| Pressure ulcer prevalence and risk factors during prolonged surgical procedures. | |
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MedLine Citation:
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PMID: 22118201 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Mike Primiano; Michael Friend; Connie McClure; Scott Nardi; Lisa Fix; Marianne Schafer; Kathlyn Savochka; Molly McNett |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AORN journal Volume: 94 ISSN: 1878-0369 ISO Abbreviation: AORN J Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-11-28 Completed Date: 2012-03-13 Revised Date: 2013-02-11 |
Medline Journal Info:
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Nlm Unique ID: 0372403 Medline TA: AORN J Country: United States |
Other Details:
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Languages: eng Pagination: 555-66 Citation Subset: IM; N |
Copyright Information:
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Copyright © 2011 AORN, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Nursing, MetroHealth Medical Center, Cleveland, OH, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Female Humans Male Middle Aged Pressure Ulcer / epidemiology* Prevalence Prospective Studies Risk Factors Surgical Procedures, Operative / adverse effects* |
| Grant Support | |
ID/Acronym/Agency:
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UL1 RR024989/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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