Document Detail

Pressure ulcer prevalence and risk factors during prolonged surgical procedures.
MedLine Citation:
PMID:  22118201     Owner:  NLM     Status:  MEDLINE    
Pressure ulcer formation related to positioning while in the OR increases the length of hospital stay and hospital costs, but there is little evidence documenting how positioning devices used in the OR influence pressure ulcer development when examined with traditional risk factors. The aim of this prospective cohort study was to identify the prevalence of and risk factors associated with pressure ulcer development among patients undergoing surgical procedures lasting longer than three hours. Participants included all adult same-day admission patients scheduled for a three-hour surgical procedure during an eight-month period (N = 258). Data were gathered preoperatively, intraoperatively, and postoperatively on pressure ulcer risk factors. Bivariate analyses indicated that the type of positioning (ie, heels elevated) (χ(2) = 7.897, P = .048), OR bed surface (ie, foam table pad) (χ(2) = 15.848, P = .000), skin assessment in the postanesthesia care unit (χ(2) = 41.652, P = .000), and male gender (χ(2) = 6.984, P = .030) were associated with pressure ulcer development. Logistic regression analyses indicated that the use of a foam pad (β = 2.691, P = .024) and a lower day-one Braden score (β = .244, P = .003) were predictive of pressure ulcers.
Mike Primiano; Michael Friend; Connie McClure; Scott Nardi; Lisa Fix; Marianne Schafer; Kathlyn Savochka; Molly McNett
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AORN journal     Volume:  94     ISSN:  1878-0369     ISO Abbreviation:  AORN J     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-28     Completed Date:  2012-03-13     Revised Date:  2013-02-11    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  555-66     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2011 AORN, Inc. Published by Elsevier Inc. All rights reserved.
Department of Nursing, MetroHealth Medical Center, Cleveland, OH, USA.
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MeSH Terms
Middle Aged
Pressure Ulcer / epidemiology*
Prospective Studies
Risk Factors
Surgical Procedures, Operative / adverse effects*
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