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Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis

Pressure injuries remain a serious health complication for patients and nursing staff. Evidence from the past decade has not been analysed through narrative synthesis yet. PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews/sources were screened. Risk of bias was eva...

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Autores principales: Chung, Man-Long, Widdel, Manuel, Kirchhoff, Julian, Sellin, Julia, Jelali, Mohieddine, Geiser, Franziska, Mücke, Martin, Conrad, Rupert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776011/
https://www.ncbi.nlm.nih.gov/pubmed/35055583
http://dx.doi.org/10.3390/ijerph19020761
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author Chung, Man-Long
Widdel, Manuel
Kirchhoff, Julian
Sellin, Julia
Jelali, Mohieddine
Geiser, Franziska
Mücke, Martin
Conrad, Rupert
author_facet Chung, Man-Long
Widdel, Manuel
Kirchhoff, Julian
Sellin, Julia
Jelali, Mohieddine
Geiser, Franziska
Mücke, Martin
Conrad, Rupert
author_sort Chung, Man-Long
collection PubMed
description Pressure injuries remain a serious health complication for patients and nursing staff. Evidence from the past decade has not been analysed through narrative synthesis yet. PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews/sources were screened. Risk of bias was evaluated using a slightly modified QUIPS tool. Risk factor domains were used to assign (non)statistically independent risk factors. Hence, 67 studies with 679,660 patients were included. In low to moderate risk of bias studies, non-blanchable erythema reliably predicted pressure injury stage 2. Factors influencing mechanical boundary conditions, e.g., higher interface pressure or BMI < 18.5, as well as factors affecting interindividual susceptibility (male sex, older age, anemia, hypoalbuminemia, diabetes, hypotension, low physical activity, existing pressure injuries) and treatment-related aspects, such as length of stay in intensive care units, were identified as possible risk factors for pressure injury development. Health care professionals’ evidence-based knowledge of above-mentioned risk factors is vital to ensure optimal prevention and/or treatment. Openly accessible risk factors, e.g., sex, age, BMI, pre-existing diabetes, and non-blanchable erythema, can serve as yellow flags for pressure injury development. Close communication concerning further risk factors, e.g., anemia, hypoalbuminemia, or low physical activity, may optimize prevention and/or treatment. Further high-quality evidence is warranted.
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spelling pubmed-87760112022-01-21 Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis Chung, Man-Long Widdel, Manuel Kirchhoff, Julian Sellin, Julia Jelali, Mohieddine Geiser, Franziska Mücke, Martin Conrad, Rupert Int J Environ Res Public Health Review Pressure injuries remain a serious health complication for patients and nursing staff. Evidence from the past decade has not been analysed through narrative synthesis yet. PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews/sources were screened. Risk of bias was evaluated using a slightly modified QUIPS tool. Risk factor domains were used to assign (non)statistically independent risk factors. Hence, 67 studies with 679,660 patients were included. In low to moderate risk of bias studies, non-blanchable erythema reliably predicted pressure injury stage 2. Factors influencing mechanical boundary conditions, e.g., higher interface pressure or BMI < 18.5, as well as factors affecting interindividual susceptibility (male sex, older age, anemia, hypoalbuminemia, diabetes, hypotension, low physical activity, existing pressure injuries) and treatment-related aspects, such as length of stay in intensive care units, were identified as possible risk factors for pressure injury development. Health care professionals’ evidence-based knowledge of above-mentioned risk factors is vital to ensure optimal prevention and/or treatment. Openly accessible risk factors, e.g., sex, age, BMI, pre-existing diabetes, and non-blanchable erythema, can serve as yellow flags for pressure injury development. Close communication concerning further risk factors, e.g., anemia, hypoalbuminemia, or low physical activity, may optimize prevention and/or treatment. Further high-quality evidence is warranted. MDPI 2022-01-11 /pmc/articles/PMC8776011/ /pubmed/35055583 http://dx.doi.org/10.3390/ijerph19020761 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Chung, Man-Long
Widdel, Manuel
Kirchhoff, Julian
Sellin, Julia
Jelali, Mohieddine
Geiser, Franziska
Mücke, Martin
Conrad, Rupert
Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis
title Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis
title_full Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis
title_fullStr Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis
title_full_unstemmed Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis
title_short Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis
title_sort risk factors for pressure injuries in adult patients: a narrative synthesis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776011/
https://www.ncbi.nlm.nih.gov/pubmed/35055583
http://dx.doi.org/10.3390/ijerph19020761
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