Pressure ulcer prevalence in emergency hospitals: a cross-sectional study

Abstract

Aims:  To  identify  the  point  prevalence  of  pressure  ulcers  in  anemergency hospital and in different units and to investigate the association between the presence  of  ulcers  and  demographic  and  clinical  variables.  Method:  This  is  a  cross-sectional,  descriptive,  and  analytical  study,  held  over  a  single  day  in  a  public  hospital aimed  at  teaching  emergency  in  a  university  course,  involving  87  adults  and  elderly patients  hospitalized  throughout  the  hospital.  A  risk  assessment  was  carried  out  for pressure ulcers and skin inspection of patients. Results: The point prevalence of pressure ulcers in the institution was 40%. The point prevalence was higher in the intensive care unit. An association was found between the presence of ulcers and a greater amount of drugs, as well as longer hospital stays and lower scores on the Braden Scale. Conclusion: The  methods  used  for  assessing  the  prevalence  can  be  used  by  nurses  in operational research  to  assess  the  problem  context  and  also  in  scientific  studies  that  allow  the comparison of results in national and international contexts.
https://doi.org/10.17665/1676-4285.20165391
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References

Moura GM, Magalhães AM. Eventos adversos relacionados à assistência em serviços de saúde: principais tipos. In: Agência Nacional de Vigilância Sanitária (ANVISA). Assistência segura: uma reflexão teórica aplicada à prática. Brasília, DF: ANVISA; 2013. p. 65-76.

National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Aliance. Prevention and treatment of pressure ulcers: clinical practice guideline. Washington, DC: NPUAP/EPAUAP/PPPIA; 2014.

Santos VL, Caliri MH. [Concept and pressure ulcer classification: update NPUAP]. Rev Estima [Internet]. 2007[cited 2015 Sep 24]; 5(3):43-4. Available from: http://www.revistaestima.com.br/index.php?option=com_content&view=article&id=78%3Aatualizacao-2&catid=4%3Aedicao-53&Itemid=75&lang=pt. Portuguese.

Agência Nacional de Vigilância Sanitária (ANVISA). [Investigation of adverse events in health care]. Brasília, DF: ANVISA; 2013. Portuguese.

Costa IG, Caliri MH. [Predictive validity of the Braden Scale for patients in intensive care]. Acta Paul Enferm [Internet]. 2011[cited 2015 Sep 24]; 24(6):772-7. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002011000600

&lng=en. Portuguese.

Berlowitz D. Prevalence, incidence and facility-acquired rates. In: Pieper B (Ed.) with the National Pressure Ulcer Advisory Panel. Pressure ulcers: prevalence, incidence, and implications for the future. Washington, DC: NPUAP; 2012. Chapter 4, p. 19-24.

Rogenski NM, Kurcgant P. [The incidence of pressure ulcers after the implementation of a prevention protocol]. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2015 Aug 19]; 20(2):333-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid

=S0104-11692012000200016&lng=en. Portuguese.

International Guidelines. Pressure ulcer prevention: prevalence and incidence in context. A consensus document. London: MEP; 2009.

National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: quick reference guide. Washington, DC: NPUAP/EPAUAP/PPPIA; 2014.

Tubaishat A, Aljezawi M. The prevalence of pressure ulceration among Jordanian hospitalised patients. J. Wound Care. 2013; 22(6):305-9, 308-10.

Vanderwee K, Defloor T, Beeckman D, Demarre L, Verhaeghe S, Van Durme T, et al. Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey. BMJ Qual Saf. 2011; 20(3):260-7.

Cardoso JR, Blanes L, Calil JA, Chacon JM, Ferreira LM. Prevalence of pressure ulcers in a Brazilian hospital: results of a cross-sectional study. Ostomy Wound Manage. [Internet]. 2010[cited 2015 Sep 24]; 56(10):52-7. Available from: http://www.o-wm.com/files/owm/pdfs/cardoso.pdf

Pancorbo-Hidalgo PL, García-Fernández FP, Bou JET, Soriano JV, Soldevilla-Agreda JJ. [Pressure ulcers epidemiology in Spain in 2013: results from the 4th National Prevalence Survey]. Gerokomos. 2014; 25(4):162-70. Spanish.

Gomes FS, Bastos MA, Matozinhos FP, Temponi HR, Velásquez-Meléndez G. [Factors associated to pressure ulcers in patients at adult intensive care units]. Rev Esc Enferm USP. 2010; 44(4):1070-6. Portuguese.

Dugaret E, Videau MN, Faure I, Gabinski C, Bourdel-Marchasson I, Salles N. Prevalence and incidence rates of pressure ulcers in an Emergency Department. Int Wound J. 2012;11(4):386-1.

Gomes FS, Bastos MA, Matozinhos FP, Temponi HR, Velásquez-Meléndez G. [Risk assessment for pressure ulcer in critical patients]. Rev Esc Enferm USP. 2011; 45(2):313-8. Portuguese.

Agência Nacional de Vigilância Sanitária (ANVISA). Rede Sentinela. Protocolo de úlcera por pressão. [Internet]. Brasília, DF, 2013 [cited 2015 Sep 24]. Available from: http://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/category/diversos.