The pres­sure ulcers in patients with comorbid neurological disorders


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

Overview

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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Labels
Paediatric neurology Neurosurgery Neurology
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