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Risk factors related to the development of pressure ulcers in the critical care setting

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  • Toshiko Kaitani
  • Keiko Tokunaga
  • Noriko Matsui
  • Hiromi Sanada

Abstract

Aim. This study identified risk factors for pressure ulcer development early in the admission stage to determine what appropriate interventions might be conducted early in the admission stage to decrease the risk of pressure ulcer development. Background. Among patients who develop pressure ulcers, 8–40% of them occur in a critical care setting. Therefore, the development of pressure ulcers is a common problem. Design. Prospective cohort study. Methods. The study facility was a 606‐bed tertiary care hospital. Ninety eight patients admitted to the intensive care unit (ICU) or the high care unit (HCU) from 16 April 2003–15 July 2003 were evaluated in the final analysis. Results. The mean patient age was 62·3 (SD 16·1) years, and the incidence of pressure ulcers in this study was 11·2% during the observation period. Multivariate analysis showed that ‘emergency ICU/HCU patients’ and ‘infrequent turning’ were related to pressure ulcer development. Patients with pressure ulcers experienced significantly fewer turns and repositionings (OR = 0·452, 95% CI: 0·212–0·966], p

Suggested Citation

  • Toshiko Kaitani & Keiko Tokunaga & Noriko Matsui & Hiromi Sanada, 2010. "Risk factors related to the development of pressure ulcers in the critical care setting," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 414-421, February.
    • Handle: RePEc:wly:jocnur:v:19:y:2010:i:3-4:p:414-421
    DOI: 10.1111/j.1365-2702.2009.03047.x
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    Cited by:

    1. María Isabel González‐Méndez & Marta Lima‐Serrano & Catalina Martín‐Castaño & Inmaculada Alonso‐Araujo & Joaquín Salvador Lima‐Rodríguez, 2018. "Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1028-1037, March.
    2. Khadijeh Hoviattalab & Haydeh Hashemizadeh & Gibson D'Cruz & Ruud JG Halfens & Theo Dassen, 2015. "Nursing practice in the prevention of pressure ulcers: an observational study of German Hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(11-12), pages 1513-1524, June.
    3. Dana Tschannen & Christine Anderson, 2020. "The pressure injury predictive model: A framework for hospital‐acquired pressure injuries," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(7-8), pages 1398-1421, April.

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