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Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention : results from a study in 26 nursing homes in Belgium

Charlotte Anrys (UGent) , Hanne Van Tiggelen (UGent) , Sofie Verhaeghe (UGent) , Ann Van Hecke (UGent) and Dimitri Beeckman (UGent)
(2019) INTERNATIONAL WOUND JOURNAL. 16(2). p.325-333
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Abstract
The aim of this study was to identify independent risk factors for pressure ulcer (PU) development in a high-risk nursing home population receiving evidencebased PU prevention. This study was part of a randomised controlled trial examining the (cost-)effectiveness of static air support surfaces compared with alternating pressure air mattresses. The sample consisted of 308 residents at a high risk of PU development (presence of non-blanchable erythema, Braden score ≤ 12 or Braden subscale “mobility” ≤ 2). PU incidence was monitored for 14 days. Demographic variables; functional, physical, and psychological characteristics; and data on skin assessment were collected. Independent risk factors were identified using multiple logistic regression analysis. The overall PU incidence (category II-IV) was 8.4% (n = 26), and 1.9% (n = 6) of the residents developed a deep PU (category III-IV). PUs (category II-IV) were significantly associated with non-blanchable erythema, a lower Braden score, and pressure area-related pain in high-risk residents even if preventive care was provided. These results highlight the need of a systematic risk assessment, including pain assessment and skin observations, in order to determine and tailor preventive care to the needs of high-risk individuals.
Keywords
high-risk population, nursing home, pressure ulcers, prevention, risk factors, LONG-TERM-CARE, INCONTINENCE-ASSOCIATED DERMATITIS, RELIEVING SUPPORT SURFACES, BRADEN SCALE, PREDICTIVE-VALIDITY, MULTICENTER, PREVALENCE, CLASSIFICATION, METAANALYSIS, MATTRESSES

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MLA
Anrys, Charlotte, et al. “Independent Risk Factors for Pressure Ulcer Development in a High-Risk Nursing Home Population Receiving Evidence-Based Pressure Ulcer Prevention : Results from a Study in 26 Nursing Homes in Belgium.” INTERNATIONAL WOUND JOURNAL, vol. 16, no. 2, 2019, pp. 325–33.
APA
Anrys, C., Van Tiggelen, H., Verhaeghe, S., Van Hecke, A., & Beeckman, D. (2019). Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention : results from a study in 26 nursing homes in Belgium. INTERNATIONAL WOUND JOURNAL, 16(2), 325–333.
Chicago author-date
Anrys, Charlotte, Hanne Van Tiggelen, Sofie Verhaeghe, Ann Van Hecke, and Dimitri Beeckman. 2019. “Independent Risk Factors for Pressure Ulcer Development in a High-Risk Nursing Home Population Receiving Evidence-Based Pressure Ulcer Prevention : Results from a Study in 26 Nursing Homes in Belgium.” INTERNATIONAL WOUND JOURNAL 16 (2): 325–33.
Chicago author-date (all authors)
Anrys, Charlotte, Hanne Van Tiggelen, Sofie Verhaeghe, Ann Van Hecke, and Dimitri Beeckman. 2019. “Independent Risk Factors for Pressure Ulcer Development in a High-Risk Nursing Home Population Receiving Evidence-Based Pressure Ulcer Prevention : Results from a Study in 26 Nursing Homes in Belgium.” INTERNATIONAL WOUND JOURNAL 16 (2): 325–333.
Vancouver
1.
Anrys C, Van Tiggelen H, Verhaeghe S, Van Hecke A, Beeckman D. Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention : results from a study in 26 nursing homes in Belgium. INTERNATIONAL WOUND JOURNAL. 2019;16(2):325–33.
IEEE
[1]
C. Anrys, H. Van Tiggelen, S. Verhaeghe, A. Van Hecke, and D. Beeckman, “Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention : results from a study in 26 nursing homes in Belgium,” INTERNATIONAL WOUND JOURNAL, vol. 16, no. 2, pp. 325–333, 2019.
@article{8580677,
  abstract     = {The aim of this study was to identify independent risk factors for pressure ulcer (PU) development in a high-risk nursing home population receiving evidencebased PU prevention. This study was part of a randomised controlled trial examining the (cost-)effectiveness of static air support surfaces compared with alternating pressure air mattresses. The sample consisted of 308 residents at a high risk of PU development (presence of non-blanchable erythema, Braden score ≤ 12 or Braden subscale “mobility” ≤ 2). PU incidence was monitored for 14 days. Demographic variables; functional, physical, and psychological characteristics; and data on skin assessment were collected. Independent risk factors were identified using multiple logistic regression analysis. The overall PU incidence (category II-IV) was 8.4% (n = 26), and 1.9% (n = 6) of the residents developed a deep PU (category III-IV). PUs (category II-IV) were significantly associated with non-blanchable erythema, a lower Braden score, and pressure area-related pain in high-risk residents even if preventive care was provided. These results highlight the need of a systematic risk assessment, including pain assessment and skin observations, in order to determine and tailor preventive care to the needs of high-risk individuals.},
  author       = {Anrys, Charlotte and Van Tiggelen, Hanne and Verhaeghe, Sofie and Van Hecke, Ann and Beeckman, Dimitri},
  issn         = {1742-4801},
  journal      = {INTERNATIONAL WOUND JOURNAL},
  keywords     = {high-risk population,nursing home,pressure ulcers,prevention,risk factors,LONG-TERM-CARE,INCONTINENCE-ASSOCIATED DERMATITIS,RELIEVING SUPPORT SURFACES,BRADEN SCALE,PREDICTIVE-VALIDITY,MULTICENTER,PREVALENCE,CLASSIFICATION,METAANALYSIS,MATTRESSES},
  language     = {eng},
  number       = {2},
  pages        = {325--333},
  title        = {Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention : results from a study in 26 nursing homes in Belgium},
  url          = {http://dx.doi.org/10.1111/iwj.13032},
  volume       = {16},
  year         = {2019},
}

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