RICHARD M. ALLMAN, M.D.; CAROL A. LAPRADE, R.N., M.S.; LINDA B. NOEL, R.N., M.S.N.; JOANNE M. WALKER, R.N., M.S.E.T.; CATHERINE A. MOORER, R.N., M.S.; MARGARET R. DEAR, Ph.D.; CRAIG R. SMITH, M.D.
A cross-sectional survey was done to determine the prevalence of pressure sores in hospitalized patients and the factors associated with having a pressure sore in the hospital. Among 634 adult patients, 30 (4.7%; 3.1% to 6.3%, 95% confidence interval) had a pressure sore and 78 (12.3%; 9.8% to 14.8%) were at risk for a pressure sore because they had been confined to a bed or chair for at least 1 week. Comparing these two groups of patients, we found that fecal incontinence, diarrhea, fractures, urinary catheter use, decreased weight, dementia, and hypoalbuminemia were associated with having pressure sores (p ≤ 0.05). Using logistic regression analysis, hypoalbuminemia, fecal incontinence, and fractures remained significantly and independently associated with having a pressure sore (odds ratios = 3.0, 3.1, and 5.2, respectively; p ≤0.05). Our findings suggest that 17% (14% to 20%) of hospitalized patients have pressure sores or are at risk for them, and that hypoalbuminemia, fecal incontinence, and fractures may identify bedridden patients at greatest risk.
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ALLMAN RM, LAPRADE CA, NOEL LB, WALKER JM, MOORER CA, DEAR MR, et al. Pressure Sores Among Hospitalized Patients. Ann Intern Med. 1986;105:337-342. doi: 10.7326/0003-4819-105-3-337
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Published: Ann Intern Med. 1986;105(3):337-342.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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