 - Article
VL - 28
SP - 593
EP - 599
JO - Journal of wound care
JF - Journal of wound care
SN - 0969-0700
IS - 9
ER -