Prevalencia de las lesiones cutáneas relacionadas con la dependencia en adultos hospitalizados en Españaresultados del 6º Estudio Nacional del GNEAUPP 2022

  1. Francisco P García-Fernández 1
  2. J Javier Soldevilla-Agreda
  3. Pedro L Pancorbo-Hidalgo 1
  4. Joan Enric Torra-Bou 2
  5. María Dolores López-Franco 1
  1. 1 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

  2. 2 Universitat de Vic-Universitat Central de Catalunya
Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2023

Volume: 34

Issue: 4

Pages: 250-259

Type: Article

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More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

Abstract Objectives: To obtain updated epidemiological indicators for dependence-related skin lesions (DSRL) in adult inpatient units of Spanish hospitals, both global and adjusted. To analyse the demographic and clinical characteristics of persons with DRSLs and lesions. Methodology: Observational, cross-sectional, epidemiological survey-type study (6th National Prevalence Study), aimed at all hospitals in Spain. Data collection by means of a secure online form. Variables: characteristics of hospitals and units, patients admitted, patients with each type of DRSL, classification of lesions. Overall and adjusted crude prevalence was estimated by hospital and by type of unit. Results: A total of 470 adult inpatient units from 67 hospitals nationwide participated. The overall prevalence of DRSL was 8.4%. According to type of injury, the prevalences were: pressure injuries 7.7%; combined injuries 1.5%; moisture 1.4%; friction 0.9%; and tears 0.8%. Small hospitals with less than 200 beds haves higher prevalence. The units with the highest prevalence were: palliative care (24.2%), ICU (21.5%), and post-surgical and resuscitation units (14.8%). Most of the injuries are of nosocomial origin (80%), produced in this or other hospitals. The implementation of preventive measures in the centres and the provision of resources are still lacking. Conclusions: The prevalence of DRSL remains similar to that of previous studies in Spanish hospitals, with great variability depending on the size of the centre and the units to which the patient is admitted.

Bibliographic References

  • Garcia-Fernandez, FP,Soldevilla Agreda, JJ,Verdu, J,Pancorbo-Hidalgo, PL. (2014). A new theoretical model for the development of pressure ulcers and other dependence-related lesions. J Nurs Scholarsh. 46. 28-38
  • Soldevilla-Agreda, JJ. (2007). Las úlceras por presión en Gerontología: Dimensión epidemiológica, económica, ética y legal. Universidad de Santiago de Compostela. Santiago de Compostela.
  • McGinnis, E,Briggs, M,Collinson, M,Wilson, L,Dealey, C,Brown, J. (2014). Pressure ulcer related pain in community populations a prevalence survey. BMC Nursing. 13. 16
  • Verdú Soriano, J,Nolasco, A,García, C. (2003). Análisis de la mortalidad por úlceras por presión en España. Periodo 1987-1999. Gerokomos. 14. 212
  • Gul, S,Avsar, P,Karadag, A,Karacay, P,Gokmen, D. (2023). The validity and reliability of the Pressure Ulcer Quality of Life instrument: A methodological study. J Tissue Viability. 32. 102
  • Soldevilla-Agreda, JJ,Torra-Bou, JE,Posnett, J,Verdú-Soriano, J,San Miguel, L,Mayan Santos, J. (2007). Una aproximación al impacto del coste económico del tratamiento de las úlceras por presión en España. Gerokomos. 18. 201
  • Soldevilla-Agreda, JJ,Torra-Bou, JE. (1999). Epidemiología de las úlceras por presión en España. Estudio piloto en la Comunidad Autónoma de la Rioja. Gerokomos/Helcos. 10. 75-87
  • Torra-Bou, JE,Rueda-López, J,Soldevilla-Agreda, JJ,Martínez Cuervo, F,Verdú-Soriano, J. (2003). Primer Estudio Nacional de Prevalencia de Úlceras por Presión en España. Epidemiología y variables definitorias de las lesiones y los pacientes. Gerokomos. 14. 37-47
  • Pancorbo-Hidalgo, PL,García-Fernández, FP,Torra-Bou, JE,Verdú-Soriano, J,Soldevilla-Ágreda, JJ. (2014). Epidemiología de las úlceras por presión en España en 2013: 4º Estudio Nacional de Prevalencia. Gerokomos. 25. 162
  • Soldevilla-Agreda, J,Torra-Bou, J,Verdú-Soriano, J,Martinez-Cuervo, F,López-Casanova, P,Rueda-López, J. (2006). Segundo estudio nacional de prevalencia de ulceras por presión en España, 2005. Epidemiología y variables definitorias de las lesiones y pacientes. Gerokomos. 17. 154
  • Soldevilla-Agreda, JJ,Torra-Bou, JE,Verdú-Soriano, J,López-Casanova, P. (2011). Tercer Estudio Nacional de Prevalencia de Úlceras por Presión en España, 2009. Epidemiología y variables definitorias de las lesiones y pacientes. Gerokomos. 22. 77-90
  • Pancorbo-Hidalgo, PL,García-Fernández, FP,Pérez-López, C,Soldevilla Agreda, JJ. (2019). Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en población adulta en hospitales españoles: resultados del 5º Estudio Nacional de 2017. Gerokomos. 30. 76-86
  • García-Fernández, FP,Soldevilla-Agreda, JJ,Pancorbo-Hidalgo, PL,Verdú-Soriano, J,López Casanova, P,Rodriguez-Palma, M. (2014). Clasificación-categorización de las lesiones relacionadas con la dependencia. GNEAUPP. Logroño.
  • Garcia-Fernandez, FP,Soldevilla Agreda, JJ,Pancorbo-Hidalgo, PL,Verdu-Soriano, J,Lopez Casanova, P,Rodriguez-Palma, M. (2016). Classification of dependence-related skin lesions: a new proposal. J Wound Care. 25. 8-32
  • Kyaw, BM,Jarbrink, K,Martinengo, L,Car, J,Harding, K,Schmidtchen, A. (2018). Need for Improved Definition of "Chronic Wounds" in Clinical Studies. Acta Derm Venereol. 98. 157
  • Moore, Z,Avsar, P,Conaty, L,Moore, DH,Patton, D,O'Connor, T. (2019). The prevalence of pressure ulcers in Europe, what does the European data tell us: a systematic review. J Wound Care. 28. 710
  • Vanderwee, K,Clark, M,Dealey, C,Gunningberg, L,Defloor, T. (2007). Pressure ulcer prevalence in Europe: a pilot study. J Eval Clin Pract. 13. 227
  • Anthony, D,Alosaimi, D,Shiferaw, WS,Korsah, K,Safari, R. (2021). Prevalence of pressure ulcers in Africa: A systematic review and meta-analysis. J Tissue Viability. 30. 137
  • Galvan-Martinez, IL,Narro-Llorente, R,Lezama-de-Luna, F,Arredondo-Sandoval, J,Fabian-Victoriano, MR,Garrido-Espindola, X. (2014). Point prevalence of pressure ulcers in three second-level hospitals in Mexico. Int Wound J. 11. 605
  • Hurd, T,Posnett, J. (2009). Point prevalence of wounds in a sample of acute hospitals in Canada. Int Wound J. 6. 287
  • Vangilder, C,Macfarlane, GD,Meyer, S. (2008). Results of nine international pressure ulcer prevalence surveys: 1989 to 2005. Ostomy Wound Manage. 54. 40-54
  • Silva Cardoso, JR,Blanes, L,Augusto Calil, J,Ferreira Chacon, JM,Masako Ferreira, L. (2010). Prevalence of pressure ulcers in a Brazilian hospital: results of a cross-sectional study. Ostomy Wound Manage. 56. 52
  • Inan, DG,Oztunc, G. (2012). Pressure ulcer prevalence in Turkey: a sample from a university hospital. J Wound Ostomy Continence Nurs. 39. 409
  • Zhou, Q,Yu, T,Liu, Y,Shi, R,Tian, S,Yang, C. (2018). The prevalence and specific characteristics of hospitalised pressure ulcer patients: A multicentre cross-sectional study. J Clin Nurs. 27. 694-704
  • Alja'afreh, M,Mosleh, SM. (2013). Pressure ulcers in Jordan: a snapshot survey of a tertiary public hospital. Br J Nurs. 22. 2-4
  • McCosker, L,Tulleners, R,Cheng, Q,Rohmer, S,Pacella, T,Graves, N. (2019). Chronic wounds in Australia: A systematic review of key epidemiological and clinical parameters. Int Wound J. 16. 84-95
  • Lyder, CH,Ayello, EA. (2009). Annual checkup: the CMS pressure ulcer present-on-admission indicator. Adv Skin Wound Care. 22. 476
  • Su, HH,Zhu, FF,Zeng, HL,Kong, Y,Zhou, HJ. (2023). Influencing factors of medical device-related pressure ulcers in medical personnel during the COVID-19 pandemic: A systematic review and meta-analysis. J Tissue Viability. 32. 206
  • Jackson, D,Sarki, AM,Betteridge, R,Brooke, J. (2019). Medical device-related pressure ulcers: A systematic review and meta-analysis. Int J Nurs Stud. 92. 109
  • (2021). Sociedad Española de Medicina Preventiva Salud Pública e Higiene. Estudio de prevalencia de las infecciones nosocomiales en España (EPINE). Prevalencia de infecciones (relacionadas con la asistencia sanitaria y comunitarias) y uso de antimicrobianos en hospitales de agudos. Estudio EPINE-EPPS.
  • (2009). Ministerio de Sanidad y Política Social Estándares de calidad de cuidados para la seguridad del paciente en los hospitales del SNS. Proyecto Séneca. Ministerio de Sanidad y Política Social.
  • Newcombe, RG. (1998). Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med. 17. 857
  • García Fernández, FP,Soldevilla Agreda, JJ,Pancorbo Hidalgo, PL,Verdú Soriano, J,Lopez Casanova, P,Rodriguez Palma, M. (2021). Clasificación-categorización de las lesiones relacionadas con la dependencia. 3. GNEAUPP. Logroño.
  • Chiquero Valenzuela, S. (2021). Eficacia de la herramienta SECLARED en la identificación y clasificación de las lesiones cutáneas relacionadas con la dependencia. Universidad de Jaén. Jaén.
  • Chaboyer, WP,Thalib, L,Harbeck, EL,Coyer, FM,Blot, S,Bull, CF. (2018). Incidence and Prevalence of Pressure Injuries in Adult Intensive Care Patients: A Systematic Review and Meta-Analysis. Crit Care Med. 46.
  • Labeau, SO,Afonso, E,Benbenishty, J,Blackwood, B,Boulanger, C,Brett, SJ. (2021). Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Med. 47. 160
  • Artico, M,Dante, A,D'Angelo, D,Lamarca, L,Mastroianni, C,Petitti, T. (2018). Prevalence, incidence and associated factors of pressure ulcers in home palliative care patients: A retrospective chart review. Palliat Med. 32. 299-307
  • Dincer, M,Doger, C,Tas, SS,Karakaya, D. (2018). An analysis of patients in palliative care with pressure injuries. Niger J Clin Pract. 21. 484
  • Garcia-Fernandez, FP,Soldevilla-Agreda, JJ,Rodriguez-Palma, M,Pancorbo-Hidalgo, PL. (2022). Skin injuries associated with severe life-threatening situations: A new conceptual framework. J Nurs Scholarsh. 54. 72-80
  • García-Fernández, FP,Soldevilla Agreda, JJ,Rodriguez-Palma, M,Parra-Anguita, L,Pancorbo Hidalgo, PL. (2022). Algorithm for the differential diagnosis between dependence-related skin injuries and severe life-threatening skin injuries. J Tissue Viability. 31. 575
  • Sardo, PMG,Teixeira, JPF,Machado, A,Oliveira, BF,Alves, IM. (2023). A systematic review of prevalence and incidence of pressure ulcers/injuries in hospital emergency services. J Tissue Viability. 32. 179
  • Li, Z,Lin, F,Thalib, L,Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. Int J Nurs Stud. 105. 103546
Data source: Dialnet