Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors
Abstract: Pressure ulcers (PUs) are a skin lesion, produced by pressure between two hard planes and the tissues involved between them. Its appearance depends on extrinsic / intrinsic factors. They constitute a global health problem. Its prevalence in the hospital goes from 3.5% to 45%, old...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/34959 |
| Aporte de: |
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I10-R327-article-34959 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Pressure ulcer Braden scale Ulcera por Presión Escala de Braden |
| spellingShingle |
Pressure ulcer Braden scale Ulcera por Presión Escala de Braden Bustos Fierro , C Breda , SA Pulido , PA Velazquez , CB Arguello , I Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors |
| topic_facet |
Pressure ulcer Braden scale Ulcera por Presión Escala de Braden |
| author |
Bustos Fierro , C Breda , SA Pulido , PA Velazquez , CB Arguello , I |
| author_facet |
Bustos Fierro , C Breda , SA Pulido , PA Velazquez , CB Arguello , I |
| author_sort |
Bustos Fierro , C |
| title |
Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors |
| title_short |
Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors |
| title_full |
Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors |
| title_fullStr |
Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors |
| title_full_unstemmed |
Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors |
| title_sort |
risk of developing pressure ulcer after admission to a hospital institution: assessment using the braden scale and associated risk factors |
| description |
Abstract:
Pressure ulcers (PUs) are a skin lesion, produced by pressure between two hard planes and the tissues involved between them. Its appearance depends on extrinsic / intrinsic factors. They constitute a global health problem. Its prevalence in the hospital goes from 3.5% to 45%, older people are the most affected because of their physical and health condition.
The objective of the study is to predict the population at risk of developing PUs using the Braden Scale (BE), demographic and risk factors, in the hospitalization of adult patients.
Observational and cross-sectional study, June 2021, at the Hospital Nacional de Clínicas (HNC). Data were collected from the clinical history, prescription and nursing registry of adult patients over 18 years of age of both sexes within 24 hours of their admission. The cut-off point was the value ≤18 of the BE. Demographic, clinical, and anthropometric variables, plus medication and the use of diapers were analyzed. Microsoft Excel and Stata version 15.0 were used.
39 patients, 16 men and 23 women, were studied with a similar mean. There is no association between sex and the risk of acquiring a PU (p value: 0.157). The average age was 72.8 ± 13 years (median: 72-mode: 70). There is a positive linear relationship between the probability of acquiring a PU and age (p-value <0.05).
25.6% had a healthy weight, 43.6% suffered from diabetes and / or hypertension and 72% were prescribed corticosteroids. 29 patients (74.36%) were at risk of suffering from PU, 13 at high risk.
An association was found between the probability of acquiring PU and the use of diapers (p-value <0.001). The patient who wears a diaper has a 20% more chance of acquiring PU (OR: 20.25).
The high probability of acquiring a PU after hospital admission in elderly patients corroborates the need to implement programs and actions to avoidtheir formation. EB is a very useful tool to classify which patients should receive more care and attention from the health personnel. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/34959 |
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I10-R327-article-349592024-04-15T16:19:09Z Risk of developing pressure ulcer after admission to a hospital institution: Assessment using the Braden scale and associated risk factors Riesgo de desarrollar ulcera por presión luego de la admisión en una institución hospitalaria: Evaluación mediante la escala de Braden y factores de riesgo asociados Bustos Fierro , C Breda , SA Pulido , PA Velazquez , CB Arguello , I Pressure ulcer Braden scale Ulcera por Presión Escala de Braden Abstract: Pressure ulcers (PUs) are a skin lesion, produced by pressure between two hard planes and the tissues involved between them. Its appearance depends on extrinsic / intrinsic factors. They constitute a global health problem. Its prevalence in the hospital goes from 3.5% to 45%, older people are the most affected because of their physical and health condition. The objective of the study is to predict the population at risk of developing PUs using the Braden Scale (BE), demographic and risk factors, in the hospitalization of adult patients. Observational and cross-sectional study, June 2021, at the Hospital Nacional de Clínicas (HNC). Data were collected from the clinical history, prescription and nursing registry of adult patients over 18 years of age of both sexes within 24 hours of their admission. The cut-off point was the value ≤18 of the BE. Demographic, clinical, and anthropometric variables, plus medication and the use of diapers were analyzed. Microsoft Excel and Stata version 15.0 were used. 39 patients, 16 men and 23 women, were studied with a similar mean. There is no association between sex and the risk of acquiring a PU (p value: 0.157). The average age was 72.8 ± 13 years (median: 72-mode: 70). There is a positive linear relationship between the probability of acquiring a PU and age (p-value <0.05). 25.6% had a healthy weight, 43.6% suffered from diabetes and / or hypertension and 72% were prescribed corticosteroids. 29 patients (74.36%) were at risk of suffering from PU, 13 at high risk. An association was found between the probability of acquiring PU and the use of diapers (p-value <0.001). The patient who wears a diaper has a 20% more chance of acquiring PU (OR: 20.25). The high probability of acquiring a PU after hospital admission in elderly patients corroborates the need to implement programs and actions to avoidtheir formation. EB is a very useful tool to classify which patients should receive more care and attention from the health personnel. Resumen: Las úlceras por presión (UPP) son una lesión de la piel, producida por la presión entre dos planos duros y los tejidos involucrados entre estos. Su aparición depende de factores extrínsecos/ intrínsecos. Constituyen un problema para la salud a nivel mundial. Su prevalencia en el ámbito hospitalario va del 3,5% al 45%, las personas mayores son más afectadas por su estado físico y salud. El objetivo del trabajo es predecir la población en riesgo de desarrollar UPP mediante la Escala de Braden (EB), factores demográficos y de riesgo, en la internación de pacientes adultos. Estudio observacional y transversal, junio de 2021, en el Hospital Nacional de Clínicas (HNC). Se relevaron datos de la historia clínica, prescripción y registro de enfermería, de pacientes adultos mayores de 18 años de ambos sexos dentro de las 24 hs de su admisión. Se tomó como punto de corte el valor ≤18 de la EB. Se analizaron variables demográficas, clínicas, antropométrica, medicamentos y uso de pañal. Se utilizaron el programa Excel de Microsoft y Stata versión 15.0. Se estudiaron a 39 pacientes, 16 hombres y 23 mujeres, con una media similar. No hay asociación entre el sexo y el riesgo de adquirir una UPP (p valor: 0,157). La edad promedio fue de 72,8 ± 13 años (mediana:72-moda:70). Hay una relación lineal positiva entre la probabilidad de adquirir una UPP y la edad (p-valor<0,05). Un 25,6% tenían un peso saludable, 43,6% padecían de diabetes y/o hipertensión y 72% tenían prescripto corticoides. 29 pacientes (74.36%) tenían riesgo de padecer UPP, 13 con alto riesgo. Se encontró asociación entre la probabilidad de adquirir UPP y el uso del pañal (p-valor< 0.001). El paciente que usa pañal tiene un 20% más de chances de adquirir UPP (OR: 20.25). La elevada probabilidad de adquirir una UPP luego de la admisión hospitalaria en pacientes adultos mayores, corrobora la necesidad de implementar programas y acciones tendientes a evitar la formación de las mismas. La EB es una herramienta muy útil para clasificar a qué pacientes se les debe proporcionar más cuidados y dedicarle más atención por parte del personal de salud. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34959 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |