Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients with Hip Fractures

Cristiana Forni, Fabio D'Alessandro, Rossana Genco, Sandra Mini, Teresa Notarnicola, Arianna Vitulli, Daniela Capezzali, Mattia Morri

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: The aim of this study was to assess the rate of pressure injury and real predictors thereof in the older adult population with hip fractures in an orthopedic hospital.

METHODS: In this prospective prognostic cohort study, all patients admitted with fragility hip fractures were monitored over a 12-month period. On a daily basis, ward nurses and physiotherapists assessed the condition of the patients' skin and collected data about all the predictors connected to their healthcare and hospital organization until the patients were discharged from hospital or until the onset of pressure injury.

RESULTS: From October 1, 2013, to September 30, 2014, 467 older adult patients with fragility fractures were enrolled in the study. Of these, 27% (n = 127) developed a pressure injury. Multivariate analysis identified the following predictive factors: age older than 81 years, type of surgery, and placing the limb in a foam rubber splint. No other factor connected to the patient or medical, nursing, or rehabilitation treatment was significantly correlated to the onset of pressure injury, even when the univariate analysis showed some of them were possible predictors.

CONCLUSIONS: Pressure injury in older adults with hip fractures is a relatively common complication, especially in high-risk patients or following certain treatments. These potential indicators could help provide safe and targeted care by preemptively identifying patients at highest risk of pressure injury.

Original languageEnglish
Pages (from-to)218-224
Number of pages7
JournalAdvances in skin & wound care
Volume31
Issue number5
DOIs
Publication statusPublished - May 2018

Fingerprint

Hip Fractures
Cohort Studies
Pressure
Wounds and Injuries
Rehabilitation Nursing
Splints
Physical Therapists
Age Factors
Rubber
Orthopedics
Multivariate Analysis
Extremities
Nurses
Delivery of Health Care
Skin
Therapeutics
Population

Keywords

  • fragility fracture
  • hip fracture
  • older adult
  • pressure injury
  • predictive factors
  • nursing care
  • rehabilitation

Cite this

Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients with Hip Fractures. / Forni, Cristiana; D'Alessandro, Fabio; Genco, Rossana; Mini, Sandra; Notarnicola, Teresa; Vitulli, Arianna; Capezzali, Daniela; Morri, Mattia.

In: Advances in skin & wound care, Vol. 31, No. 5, 05.2018, p. 218-224.

Research output: Contribution to journalArticle

Forni, Cristiana ; D'Alessandro, Fabio ; Genco, Rossana ; Mini, Sandra ; Notarnicola, Teresa ; Vitulli, Arianna ; Capezzali, Daniela ; Morri, Mattia. / Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients with Hip Fractures. In: Advances in skin & wound care. 2018 ; Vol. 31, No. 5. pp. 218-224.
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