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

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    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
    Issue Date
    2012-02-03T15:12:10Z
    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
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    Citation
    J Tissue Viability. 2008 Nov;17(4):103-9. Epub 2008 Apr 18.
    Journal
    Journal of tissue viability
    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
    ISSN
    0965-206X (Print)
    0965-206X (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jtv.2007.12.001
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    Cork University Hospital

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