Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital
10.7586/jkbns.2019.21.1.54
- Author:
Sun Jin LEE
1
;
Jae Shim JEONG
;
Kyung Choon LIM
;
Eun Young PARK
;
Hye Youn KIM
Author Information
1. Department of Nursing, Asan Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Aged;
Pressure ulcer;
Fracture, Bone;
Hip joint
- MeSH:
Anesthesia, Spinal;
Fractures, Bone;
Hip Joint;
Hip;
Humans;
Incidence;
Intensive Care Units;
Medical Records;
Pressure Ulcer;
Proportional Hazards Models;
Retrospective Studies;
Risk Factors;
Walking
- From:Journal of Korean Biological Nursing Science
2019;21(1):54-61
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. METHODS: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model. RESULTS: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (±3.81) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p=.039), spinal anesthesia (p=.029), and stay at intensive care unit after operation (p=.009). CONCLUSION: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.
