دورية أكاديمية
Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients with Hip Fractures.
| العنوان: | Prospective Prognostic Cohort Study of Pressure Injuries in Older Adult Patients with Hip Fractures. |
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| المؤلفون: | Forni C; In the Nursing and Allied Profession Research Unit, Rizzoli Orthopaedic Institute, Bologna, Italy, Cristiana Forni, MA, RN, is Head of Department, Nursing Clinical Research Unit; Fabio D'Alessandro, RN, is a Staff Nurse; Rossana Genco, RN, is a Nurse Coordinator; Sandra Mini, RN, is a Staff Nurse; Teresa Notarnicola, RN, is a Staff Nurse; Arianna Vitulli, RN, is a Staff Nurse; Daniela Capezzali, RN, is a Staff Nurse; and Mattia Morri, PH, is a Physiotherapist., D'Alessandro F, Genco R, Mini S, Notarnicola T, Vitulli A, Capezzali D, Morri M |
| المصدر: | Advances in skin & wound care [Adv Skin Wound Care] 2018 May; Vol. 31 (5), pp. 218-224. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100911021 Publication Model: Print Cited Medium: Internet ISSN: 1538-8654 (Electronic) Linking ISSN: 15277941 NLM ISO Abbreviation: Adv Skin Wound Care |
| أسماء مطبوعة: | Publication: <2002->: [Philadelphia, Pa.?] : Lippincott Williams & Wilkins Original Publication: Springhouse, PA : Springhouse Corp., c2000- |
| مواضيع طبية MeSH: | Fracture Fixation, Internal/*adverse effects , Hip Fractures/*surgery , Postoperative Complications/*epidemiology , Pressure Ulcer/*etiology, Aged ; Aged, 80 and over ; Cohort Studies ; Female ; Fracture Fixation, Internal/methods ; Geriatric Assessment/methods ; Hip Fractures/diagnosis ; Humans ; Incidence ; Length of Stay ; Logistic Models ; Male ; Multivariate Analysis ; Postoperative Complications/physiopathology ; Pressure Ulcer/epidemiology ; Pressure Ulcer/physiopathology ; Prognosis ; Prospective Studies ; Risk Factors ; Severity of Illness Index ; Statistics, Nonparametric ; Survival Rate |
| مستخلص: | Objective: The aim of this study was to assess the rate of pressure injury and real predictors thereof in the older adult population with hip fractures in an orthopedic hospital. Methods: In this prospective prognostic cohort study, all patients admitted with fragility hip fractures were monitored over a 12-month period. On a daily basis, ward nurses and physiotherapists assessed the condition of the patients' skin and collected data about all the predictors connected to their healthcare and hospital organization until the patients were discharged from hospital or until the onset of pressure injury. Results: From October 1, 2013, to September 30, 2014, 467 older adult patients with fragility fractures were enrolled in the study. Of these, 27% (n = 127) developed a pressure injury. Multivariate analysis identified the following predictive factors: age older than 81 years, type of surgery, and placing the limb in a foam rubber splint. No other factor connected to the patient or medical, nursing, or rehabilitation treatment was significantly correlated to the onset of pressure injury, even when the univariate analysis showed some of them were possible predictors. Conclusions: Pressure injury in older adults with hip fractures is a relatively common complication, especially in high-risk patients or following certain treatments. These potential indicators could help provide safe and targeted care by preemptively identifying patients at highest risk of pressure injury. |
| تواريخ الأحداث: | Date Created: 20180420 Date Completed: 20181025 Latest Revision: 20181025 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/01.ASW.0000530685.39114.98 |
| PMID: | 29672393 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1538-8654 |
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| DOI: | 10.1097/01.ASW.0000530685.39114.98 |