Key factors for the development of pressure ulcers in surgical
practice

J 2019

Key factors for the development of pressure ulcers in surgical practice

VEVERKOVÁ, Lenka, Michal REŠKA, Petr VLČEK, Ivan ČAPOV, Jakub HABR et. al.

Basic information

Original name

Key factors for the development of pressure ulcers in surgical practice

Name in Czech

Rizikové faktory u pacientů s dekubity na chirurgickém oddělení

Authors

VEVERKOVÁ, Lenka (203 Czech Republic, guarantor, belonging to the institution), Michal REŠKA (203 Czech Republic, belonging to the institution), Petr VLČEK (203 Czech Republic, belonging to the institution), Ivan ČAPOV (203 Czech Republic, belonging to the institution), Jakub HABR (203 Czech Republic, belonging to the institution), Jan KONEČNÝ (203 Czech Republic, belonging to the institution) and Petr DOLEŽAL (203 Czech Republic)

Edition

CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE, Prague, Ambit Media a.s. 2019, 1210-7859

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 0.377

RIV identification code

RIV/00216224:14110/19:00111319

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.14735/amcsnn2019S60

UT WoS

000500981300014

Keywords in English

pressure ulcers; pressure sore; risk assessment; incidence; surgical patient; age; gender

Abstract

V originále

Aim: Pressure ulcers represent a major postoperative complication. We retrospectively analyse data and identify risk factors for the development of pressure ulcers in patients undergoing surgery at the 1st Surgical Clinic of St. Anne’s Hospital in Brno between 2017 and 2018. Methods: We used data from the hospital’s information system and a purpose-built electronic database (I-hojeni.cz). Statistical analysis was performed using Pearson‘s chi-square at a significance level of 0.05, the variables used included: age, Body Mass Index (BMI), number and grade of pressure ulcers and comorbidities (history of cardiovascular diseases, diabetes mellitus, chronic renal failure, neurological and oncological diseases). Results: 5,851 inpatients underwent surgery (91.15% of the total of 6,419) between 2017 and 2018. Pressure ulcers newly developed in 86 patients (1.46%), 40 men and 46 women. The patients’ average age was 79.85, age was confirmed as a predictive factor for pressure ulcer formation. The average BMI value was 24.13, the relationship between BMI and development of pressure ulcers was not statistically significant. The average pressure ulcer grade was 2.04 and the average number per patient 1.5. Pressure ulcers mostly developed on the heels, buttocks and sacrum. On average the period between a patient’s admission and operation was 2.79 days (0–16 days), it did not prove to be a factor. 56 patients (65.11%) had a history of neurological disorder – a predictive factor – the correlation was not statistically significant, similarly to oncological diseases 30 (24.41%), 19 patients (22.09%) with pressure ulcers died. Conclusion: Our study is unique in expanding our understanding of multiple risk factors for the development of pressure ulcers, it suggests that age and a history of neurological disorder in particular are key risk factors while other risk factors generally considered to be significant (mobility, nutritional factors) did not prove so.

Links

MUNI/A/1511/2018, interní kód MU

Name: Fyzikální parametry a ovlivnění strategie chirurgické léčby u komplikovaných operací.

Investor: Masaryk University, Category A

Citovat

VEVERKOVÁ, Lenka, Michal REŠKA, Petr VLČEK, Ivan ČAPOV, Jakub HABR, Jan KONEČNÝ and Petr DOLEŽAL. Key factors for the development of pressure ulcers in surgical practice. CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE. Prague: Ambit Media a.s., 2019, vol. 82, Supplementum 1, p. 60-65. ISSN 1210-7859. Available from: https://dx.doi.org/10.14735/amcsnn2019S60.

@article{1579809,
   author = {Veverková, Lenka and Reška, Michal and Vlček, Petr and Čapov, Ivan and Habr, Jakub and Konečný, Jan and Doležal, Petr},
   article_location = {Prague},
   article_number = {Supplementum 1},
   doi = {http://dx.doi.org/10.14735/amcsnn2019S60},
   keywords = {pressure ulcers; pressure sore; risk assessment; incidence; surgical patient; age; gender},
   language = {eng},
   issn = {1210-7859},
   journal = {CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE},
   title = {Key factors for the development of pressure ulcers in surgical practice},
   url = {https://www.csnn.eu/en/journals/czech-and-slovak-neurology-and-neurosurgery/current-issue},
   volume = {82},
   year = {2019}
}

TY  - JOUR
ID  - 1579809
AU  - Veverková, Lenka - Reška, Michal - Vlček, Petr - Čapov, Ivan - Habr, Jakub - Konečný, Jan - Doležal, Petr
PY  - 2019
TI  - Key factors for the development of pressure ulcers in surgical practice
JF  - CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE
VL  - 82
IS  - Supplementum 1
SP  - 60-65
EP  - 60-65
PB  - Ambit Media a.s.
SN  - 12107859
KW  - pressure ulcers
KW  - pressure sore
KW  - risk assessment
KW  - incidence
KW  - surgical patient
KW  - age
KW  - gender
UR  - https://www.csnn.eu/en/journals/czech-and-slovak-neurology-and-neurosurgery/current-issue
L2  - https://www.csnn.eu/en/journals/czech-and-slovak-neurology-and-neurosurgery/current-issue
N2  - Aim: Pressure ulcers represent a major postoperative complication. We retrospectively analyse data and identify risk factors for the development of pressure ulcers in patients undergoing surgery at the 1st Surgical Clinic of St. Anne’s Hospital in Brno between 2017 and 2018. Methods: We used data from the hospital’s information system and a purpose-built electronic database (I-hojeni.cz). Statistical analysis was performed using Pearson‘s chi-square at a significance level of 0.05, the variables used included: age, Body Mass Index (BMI), number and grade of pressure ulcers and comorbidities (history of cardiovascular diseases, diabetes mellitus, chronic renal failure, neurological and oncological diseases). Results: 5,851 inpatients underwent surgery (91.15% of the total of 6,419) between 2017 and 2018. Pressure ulcers newly developed in 86 patients (1.46%), 40 men and 46 women. The patients’ average age was 79.85, age was confirmed as a predictive factor for pressure ulcer formation. The average BMI value was 24.13, the relationship between BMI and development of pressure ulcers was not statistically significant. The average pressure ulcer grade was 2.04 and the average number per patient 1.5. Pressure ulcers mostly developed on the heels, buttocks and sacrum. On average the period between a patient’s admission and operation was 2.79 days (0–16 days), it did not prove to be a factor. 56 patients (65.11%) had a history of neurological disorder – a predictive factor – the correlation was not statistically significant, similarly to oncological diseases 30 (24.41%), 19 patients (22.09%) with pressure ulcers died. Conclusion: Our study is unique in expanding our understanding of multiple risk factors for the development of pressure ulcers, it suggests that age and a history of neurological disorder in particular are key risk factors while other risk factors generally considered to be significant (mobility, nutritional factors) did not prove so.
ER  -

VEVERKOVÁ, Lenka, Michal REŠKA, Petr VLČEK, Ivan ČAPOV, Jakub HABR, Jan KONEČNÝ and Petr DOLEŽAL. Key factors for the development of pressure ulcers in surgical practice. \textit{CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE}. Prague: Ambit Media a.s., 2019, vol.~82, Supplementum 1, p.~60-65. ISSN~1210-7859. Available from: https://dx.doi.org/10.14735/amcsnn2019S60.

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