NDLI: Hip fracture and pressure ulcers - the Pan-European Pressure Ulcer Study

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lindholm, Christina Sterner, Eila Romanelli, Marco Pina, Elaine Torra Y. Bou, Joan Hietanen, Helvi Iivanainen, Ansa Gunningberg, Lena Hommel, Ami Klang, Birgitta Dealey, Carol
Spatial Coverage	Europe
Description	Country affiliation: Sweden Author Affiliation: Lindholm C ( Department of Health Sciences, Kristianstad University, Sweden. christina.lindholm@hkr.se)
Abstract	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.
File Format	HTM / HTML
ISSN	17424801
Issue Number	2
Volume Number	5
e-ISSN	1742481X
Journal	International Wound Journal
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2008-06-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Discipline Traumatology Hip Fractures Complications Pressure Ulcer Epidemiology Adult Aged Aged, 80 And Over Cohort Studies Europe Female Surgery Hospitalization Humans Incidence Male Middle Aged Pathology Prevention & Control Prevalence Risk Factors Treatment Outcome Journal Article Multicenter Study Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Surgery Dermatology

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