| Frequent manual repositioning and incidence of pressure ulcers among bed-bound elderly hip fracture patients. | |
| | |
MedLine Citation:
|
PMID: 21134034 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Frequent manual repositioning is an established part of pressure ulcer prevention, but there is little evidence for its effectiveness. This study examined the association between repositioning and pressure ulcer incidence among bed-bound elderly hip fracture patients, using data from a 2004-2007 cohort study in nine Maryland and Pennsylvania hospitals. Eligible patients (n=269) were age ≥ 65 years, underwent hip fracture surgery, and were bed-bound at index study visits (during the first 5 days of hospitalization). Information about repositioning on the days of index visits was collected from patient charts; study nurses assessed presence of stage 2+ pressure ulcers 2 days later. The association between frequent manual repositioning and pressure ulcer incidence was estimated, adjusting for pressure ulcer risk factors using generalized estimating equations and weighted estimating equations. Patients were frequently repositioned (at least every 2 hours) on only 53% (187/354) of index visit days. New pressure ulcers developed at 12% of visits following frequent repositioning vs. 10% following less frequent repositioning; the incidence rate of pressure ulcers per person-day did not differ between the two groups (incidence rate ratio 1.1, 95% confidence interval 0.5-2.4). No association was found between frequent repositioning of bed-bound patients and lower pressure ulcer incidence, calling into question the allocation of resources for repositioning. |
| | |
Authors:
|
Shayna E Rich; David Margolis; Michelle Shardell; William G Hawkes; Ram R Miller; Sania Amr; Mona Baumgarten |
Related Documents
:
|
9816324 - Cyclophosphamide and 4-hydroxycyclophosphamide/aldophosphamide kinetics in patients rec... 594644 - Increased transcapillary escape rate of albumin in patients with cirrhosis of the liver. 15046234 - Chronic administration of losartan, an angiotensin ii receptor antagonist, is not effec... 3348424 - Distensibility of hepatic venous resistance sites and consequences on portal pressure. 21622244 - Endothelial dysfunction in hypertension: the role of arginase. 16881814 - The effect of periodontitis on biting abilities. |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural Date: 2010-12-06 |
Journal Detail:
|
Title: Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society Volume: 19 ISSN: 1524-475X ISO Abbreviation: Wound Repair Regen Publication Date: 2011 Jan-Feb |
Date Detail:
|
Created Date: 2011-01-17 Completed Date: 2011-07-26 Revised Date: 2012-03-02 |
Medline Journal Info:
|
Nlm Unique ID: 9310939 Medline TA: Wound Repair Regen Country: United States |
Other Details:
|
Languages: eng Pagination: 10-8 Citation Subset: IM |
Copyright Information:
|
© 2010 by the Wound Healing Society. |
Affiliation:
|
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Age Factors Aged Aged, 80 and over Bed Rest / adverse effects* Cohort Studies Female Hip Fractures / complications, therapy* Humans Incidence Male Patient Positioning* Pressure Ulcer / epidemiology*, prevention & control* Retrospective Studies Time Factors |
| Grant Support | |
ID/Acronym/Agency:
|
F30 AG034008/AG/NIA NIH HHS; F30 AG034008-01/AG/NIA NIH HHS; K12 HD043489/HD/NICHD NIH HHS; K12 HD043489-01/HD/NICHD NIH HHS; M01 RR16500/RR/NCRR NIH HHS; P30 AG028747/AG/NIA NIH HHS; R01 AR047711-02/AR/NIAMS NIH HHS; R01 AR47711/AR/NIAMS NIH HHS; T32 AG000262/AG/NIA NIH HHS; T32 AG000262-01/AG/NIA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Akt-mediated mechanotransduction in murine fibroblasts during hypertrophic scar formation.
Next Document: Remote assessment of diabetic foot ulcers using a novel wound imaging system.