The prevalence and associated factors of skin tears in Belgian nursing homes: A cross-sectional observational study
| Autor: | Ann Van Hecke, Sofie Theys, Kimberly LeBlanc, Karen Campbell, Eline Vanheyste, Nele Van Damme, Dimitri Beeckman, Kevin Y. Woo, Sofie Verhaeghe, Hanne Van Tiggelen |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Increased skin fragility Prevalence Dermatology Logistic regression Pathology and Forensic Medicine 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Complete flap loss Belgium Risk Factors Internal medicine Statistical significance Medicine Humans Aged Skin Aged 80 and over integumentary system 030504 nursing business.industry Skin Tears Nursing Homes Cross-Sectional Studies Logistic Models Observational study Female 0305 other medical science business Nursing homes |
| Zdroj: | Journal of tissue viability. 28(2) |
| ISSN: | 0965-206X |
| Popis: | 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 are at 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 in a timely manner. Objectives (1) To determine the point prevalence of skin tears and (2) to identify factors independently associated with skin tear presence in nursing home residents. Methods A cross-sectional observational study was set up, including 1153 residents in 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 explore independent associated factors (significance level α 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. 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 presence. |
| Databáze: | OpenAIRE |
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