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Published on: March 9, 2019
Pressure Ulcers in Older Adults: A Prevalence Study
Laura Rasero1, Monica Simonetti, Francesca Falciani
1Laura Rasero, BSN, RN, is Professor of Nursing, Department of Experimental and Clinical Medicine, University of Florence, University of Florence, Italy. Monica Simonetti, PhD, MSc, is a Statistician, Health Search, Italian College of General Practitioners, Florence, Italy. Francesca Falciani, BSN-MSN, RN, is a Wound Care Nurse Specialist, Azienda Sanitaria Firenze, Florence, Italy. Cristina Fabbri, MSN, RN, is a Wound Care Nurse Specialist, Azienda Ospedaliera Universitaria Careggi, Florence, Italy. Francesca Collini, MSc, is a Statistician, Regional Health Agency of Tuscany, Florence, Italy. Alberto Dal Molin, PhD, MSN, is Coordinator, School of Nursing, University of Eastern Piedmont, Biella and Novara, Italy. Dr Dal Molin has disclosed that he is a board member of IPASVI (National Federation of Nursing Colleges); is a member of the speakers' bureau for the Associazione Animo, University of Eastern Piedmont, and Novara Hospital; was a member of the speakers' bureau for the San Raffaele Hospital; and has received royalties from McGraw-Hill.
Pressure ulcers (PrUs) affect nearly 25% of older adults, with incontinence significantly increasing risk. Prevention strategies focusing on aids, nutrition, and incontinence management are crucial for this population.
Area of Science:
- Gerontology
- Clinical Nursing
- Public Health
Background:
- Pressure ulcers (PrUs) are a significant concern in older adults, with prevalence increasing with age.
- Effective prevention strategies are essential to reduce the burden of PrUs in geriatric populations.
Purpose of the Study:
- To measure the prevalence of pressure ulcers (PrUs) in a large population of older adults.
- To identify risk factors associated with PrU development in this demographic.
Main Methods:
- A cross-sectional observational study involving 11,957 patients over 70 years old.
- Data collected from hospitals, nursing homes, and home care services.
- Braden Scale used to assess risk; odds ratios calculated for identified risk factors.
Main Results:
- 24.66% of older adults had developed PrUs.
- 50.75% were identified as being at risk.
- Incontinence was a significant risk factor (OR, 1.54), and high-risk individuals (Braden ≤ 12) had an 8.71 OR for PrUs.
Conclusions:
- PrU prevalence rises with age, highlighting the need for targeted interventions.
- Key areas for intervention include protective aids, nutritional support, and incontinence management.
- Clinicians should prioritize PrU prevention in older adult care settings.
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