Incidence and risk factors for surgically acquired pressure ulcers: a prospective cohort study investigators

Webster, Joan, Lister, Carolyn, Corry, Jean, Holland, Michelle, Coleman, Kerrie and Marquart, Louise (2015) Incidence and risk factors for surgically acquired pressure ulcers: a prospective cohort study investigators. Journal Of Wound Ostomy And Continence Nursing, 42 2: 138-144. doi:10.1097/WON.0000000000000092

Author Webster, Joan
Lister, Carolyn
Corry, Jean
Holland, Michelle
Coleman, Kerrie
Marquart, Louise
Title Incidence and risk factors for surgically acquired pressure ulcers: a prospective cohort study investigators
Journal name Journal Of Wound Ostomy And Continence Nursing   Check publisher's open access policy
ISSN 1528-3976
Publication date 2015-03
Year available 2015
Sub-type Article (original research)
DOI 10.1097/WON.0000000000000092
Open Access Status
Volume 42
Issue 2
Start page 138
End page 144
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2016
Language eng
Formatted abstract
PURPOSE: To assess the incidence of hospital-acquired, surgery-related pressure injury (ulcers) and identify risk factors for these injuries.

DESIGN: We used a prospective cohort study to investigate the research question.

SUBJECTS AND SETTINGS: The study was conducted at a major metropolitan hospital in Brisbane, Australia. Five hundred thirty-four adult patients booked for any surgical procedure expected to last more than 30 minutes were eligible for inclusion.

METHODS: Patients who provided informed consent for study participation were assessed for pressure ulcers, using the European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel Guidelines, before entering the operating room and again in the post-anesthetic care unit (PACU). Research nurses and all PACU nurses were trained in skin assessment and in pressure ulcer staging. Patients were not assessed again after their discharge from the PACU.

RESULTS: Seven patients (1.3%) had existing pressure injuries (ulcers) and a further 6 (1.3%) developed a surgery-related pressure ulcer. Risk factors associated with surgery-related pressure injuries were similar to non–surgically related risks and included older age, skin condition, and being admitted from a location other than one's own home. Length of surgery was not associated with pressure ulcer development in this cohort.

CONCLUSION: Perioperative nurses play an important role in identifying existing or new pressure injuries. However, many of these nurses are unfamiliar with pressure ulcer classification, so education in this area is essential. Although the incidence of surgically acquired pressure ulcers was low in this cohort, careful skin inspection before and after surgery provides an opportunity for early treatment and may prevent existing lesions progressing to higher stages.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Fri, 13 Mar 2015, 11:10:50 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work