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The prevalence and associated factors of skin tears in Belgian nursing homes: A cross-sectional observational study
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
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2019 (English)In: Journal of tissue viability, ISSN 0965-206X, Vol. 28, no 2, p. 100-106Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Although skin tears are among the most prevalent acute wounds in nursing homes, their recognition as a unique condition remains in its infancy. Elderly patients are at risk of developing skin tears due to increased skin fragility and other contributing risk factors. In order to provide (cost-) effective prevention, patients at risk should be identified in a timely manner.

OBJECTIVES: (1) To determine the point prevalence of skin tears and (2) to identify factors independently associated with skin tear presence in nursing home residents.

METHODS: A cross-sectional observational study was set up, including 1153 residents in 10 Belgian nursing homes. Data were collected by trained researchers and study nurses using patient records and skin observations. A multiple binary logistic regression model was designed to explore independent associated factors (significance level α < 0.05).

RESULTS: The final sample consisted of 795 nursing home residents, of which 24 presented with skin tears, resulting in a point prevalence of 3.0%. Most skin tears were classified as category 3 (defined as complete flap loss) according to the International Skin Tear Advisory Panel (ISTAP) Classification System and 75.0% were located on the lower arms/legs. Five independent associated factors were identified: age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings.

CONCLUSIONS: This study revealed a skin tear prevalence of 3.0% in nursing home residents. Age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings were independently associated with skin tear presence.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 28, no 2, p. 100-106
Keywords [en]
Associated factor, Elderly, Prevalence, Prevention, Skin integrity, Skin tear
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-73155DOI: 10.1016/j.jtv.2019.01.003ISI: 000468711200008PubMedID: 30770306Scopus ID: 2-s2.0-85061326287OAI: oai:DiVA.org:oru-73155DiVA, id: diva2:1296478
Available from: 2019-03-15 Created: 2019-03-15 Last updated: 2019-06-19Bibliographically approved

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Beeckman, Dimitri

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