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Pressure sores in children--the acute hospital perspective

J Willock1, J Hughes, S Tickle

  • 1Research Unit, School of Nursing and Midwifery, University of Glamorgan.

Journal of Tissue Viability
|January 6, 2001
PubMed

Insights

This study investigated risk factors for pressure injuries in children. Poor nutritional status, limited mobility, and reduced consciousness level were strongly associated with pressure injury development in pediatric patients.

Area of Science:

  • Pediatric Nursing
  • Wound Care
  • Clinical Research

Background:

  • Limited published literature exists on pediatric pressure injuries, with most studies being qualitative.
  • Existing research often focuses on adult populations, necessitating tailored data collection for children.

Purpose of the Study:

  • To develop and pilot a quantitative data collection tool for pediatric pressure injury risk factors.
  • To identify key factors predisposing children to pressure injuries.

Main Methods:

  • A data collection schedule was designed using insights from pediatric and adult studies.
  • The schedule was piloted in incidence (n=82) and prevalence (n=183) studies at a children's NHS Trust.
  • Data were collected on nutritional status, mobility, consciousness, skin condition, body weight, hemodynamics, and hydration.

Main Results:

  • Pressure injuries occurred in 6 of 82 children in the incidence study and 12 of 183 in the prevalence study.
  • Nutritional status, mobility, and consciousness level were the strongest predictors of pressure injury.
  • Occipital scalp and heels were common sites for pressure injuries in infants and young children.

Conclusions:

  • The developed tool shows promise for larger-scale data collection on pediatric pressure injuries.
  • Key modifiable risk factors for pediatric pressure injury include nutrition, mobility, and consciousness.
  • Further research is needed to validate these findings in larger pediatric cohorts.

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