| Incidence of pressure ulcers in the institutionalized elderly. | |
| | |
MedLine Citation:
|
PMID: 20386329 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: The aim of this study was to analyze the incidence of pressure ulcers (PUs) in elderly people living in long-term care facilities (LTCFs). DESIGN: We completed a prospective, comparison cohort study. SUBJECTS AND SETTING: Ninety-four persons, 60 years or older, participated in the study. Participants resided in 4 not-for-profit LTCFs in 3 cities in the southern region of the Brazilian state of Minas Gerais. METHODS: Participants underwent complete skin examination and Braden Scale rating every 2 days for 3 months. When a PU was detected, a careful examination was done to assess its stage, location, and size. From this moment on, the patient was included in the incidence rate and was excluded from the study. RESULTS: The incidence rate of PUs was 39.4%; 37 (77.1%) developed a single ulcer. The most common locations were the malleolus (27.1%) and the ischium (25.0%). Stage I PU were most frequent (66.7%). Females (62.8%) and whites (68.19%) prevailed, with an average age of 79.06 +/- 9.6 years. Body mass index was 20.93 +/- 4.9, with a predominance of urinary diseases (58.5%) and use of neuroleptics/psychotropics (52.1%); 28.7% had had a previous ulcer. Gender and the occurrence of a previous ulcer were found to predict the development of PU, based on logistic regression analysis (r = 0.311). CONCLUSIONS: The overall incidence of PU was significant, but the incidence of stage II and higher PUs was less than 12% and no elders had stage III or IV ulcers. Factors associated with PU development include female gender, regular use of neuroleptic or psychotropic medications, and a history of pressure ulceration. |
| | |
Authors:
|
Diba Maria Sebba Tosta de Souza; Vera Lúcia Conceição de Gouveia Santos |
Related Documents
:
|
7215949 - Factors affecting the healing rate of duodenal and pyloric ulcers with low-dose antacid... 1987859 - Proximal gastric vagotomy in the emergency treatment of bleeding duodenal ulcer. 6650069 - The value of parietal cell vagotomy compared to simple closure in a selective approach ... 8220939 - The prevention and healing of acute non-steroidal anti-inflammatory drug-associated gas... 3289379 - Failure of a cytoprotective dose of arbacet to heal acute gastric ulcers. 19583709 - Long-term outcome of non-fistulizing (ulcers, stricture) perianal crohn's disease in pa... 18829239 - Outcomes of endovascular abdominal aortic aneurysm repair compared with open surgical r... 2195139 - Percutaneous retrogasserian glycerol injection in the management of trigeminal neuralgi... 9559689 - Relationship between tympanic membrane perforations and retained ventilation tubes. |
Publication Detail:
|
Type: Journal Article; Multicenter Study |
Journal Detail:
|
Title: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN Volume: 37 ISSN: 1528-3976 ISO Abbreviation: J Wound Ostomy Continence Nurs Publication Date: 2010 May-Jun |
Date Detail:
|
Created Date: 2010-05-14 Completed Date: 2010-08-24 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9435679 Medline TA: J Wound Ostomy Continence Nurs Country: United States |
Other Details:
|
Languages: eng Pagination: 272-6 Citation Subset: N |
Affiliation:
|
Sapucaí Valley University (UNIVAS), Pouso Alegre, Minas Gerais, Brazil. dibasouza@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Brazil / epidemiology Cohort Studies Female Homes for the Aged* / statistics & numerical data Humans Incidence Logistic Models Long-Term Care Male Middle Aged Nursing Homes* / statistics & numerical data Pressure Ulcer / epidemiology*, pathology Prospective Studies Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Surgical management of neglected bilateral obligatory patella dislocation.
Next Document: The Hygienic Effectiveness of 2 Different Skin Cleansing Procedures.