Prevalence of pressure ulcers in three university teaching hospitals in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/209096
Title:
Prevalence of pressure ulcers in three university teaching hospitals in Ireland.
Authors:
Gallagher, Paul; Barry, Pat; Hartigan, Irene; McCluskey, Pat; O'Connor, Kieran; O'Connor, Mike
Affiliation:
Department of Geriatric Medicine, Cork University Hospital, and School of Nursing, and Midwifery, University College Cork, Wilton, Cork, Ireland., pfgallagher77@eircom.net
Citation:
J Tissue Viability. 2008 Nov;17(4):103-9. Epub 2008 Apr 18.
Journal:
Journal of tissue viability
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209096
DOI:
10.1016/j.jtv.2007.12.001
PubMed ID:
18378140
Abstract:
AIM: Pressure ulceration is a significant, but preventable, cause of morbidity and resource utilisation in hospital populations. Data on pressure ulcer prevalence in Ireland are limited. This study aims to determine (i) the point-prevalence of pressure ulcers in three teaching hospitals in Ireland and (ii) risk factors for their development. METHODS: Eight teams of one doctor and one nurse visited 672 adult patients over a 2-day period in three teaching hospitals. Each patient was examined and pressure ulcers graded with the European Pressure Ulcer Advisory Panel system. Mental test score, Barthel index, type of support surface, length of stay, documentation of risk assessment and serum albumin were recorded. RESULTS: Point-prevalence of pressure ulceration was 18.5%. Seventy-seven percent of pressure ulcers were hospital-acquired, 49% grade 1, 37% grade 2, 11% grade 3 and 3% grade 4. Reduced mobility, urinary incontinence, cognitive impairment, low serum albumin and length of stay were significantly associated with pressure ulcers. Multivariate logistic regression analysis found reduced mobility (odds ratio 8.84; 95% CI 5.04-15.48, p<0.0001) and length of stay (odds ratio 1.02; 95% CI 1.01-1.02, p<0.0001) to be predictive of the presence of pressure ulcers. Age, gender and risk assessment documentation were not associated with pressure ulcers. Sixty-five percent of patients with pressure ulcers were positioned on appropriate support surfaces. DISCUSSION: Point-prevalence of pressure ulceration was 18.5%, similar to international data. Regular audit of prevalence, prevention and management strategies may raise awareness, influence resource allocation and ultimately improve patient care.
Language:
eng
MeSH:
Activities of Daily Living; Adolescent; Adult; Aged; Aged, 80 and over; Chi-Square Distribution; Cognition Disorders/complications; Female; Hospitals, University; Humans; Hypoalbuminemia/complications; Ireland/epidemiology; Length of Stay; Logistic Models; Male; Middle Aged; Multivariate Analysis; Nursing Assessment; Nursing Audit; Nursing Evaluation Research; Pressure Ulcer/diagnosis/*epidemiology/*etiology; Prevalence; Risk Assessment; Risk Factors; Severity of Illness Index; Statistics, Nonparametric; Urinary Incontinence/complications
ISSN:
0965-206X (Print); 0965-206X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorGallagher, Paulen_GB
dc.contributor.authorBarry, Paten_GB
dc.contributor.authorHartigan, Ireneen_GB
dc.contributor.authorMcCluskey, Paten_GB
dc.contributor.authorO'Connor, Kieranen_GB
dc.contributor.authorO'Connor, Mikeen_GB
dc.date.accessioned2012-02-03T15:12:10Z-
dc.date.available2012-02-03T15:12:10Z-
dc.date.issued2012-02-03T15:12:10Z-
dc.identifier.citationJ Tissue Viability. 2008 Nov;17(4):103-9. Epub 2008 Apr 18.en_GB
dc.identifier.issn0965-206X (Print)en_GB
dc.identifier.issn0965-206X (Linking)en_GB
dc.identifier.pmid18378140en_GB
dc.identifier.doi10.1016/j.jtv.2007.12.001en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209096-
dc.description.abstractAIM: Pressure ulceration is a significant, but preventable, cause of morbidity and resource utilisation in hospital populations. Data on pressure ulcer prevalence in Ireland are limited. This study aims to determine (i) the point-prevalence of pressure ulcers in three teaching hospitals in Ireland and (ii) risk factors for their development. METHODS: Eight teams of one doctor and one nurse visited 672 adult patients over a 2-day period in three teaching hospitals. Each patient was examined and pressure ulcers graded with the European Pressure Ulcer Advisory Panel system. Mental test score, Barthel index, type of support surface, length of stay, documentation of risk assessment and serum albumin were recorded. RESULTS: Point-prevalence of pressure ulceration was 18.5%. Seventy-seven percent of pressure ulcers were hospital-acquired, 49% grade 1, 37% grade 2, 11% grade 3 and 3% grade 4. Reduced mobility, urinary incontinence, cognitive impairment, low serum albumin and length of stay were significantly associated with pressure ulcers. Multivariate logistic regression analysis found reduced mobility (odds ratio 8.84; 95% CI 5.04-15.48, p<0.0001) and length of stay (odds ratio 1.02; 95% CI 1.01-1.02, p<0.0001) to be predictive of the presence of pressure ulcers. Age, gender and risk assessment documentation were not associated with pressure ulcers. Sixty-five percent of patients with pressure ulcers were positioned on appropriate support surfaces. DISCUSSION: Point-prevalence of pressure ulceration was 18.5%, similar to international data. Regular audit of prevalence, prevention and management strategies may raise awareness, influence resource allocation and ultimately improve patient care.en_GB
dc.language.isoengen_GB
dc.subject.meshActivities of Daily Livingen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshChi-Square Distributionen_GB
dc.subject.meshCognition Disorders/complicationsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHospitals, Universityen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypoalbuminemia/complicationsen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshLength of Stayen_GB
dc.subject.meshLogistic Modelsen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshMultivariate Analysisen_GB
dc.subject.meshNursing Assessmenten_GB
dc.subject.meshNursing Auditen_GB
dc.subject.meshNursing Evaluation Researchen_GB
dc.subject.meshPressure Ulcer/diagnosis/*epidemiology/*etiologyen_GB
dc.subject.meshPrevalenceen_GB
dc.subject.meshRisk Assessmenten_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshSeverity of Illness Indexen_GB
dc.subject.meshStatistics, Nonparametricen_GB
dc.subject.meshUrinary Incontinence/complicationsen_GB
dc.titlePrevalence of pressure ulcers in three university teaching hospitals in Ireland.en_GB
dc.contributor.departmentDepartment of Geriatric Medicine, Cork University Hospital, and School of Nursing, and Midwifery, University College Cork, Wilton, Cork, Ireland., pfgallagher77@eircom.neten_GB
dc.identifier.journalJournal of tissue viabilityen_GB
dc.description.provinceMunster-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.