Document Detail


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
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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:  2014-09-22    
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.
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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/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/AR/NIAMS NIH HHS; R01 AR047711-02/AR/NIAMS NIH HHS; R01 AR47711/AR/NIAMS NIH HHS; T32 AG000262/AG/NIA NIH HHS; T32 AG000262/AG/NIA NIH HHS; T32 AG000262-01/AG/NIA NIH HHS
Comments/Corrections

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