J Korean Biol Nurs Sci.  2019 Feb;21(1):54-61. 10.7586/jkbns.2019.21.1.54.

Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital

Affiliations
  • 1Department of Nursing, Asan Medical Center, Seoul, Korea.
  • 2Department of Clinical Nursing, Graduate School of Industry, University of Ulsan, Seoul, Korea.
  • 3Department of Nursing, College of Nursing, Sungshin Women's University, Seoul, Korea. kclim@sungshin.ac.kr
  • 4Institutional Review Board, Asan Medical Center, Seoul, Korea.

Abstract

PURPOSE
This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture.
METHODS
The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox's proportional hazard model.
RESULTS
Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72 (±3.81) days. Stage II pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p=.039), spinal anesthesia (p=.029), and stay at intensive care unit after operation (p=.009).
CONCLUSION
Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.

Keyword

Aged; Pressure ulcer; Fracture, Bone; Hip joint
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