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The prevalence and associated factors of skin tears in Belgian nursing homes: a cross-sectional observational study

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Abstract
Background: Although skin tears are among the most prevalent acute wounds in nursing homes, their recognition as a unique condition remains in its infancy. Elderly patients have a major risk of developing skin tears due to increased skin fragility and other contributing risk factors. In order to provide (cost-) effective prevention, patients at risk should be identified timely. Objectives: (1) To determine the point prevalence of skin tears and (2) to identify independent risk factors for the development of skin tears in nursing home residents. Methods: A cross-sectional observational study was set up, including 1153 residents from 10 Belgian nursing homes. Data were collected by trained researchers and study nurses using patient records and skin observations. A multiple binary logistic regression model was designed to identify independent risk factors (significance level α<0.05). Results: The final sample consisted of 795 nursing home residents, of which 24 presented with skin tears, resulting in a point prevalence of 3.0%. Most skin tears were classified as category 3 (defined as complete flap loss) according to the International Skin Tear Advisory Panel (ISTAP) Classification System and 75.0% were located on the lower arms/legs. Five independent associated factors were identified: age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings. Discussion: Our findings may enable benchmarking, contribute to timely identification of patients at risk, and support the selection of specific preventive interventions. Further research across the continuum of health care settings is needed to determine the true extent of skin tears and factors that contribute to their development. Conclusions: This study revealed a skin tear prevalence of 3.0% in nursing home residents. Age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings were independently associated with skin tear development.

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Chicago
Van Tiggelen, Hanne, Nele Van Damme, Sofie Theys, Eline Vanheyste, Sofie Verhaeghe, Ann Van Hecke, Kimberly LeBlanc, Karen Campbell, Kevin Woo, and Dimitri Beeckman. 2019. “The Prevalence and Associated Factors of Skin Tears in Belgian Nursing Homes: a Cross-sectional Observational Study.” In .
APA
Van Tiggelen, H., Van Damme, N., Theys, S., Vanheyste, E., Verhaeghe, S., Van Hecke, A., LeBlanc, K., et al. (2019). The prevalence and associated factors of skin tears in Belgian nursing homes: a cross-sectional observational study. Presented at the CARE4 International Scientific Nursing and Midwifery Congress, Third Edition.
Vancouver
1.
Van Tiggelen H, Van Damme N, Theys S, Vanheyste E, Verhaeghe S, Van Hecke A, et al. The prevalence and associated factors of skin tears in Belgian nursing homes: a cross-sectional observational study. 2019.
MLA
Van Tiggelen, Hanne et al. “The Prevalence and Associated Factors of Skin Tears in Belgian Nursing Homes: a Cross-sectional Observational Study.” 2019. Print.
@inproceedings{8599692,
  abstract     = {Background: Although skin tears are among the most prevalent acute wounds in nursing homes, their recognition as a unique condition remains in its infancy. Elderly patients have a major risk of developing skin tears due to increased skin fragility and other contributing risk factors. In order to provide (cost-) effective prevention, patients at risk should be identified timely.
Objectives: (1) To determine the point prevalence of skin tears and (2) to identify independent risk factors for the development of skin tears in nursing home residents.
Methods: A cross-sectional observational study was set up, including 1153 residents from 10 Belgian nursing homes. Data were collected by trained researchers and study nurses using patient records and skin observations. A multiple binary logistic regression model was designed to identify independent risk factors (significance level \ensuremath{\alpha}{\textlangle}0.05).
Results: The final sample consisted of 795 nursing home residents, of which 24 presented with skin tears, resulting in a point prevalence of 3.0\%. Most skin tears were classified as category 3 (defined as complete flap loss) according to the International Skin Tear Advisory Panel (ISTAP) Classification System and 75.0\% were located on the lower arms/legs. Five independent associated factors were identified: age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings.
Discussion: Our findings may enable benchmarking, contribute to timely identification of patients at risk, and support the selection of specific preventive interventions. Further research across the continuum of health care settings is needed to determine the true extent of skin tears and factors that contribute to their development.
Conclusions: This study revealed a skin tear prevalence of 3.0\% in nursing home residents. Age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings were independently associated with skin tear development.},
  author       = {Van Tiggelen, Hanne and Van Damme, Nele and Theys, Sofie and Vanheyste, Eline and Verhaeghe, Sofie and Van Hecke, Ann and LeBlanc, Kimberly and Campbell, Karen and Woo, Kevin and Beeckman, Dimitri},
  language     = {eng},
  location     = {Leuven},
  title        = {The prevalence and associated factors of skin tears in Belgian nursing homes: a cross-sectional observational study},
  year         = {2019},
}