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J Tissue Viability. 2019 May;28(2):100-106. doi: 10.1016/j.jtv.2019.01.003. Epub 2019 Feb 7.

The prevalence and associated factors of skin tears in Belgian nursing homes: A cross-sectional observational study.

Author information

1
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Electronic address: Hanne.VanTiggelen@UGent.be.
2
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Electronic address: Nele.VanDamme@UGent.be.
3
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Electronic address: Sofie.Theys@UGent.be.
4
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Electronic address: Eline.Vanheyste@UGent.be.
5
University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium. Electronic address: Sofie.Verhaeghe@UGent.be.
6
School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada; KDS Professional Consulting, Ottawa, Ontario, Canada; School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada. Electronic address: kimleblanc@rogers.com.
7
School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada. Electronic address: kcampbel@uwo.ca.
8
School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada. Electronic address: kevin.woo@queensu.ca.
9
University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium. Electronic address: Ann.VanHecke@UGent.be.
10
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland; School of Health Sciences, Örebro University, Sweden. Electronic address: Dimitri.Beeckman@UGent.be.

Abstract

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.

KEYWORDS:

Associated factor; Elderly; Prevalence; Prevention; Skin integrity; Skin tear

PMID:
30770306
DOI:
10.1016/j.jtv.2019.01.003
[Indexed for MEDLINE]

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