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Tytuł:
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Prevalence, incidence and risk factors for foot pressure ulcers in hospitalized elderly patients. An observational and prospective study.
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Autorzy:
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Garcia S; Vascular Surgery Department, Hospital of Mataró, Barcelona, Spain.
Alòs J; Vascular Surgery Department, Hospital of Mataró, Barcelona, Spain.
Guallar J; Geriatric Department, Hospital of Mataró Barcelona, Spain.
Viu M; Orthopaedics Department, Hospital of Mataró, Barcelona, Spain.
Serra-Prat M; Research Unit, Consorci Sanitari del Maresme, Barcelona, Spain. Electronic address: .
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Źródło:
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Journal of healthcare quality research [J Healthc Qual Res] 2021 Jan-Feb; Vol. 36 (1), pp. 27-33. Date of Electronic Publication: 2020 Dec 17.
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Typ publikacji:
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Journal Article; Observational Study
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Język:
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English
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Imprint Name(s):
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Original Publication: [Barcelona, Spain] : Elsevier España, [2018]-
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MeSH Terms:
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Pressure Ulcer*/epidemiology
Pressure Ulcer*/etiology
Aged ; Aged, 80 and over ; Female ; Humans ; Incidence ; Male ; Prevalence ; Prospective Studies ; Risk Factors
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Contributed Indexing:
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Keywords: Aged; Factores de riesgo; Incidence; Incidencia; Mayores; Pressure ulcers; Prevalence; Prevalencia; Prevención; Prevention; Risk factors; Úlceras por presión
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Entry Date(s):
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Date Created: 20201221 Date Completed: 20211028 Latest Revision: 20211028
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Update Code:
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20240105
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DOI:
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10.1016/j.jhqr.2019.12.005
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PMID:
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33342758
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Background: Incidence and clinical characteristics of foot pressure ulcers (FPU) in hospitalized elderly patients are not well known. The aim of the study was to determine the incidence of FPU during hospitalization, to describe main FPU characteristics and to assess main risk factors for FPU in hospitalised elderly subjects.
Methodology: An observational prospective study was performed in which patients 65 years or older admitted to Vascular Surgery, Orthopaedic or Geriatric departments were followed from admission to discharge. Trained nurses evaluated all recruited patients on a daily basis for possible FPU. Main characteristics of the patient (age, sex and co-morbidities) and the ulcer (location, grade) were registered.
Results: 299 patients were recruited (62.2% women, mean age 82.3 years, mean number of co-morbidities 2.8). Prevalence of FPU was 30.1% at admission and 73.9% at discharge. Incidence of FPU during hospitalization was 9.5 new FPU/100 person-day. 97.0% of the new FPU were grade 1 (erythema) and the most common locations were in the heel (57.6%), the external lateral part of the foot (13.1%), and the hallux of the fist toe (11.8%). Apart from immobility, main risk factors for FPU are age, geriatric residence origin and not able to outdoor life.
Conclusions: FPU has a high incidence among hospitalised elderly patients; most of them are grade 1 and located in the heel. More attention must be paid in the prevention of pressure ulcers in hospitalized frail subjects.
(Copyright © 2020 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.)
