| A prospective study of blanchable erythema among university hospital patients. | |
| | |
MedLine Citation:
|
PMID: 18593396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study aimed to determine the predictive accuracy and factors deteriorating blanchable erythema. A prospective cohort study was conducted in a 832-bed university hospital in Japan. Skin condition, risk factors, care plans and practices were measured everyday for 4 weeks by direct assessments and chart review by research staff. Blanchable erythema developed in 62 (24.9%) and a pressure ulcer in 8 (3.2%) patients. Six of the 62 blanchable erythema patients worsened to pressure ulcer of either stage I or II. Calculating the accuracy of blanchable erythema for predicting pressure ulcer development, sensitivity was 75%, specificity 77% and positive likelihood ratio 3.26. The factors found to deteriorate blanchable erythema were K-scale 'pressure' and inadequate support surface management to a patient whose condition was deteriorating. These results suggested that the value of positive likelihood ratio means small effect to the clinical use. However, if adequate support surface management were implemented to blanchable erythema patients, the incidence of pressure ulcer would probably fall to 0.8%. |
| | |
Authors:
|
Chie Konishi; Junko Sugama; Hiromi Sanada; Mayumi Okuwa; Chizuko Konya; Tomoe Nishizawa; Kimi Shimamura |
Related Documents
:
|
12477086 - Sitting pressure and perfusion of buttock skin in paraplegic and tetraplegic patients, ... 16722856 - Pressure sores with associated spasticity: a clinical challenge. 10327096 - Feasibility study of a novel approach to sore prevention in patients with spinal cord l... 11461036 - Buttock and back pressure distribution tests on seats of mobile agricultural machinery. 23458586 - Different definitions of prevalent hypertension impact: the clinical epidemiology of hy... 3631056 - Socioeconomic status, john henryism, and hypertension in blacks and whites. |
Publication Detail:
|
Type: Journal Article; Validation Studies |
Journal Detail:
|
Title: International wound journal Volume: 5 ISSN: 1742-481X ISO Abbreviation: - Publication Date: 2008 Jun |
Date Detail:
|
Created Date: 2008-07-02 Completed Date: 2008-09-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101230907 Medline TA: Int Wound J Country: England |
Other Details:
|
Languages: eng Pagination: 470-5 Citation Subset: IM |
Affiliation:
|
Nursing Department of Kanazawa University Hospital, Ishikawa, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Child Disease Progression Early Diagnosis Erythema / complications, diagnosis* Female Hospitals, University Humans Incidence Japan / epidemiology Likelihood Functions Male Middle Aged Nursing Assessment / methods* Nursing Evaluation Research Physical Examination / methods*, nursing Predictive Value of Tests Pressure Ulcer / epidemiology, etiology*, prevention & control Prospective Studies Risk Assessment / methods* Risk Factors Severity of Illness Index Statistics, Nonparametric |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: In vivo microvascular response of murine cutaneous muscle to ibuprofen-releasing polyurethane foam.
Next Document: The hypothesis of 'biophysical matrix contraction': wound contraction revisited.