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Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study

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  • Paolo Chiari
  • Cristiana Forni
  • Monica Guberti
  • Domenica Gazineo
  • Sabrina Ronzoni
  • Fabio D’Alessandro

Abstract

Background: Older adult patients with fragility hip fractures constitute a population at high risk for complications, in particular pressure ulcers. The aim was to evaluate the incidence of pressure ulcers and potential predictive factors. Methods and Findings: A prospective multicentric prognostic cohort study in orthopedic wards in three Italian public hospitals. Participants were all consecutive patients 65 years of age or older diagnosed with a fragility hip fracture. Outcomes were incidence of pressure ulcers. The exposure variables were grouped into three macro areas in order to facilitate reading: “intrinsic” variables, “extrinsic” variables and variables linked to the organization of patient care. One thousand eighty-three older adult patients with fragility hip fractures were enrolled from October 1st, 2013 to January 31st, 2015, and pressure ulcers developed in 22.7%. At multivariate analysis, the following were found to be risk factors: age> 80 years (odds ratio (OR) 1.03; p = 0.015), the length of time a urinary catheter was used (OR 1.013; p

Suggested Citation

  • Paolo Chiari & Cristiana Forni & Monica Guberti & Domenica Gazineo & Sabrina Ronzoni & Fabio D’Alessandro, 2017. "Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0169909
    DOI: 10.1371/journal.pone.0169909
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    Cited by:

    1. Shuji Nakashima & Hirotomo Yamanashi & Satomi Komiya & Katsumi Tanaka & Takahiro Maeda, 2018. "Prevalence of pressure injuries in Japanese older people: A population-based cross-sectional study," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-15, June.
    2. Francisco José Tarazona-Santabalbina & Cristina Ojeda-Thies & Jesús Figueroa Rodríguez & Concepción Cassinello-Ogea & José Ramón Caeiro, 2021. "Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture," IJERPH, MDPI, vol. 18(6), pages 1-29, March.
    3. Dorothy Li Bai & Tsai-Wen Liu & Hsiu-Ling Chou & Yeh-Liang Hsu, 2020. "Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-14, November.
    4. María Dolores López-Franco & Laura Parra-Anguita & Inés María Comino-Sanz & Pedro L. Pancorbo-Hidalgo, 2020. "Development and Psychometric Properties of the Pressure Injury Prevention Knowledge Questionnaire in Spanish Nurses," IJERPH, MDPI, vol. 17(9), pages 1-16, April.

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