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Sökning: onr:"swepub:oai:DiVA.org:hkr-61" > Hip fracture and pr...

  • Lindholm, Christina,1942-Högskolan Kristianstad,Institutionen för hälsovetenskaper (författare)

Hip fracture and pressure ulcers : the Pan-European Pressure Ulcer Study: intrinsic and extrinsic risk factors

  • Artikel/kapitelEngelska2008

Förlag, utgivningsår, omfång ...

  • 2008
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:hkr-61
  • urn:nbn:se:hkr:diva-61urn
  • https://doi.org/10.1111/j.1742-481X.2008.00452.xDOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Pressure ulcers (PU) in patients with hip fracture remain a problem. Incidence of between 8.8% and 55% have been reported. There are few studies focusing on the specific patient-, surgery- and care-related risk indicators in this group. The aims of the study were: - to investigate prevalence and incidence of PU upon arrival and at discharge from hospital and to identify potential intrinsic and extrinsic risk factors for development of PU in patients admitted for hip fracture surgery, - to illuminate potential differences in patient logistics, surgery, PU prevalence and incidence and care between Northern and Southern Europe. Consecutive patients with hip fracture in six countries, Sweden, Finland, UK (North) and Spain, Italy and Portugal (South), were included. The patients were followed from Accident and Emergency Department and until discharge or 7 days. Prevalence, PU at discharge and incidence were investigated, and intrinsic and extrinsic risk indicators, including waiting time for surgery and duration of surgery were recorded. Of the 635 patients, 10% had PU upon arrival and 22% at discharge (26% North and 16% South). The majority of ulcers were grade 1 and none was grade 4. Cervical fractures were more common in the North and trochanteric in the South. Waiting time for surgery and duration of surgery were significantly longer in the South. Traction was more common in the South and perioperative warming in the North. Risk factors of statistical significance correlated to PU at discharge were age >or=71 (P = 0.020), dehydration (P = 0.005), moist skin (P = 0.004) and total Braden score (P = 0.050) as well as subscores for friction (P = 0.020), nutrition (P = 0.020) and sensory perception (P = 0.040). Comorbid conditions of statistical significance for development of PU were diabetes (P = 0.005) and pulmonary disease (P = 0.006). Waiting time for surgery, duration of surgery, warming or non warming perioperatively, type of anaesthesia, traction and type of fracture were not significantly correlated with development of PU.

Ämnesord och genrebeteckningar

  • Comorbidity
  • dehydration
  • hip fracture
  • moist skin
  • North and South Europe
  • old age
  • Braden scale
  • pressure ulcers
  • risk factors
  • surgery
  • MEDICINE
  • MEDICIN

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Sterner, EilaDepartment of Molecular Medicine and Surgery, Karolinska Institutet (författare)
  • Romanelli, MarcoWound Healing Research Unit, Department of Dermatology, Pisa (författare)
  • Pina, ElaineNational Institute of Public Health, Lisbon (författare)
  • Torra y Bou, JoanBarcelona (författare)
  • Hietanen, HelviDepartment of Plastic Surgery, Helsinki University Central Hospital (författare)
  • Iivanainen, AnsaMikkeli University of Applied Sciences (författare)
  • Gunningberg, LenaDepartment of Surgical Science, Uppsala University (författare)
  • Hommel, AmiDepartment of Health Sciences, Lund University (författare)
  • Klang, BirgittaDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet (författare)
  • Dealey, CarolSchool of Health Sciences, University of Birmingham (författare)
  • Högskolan KristianstadInstitutionen för hälsovetenskaper (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:International Wound Journal5:2, s. 315-281742-48011742-481X

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