Prevalence of pressure ulcers in three university teaching hospitals in Ireland.
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Affiliation
Department of Geriatric Medicine, Cork University Hospital, and School of Nursing, and Midwifery, University College Cork, Wilton, Cork, Ireland., pfgallagher77@eircom.netIssue Date
2012-02-03T15:12:10ZMeSH
Activities of Daily LivingAdolescent
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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J Tissue Viability. 2008 Nov;17(4):103-9. Epub 2008 Apr 18.Journal
Journal of tissue viabilityDOI
10.1016/j.jtv.2007.12.001PubMed ID
18378140Abstract
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
engISSN
0965-206X (Print)0965-206X (Linking)
ae974a485f413a2113503eed53cd6c53
10.1016/j.jtv.2007.12.001