The pressure ulcers in patients with comorbid neurological disorders

Česká verzia

Authors: J. Němcová ¹; E. Hlinková ¹; M. Slačková ²; M. Balková ¹
Authors place of work: Ústav ošetrovateľstva, Jesseniova LF v Martine, UK v Bratislave, Slovensko ¹; Ortopedická klinika, UN Martin, Slovensko ²
Published in the journal: Cesk Slov Neurol N 2018; 81(Suplementum 1): 19-22
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2018S19

Summary

Aim:

The aim of the retrospective cross-sectional study was to analyze the occurrence of pressure ulcers in patients at the Orthopedic Clinic (OC) of the University Hospital Martin (UHM), in the years 2016 and 2017.

Patients and methods:

We retrospectively analyzed documentation of patients with pressure ulcers with respect to age, gender, presence and degree/ category of pressure ulcers and confirmation of comorbid neurological diagnoses. We used the nursing documentation of the systematic management of the occurrence of pressure ulcers at OC UHM. For the evaluation of the data, descriptive statistics with absolute and relative frequency was used.

Results:

The UHM admitted 1,869 patients in 2016 of which 2.35% had pressure ulcer, the average age of the patients with pressure ulcers was 77.47 SD ± 15.25, and the women with the pressure ulcers were 70.45%. In 2017, 1,879 patients were hospitalized at OC UHM, the occurrence of pressure ulcers increased to 4.57%, the mean age was 78.42 years SD ± 14.05; women with pressure ulcers were 67.19%. Patients at OC UHM were also those who were already admitted with pressure ulcers, 0.96% (2016) and 1.86% (2017). The most of all pressure ulcers were the I. and II. category. The most serious III. and IV. pressure ulcer category did not occur at OC UHM, except one in category III., but patients with pressure ulcers were admitted to the department. Comorbid neurological diseases were represented in patients with pressure ulcer category I– IV by 56.08% in 2016 and in 2017 it was 27.89%.

Conclusion:

Patients on traumatology and orthopedics are exposed to higher risk of development of pressure ulcers due to older age and with the occurrence of neurological comorbid diseases. It is important to monitor the occurrence of pressure ulcers when patients are admitted at the department. The mistake can be avoided, where patients with pre-existing pressure ulcers (formatted before admission) should be excluded from this assessment, when assessing the quality of care provided at the workplace.

Key words:

patient – pressure ulcer – traumatology – orthopedics – comorbid neurological diseases

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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