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Risk factors associated with having a pressure ulcer: a secondary data analysis
Advances in Wound Care : the Journal for Prevention and Healing
|November 1, 1994
Summary
Hospitalized patients with fecal incontinence face significantly higher pressure ulcer risks. This study identified fecal incontinence, impaired mobility, and malnutrition as key risk factors, emphasizing the need for targeted prevention strategies.
Area of Science:
- Clinical Medicine
- Nursing Research
- Public Health
Background:
- Pressure ulcers (PUs) represent a significant healthcare burden, affecting patient outcomes and increasing costs.
- Identifying key risk factors is crucial for developing effective prevention and management strategies in hospital settings.
Purpose of the Study:
- To explore the association between various risk factors and the presence of pressure ulcers in hospitalized patients.
- To generate specific, testable hypotheses for future research on pressure ulcer development.
Main Methods:
- Secondary data analysis of pooled data from five hospital-wide pressure ulcer audits.
- Stepwise logistic regression was employed to identify significant risk factors and their interactions.
Main Results:
- Fecal incontinence, impaired mobility, malnutrition, and decreased mental status were identified as significant risk factors for pressure ulcers.
- An interaction effect between fecal incontinence and impaired mobility was noted, amplifying the risk.
- Patients with fecal incontinence had 22 times greater odds of developing pressure ulcers.
Conclusions:
- Fecal incontinence is a primary risk factor for pressure ulcer development in hospitalized adults.
- Multifactorial risk assessment, including mobility and nutritional status, is essential for pressure ulcer prevention.
- Targeted interventions for patients with fecal incontinence and impaired mobility are warranted.