Prevalencia de las lesiones cutáneas relacionadas con la dependencia en residencias de mayores y centros sociosanitarios de Españaresultados del 6º Estudio Nacional del GNEAUPP 2022

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

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2023

Volume: 34

Issue: 4

Pages: 269-276

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 the prevalence figures of dependence-related skin lesions (DRSL) in Spanish nursing homes and long term care centres (NH-LTCC). To analyse the demographic and clinical characteristics of people with DRSL and lesions. Methodology: Observational, cross-sectional, epidemiological survey-type study (6th National Prevalence Study), aimed at all NHC-LTCC in Spain. Data collection by means of a secure on-line 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: Data were obtained from 74 NHC-LTCC. Only 9.5% of the centres reported not having any person with DRSL in their care at the time of data collection. The overall prevalence of DRSL was 9.28% (95%IC, 5.45-6.71); 3% higher than in the previous study. The prevalence figures for each type of injury were: pressure 6.05%, moisture 2.35%, friction 1.35%, skin tears 2.38%. combined 0.61%. This represents an increase in all but combined injuries. The prevalence of all DRSLs was higher in the public centres than in the state and private centres. The 85.2% of the DRSLs were of nosocomial origin (originating in a nursing home or other residential institution) and only 10.9% originated at home. Conclusions: The prevalence of DRSL in nursing homes is among the highest in this type of centre in the historical series of studies carried out in Spain by the GNEAUPP. This higher prevalence could be explained by the situation in which many have been left after the COVID pandemic and a relaxation in the prevention programmes implemented. There are statistically significant differences between the prevalence of DRSL depending on the ownership of the centres, the lowest being private, but their low participation could lead us to think that only the most motivated centres have participated and that the real situation may be worse in these centres.

Bibliographic References

  • Torra-Bou, JE,Verdú-Soriano, J,Sarabia-Lavin, R,Paras-Bravo, P,Soldevilla-Agreda, JJ,García-Fernández, FP. (2016). Las úlceras por presión como problema de seguridad del paciente. Gerokomos. 27. 161
  • Movilla-Jiménez, C,Torra-Bou, JE,García-Fernández, FP. (2023). Políticas sobre seguridad del paciente y lesiones por presión: información publicada en las páginas web institucionales en España. Gerokomos. 34. 61
  • Soldevilla Agreda, JJ,Torra i Bou, JE. (1999). Epidemiología de las úlceras por presión en España. Estudio piloto en la Comunidad Autónoma de la Rioja. Gerokomos. 10. 75-87
  • Torra i Bou, JE,Rueda López, J,Soldevilla Agreda, JJ,Martinez 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
  • Soldevilla Agreda, J,Torra i Bou, J,Verdú Soriano, J,Martinez Cuervo, F,Lopez Casanova, P,Rueda Lopez, J. (2006). Segundo estudio nacional de prevalencia de úlceras por presión en España, 2005. Epidemiología y variables definitorias de las lesiones y pacientes. Gerokomos. 17. 154
  • Soldevilla Agreda, JJ,Torra i Bou, JE,Verdú Soriano, J,Lopez 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,Torra Bou, JE,Verdú Soriano, J,Soldevilla Ágreda, J. (2014). Epidemiología de las úlceras por presión en España en 2013: 4º Estudio Nacional de Prevalencia. Gerokomos. 25. 162
  • 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,Torra-Bou, JE,Soldevilla-Agreda, JJ,Pancorbo-Hidalgo, PL. (2019). Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en centros de atención primaria de salud de España en 2017. Gerokomos. 30. 134
  • Soldevilla-Agreda, JJ,García-Fernández, FP,Rodriguez Palma, M,Torra-Bou, JE,Pancorbo-Hidalgo, PL. (2019). Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en residencias de mayores y centros sociosanitarios de España en 2017. Gerokomos. 30. 192
  • García-Fernández, FP,Soldevilla-Ágreda, JJ,Verdú-Soriano, J,López-Casanova, P,Rodríguez-Palma, M,Torra-Bou, JE. (2016). Clasificación categorización de las lesiones cutáneas relacionadas con la dependencia. GNEAUPP. Logroño.
  • García-Fernández, FP,Soldevilla-Agreda, JJ,Verdú, 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
  • Hernández-Martínez-Esparza, E,Santesmases-Masana, R,Román, E,Abades Porcel, M,Torner Busquet, A,Berenguer Pérez, M. (2021). Prevalence and characteristics of older people with pressure ulcers and legs ulcers, in nursing homes in Barcelona. J Tissue Viability. 30. 108
  • Alexandre-Lozano, S,Barallat-Gimeno, E,Torra-Bou, JE,García-Martínez, E,Blanco-Blanco, J. (2020). Adaptación transcultural y validación psicométrica en lengua española de la escala Perineal Assessment Tool para la evaluación de la dermatitis por incontinencia. Gerokomos. 31. 241
  • Newcombe, RG. (1998). Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med. 17. 857
  • Hahnel, E,Lichterfeld, A,Blume-Peytavi, U,Kottner, J. (2017). The epidemiology of skin conditions in the aged: a systematic review. J Tissue Viability. 26. 20
  • Anthony, D,Alosoumi, D,Safari, R. (2019). Prevalence of pressure ulcers in long-term care: a global review. J Wound Care. 28. 702
  • Klingelhöfer-Noe, J,Dassen, T,Lahmann, N. (2015). Nursing homes versus assisted living facilities: outcome quality regarding pressure ulcers, falls and malnutrition. Z Gerontol Geriatr. 48. 263
  • Kroger, K,Jöster, M. (2018). Prevalence of chronic wounds in different modalities of care in Germany. EWMA Journal. 19. 45
  • Kottner, J,Dassen, T,Lahmann, NA. (2011). Pressure ulcers in German nursing homes: frequencies, grades, and origins. Z Gerontol Geriatr. 44. 318
  • Raeder, K,Jachan, DE,Müller-Werdan, U,Lahmann, NA. (2020). Prevalence and risk factors of chronic wounds in nursing homes in Germany: A Cross-Sectional Study. Int Wound J. 17. 1128
  • Kwong, EW,Hung, MS,Woo, K. (2016). Improvement of pressure ulcer prevention care in private for-profit residential care homes: an action research study. BMC Geriatr. 16. 192
  • Wei, M,Yang, D,Chen, L,Wu, L,Jiang, Q,Niu, N. (2021). The prevalence and prevention of pressure ulcers: A multicenter study of nine nursing homes in eastern China. J Tissue Viability. 30. 133
  • Courvoisier, DS,Righi, L,Béné, N,Rae, AC,Chopard, P. (2018). Variation in pressure ulcer prevalence and prevention in nursing homes: a multicenter study. Appl Nurs Res. 42. 45-50
  • Carryer, J,Weststrate, J,Yeung, P,Rodgers, V,Towers, A,Jones, M. (2017). Prevalence of key care indicators of pressure injuries, incontinence, malnutrition, and falls among older adults living in nursing homes in New Zealand. Res Nurs Health. 40. 555
  • Santamaria, N,Carville, K,Prentice, J,Ellis, I,Ellis, T,Lewin, G. (2009). Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial. Wound Pract Res. 17. 12-22
  • Banks, M,Bauer, J,Graves, N,Ash, S. (2010). Malnutrition and pressure ulcer risk in adults in Australian health care facilities. Nutrition. 26. 896-901
  • Courtney, M,O'Reilly, MT,Edwards, H,Hassall, S. (2010). Benchmarking clinical indicators of quality for Australian residential aged care facilities. Aust Health Rev. 34. 93-100
  • Anrys, C,Van Tiggelen, H,Verhaeghe, S,Van Hecke, A,Beeckman, D. (2019). Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention: Results from a study in 26 nursing homes in Belgium. Int Wound J. 16. 325
  • Igarashi, A,Yamamoto-Mitani, N,Gushiken, Y,Takai, Y,Tanaka, M,Okamoto, Y. (2013). Prevalence and incidence of pressure ulcers in Japanese long-term-care hospitals. Arch Gerontol Geriatr. 56. 220
  • Boronat-Garrido, X,Kottner, J,Schmitz, G,Lahmann, N. (2016). Incontinence-Associated Dermatitis in Nursing Homes: Prevalence, Severity, and Risk Factors in Residents With Urinary and/or Fecal Incontinence. J Wound Ostomy Continence Nurs. 4. 630
  • Van Damme, N,Van den Bussche, K,De Meyer, D,Van Hecke, A,Verhaeghe, S,Beeckman, D. (2017). Independent risk factors for the development of skin erosion due to incontinence (incontinence-associated dermatitis category 2) in nursing home residents: results from a multivariate binary regression analysis. Int Wound J. 14. 801
  • Bliss, DZ,Savik, K,Harms, S,Fan, Q,Wyman, JF. (2006). Prevalence and correlates of perineal dermatitis in nursing home residents. Nurs Res. 55. 243
  • Kottner, J,Blume-Peytavi, U,Lohrmann, C,Halfens, R. (2014). Associations between individual characteristics and incontinence-associated dermatitis: a secondary data analysis of a multi-centre prevalence study. Int J Nurs Stud. 51. 1373
  • Van Tiggelen, H,Van Damme, N,Theys, S,Vanheyste, E,Verhaeghe, S,LeBlanc, K. (2019). The prevalence and associated factors of skin tears in Belgian nursing homes: A cross-sectional observational study. J Tissue Viability. 28. 100
  • Skiveren, J,Wahlers, B,Bermark, S. (2017). Prevalence of skin tears in the extremities among elderly residents at a nursing home in Denmark. J Wound Care. 26. 32
  • Tuinman, A,De Greef, MHG,Finnema, EJ,Roodbol, PF. (2021). A systematic review of the association between nursing staff and nursing-sensitive outcomes in long-term institutional care. J Adv Nurs. 77. 3303
  • Backhaus, R,Van Rossum, E,Verbeek, H,Halfens, RJ,Tan, FE,Capezuti, E. (2017). Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities. BMC Health Serv Res. 17. 53
  • Castle, NG. (2008). Nursing home caregiver staffing levels and quality of care: A literature review. J Appl Gerontol. 27. 375-405
  • Konetzka, RT,Stearns, SC,Park, Y. (2008). The staffing-outcomes relationship in nursing homes. Health Serv Res. 43. 1025
  • Lee, HY,Blegen, MA,Harrington, C. (2014). The effects of RN staffing hours on nursing home quality: A two-stage model. Int J Nurs Stud. 51. 409
  • Lin, H. (2014). Revisiting the relationship between nurse staffing and quality of care in nursing homes: An instrumental variables approach. J Health Econom. 37. 13-24
  • Shin, JH,Hyun, TK. (2015). Nurse staffing and quality of care of nursing home residents in Korea. J Nurs Scholarship. 47. 555
  • Weech-Maldonado, R,Meret-Hanke, L,Neff, MC,Mor, V. (2004). Nurse staffing patterns and quality of care in nursing homes. Health Care Management Review. 29. 107
Data source: Dialnet