Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status—A multicenter, cross-sectional study
Abstract Background Pressure ulcers (PU) represent a widespread, painful, and expensive health care problem directly associated with increased morbidity, mortality, and length of hospital stay. The aim of this study was to determine the prevalence of PU in hospitalised patients in public and private...
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| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2013-04, Vol.29 (4), p.646-649 |
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| description | Abstract Background Pressure ulcers (PU) represent a widespread, painful, and expensive health care problem directly associated with increased morbidity, mortality, and length of hospital stay. The aim of this study was to determine the prevalence of PU in hospitalised patients in public and private Brazilian institutions and the ulcers’ associations with nutritional status and other risk factors. Methods A multicenter, cross-sectional, quantitative and qualitative study was carried out in hospitals in different geographic regions of Brazil from March 2009 to February 2011. The prevalence and characteristics of PU, the nutritional status and the association between the presence of PU, and the nutritional status and other study variables were evaluated. The association of the presence of PU with the study variables was performed by univariate analyses and multivariate logistic regression models. The final multivariate model was one in which all variables were significant at the 0.05 level. Results According to the subjective global assessment (SGA), the prevalence of PU was 16.9%, and 52.4% of patients were malnourished. PU and their severity were directly associated with malnutrition ( P < 0.05). Patients who are bedridden, who are elderly, who have neurological disorders or cancer, who are staying at a public or private institution, and who are staying at the hospital between 8 d and 15 d had an increased risk of PU ( P < 0.05). Conclusion The prevalence of PU in Brazilian general hospitals is high, and the prevalence of malnutrition is extremely high. Malnourishment is one of the most important risk factors associated with the development and severity of PU in hospitals. Patients who are malnourished are more prone to developing PU. |
| doi_str_mv | 10.1016/j.nut.2012.11.008 |
| format | Article |
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The aim of this study was to determine the prevalence of PU in hospitalised patients in public and private Brazilian institutions and the ulcers’ associations with nutritional status and other risk factors. Methods A multicenter, cross-sectional, quantitative and qualitative study was carried out in hospitals in different geographic regions of Brazil from March 2009 to February 2011. The prevalence and characteristics of PU, the nutritional status and the association between the presence of PU, and the nutritional status and other study variables were evaluated. The association of the presence of PU with the study variables was performed by univariate analyses and multivariate logistic regression models. The final multivariate model was one in which all variables were significant at the 0.05 level. Results According to the subjective global assessment (SGA), the prevalence of PU was 16.9%, and 52.4% of patients were malnourished. PU and their severity were directly associated with malnutrition ( P < 0.05). Patients who are bedridden, who are elderly, who have neurological disorders or cancer, who are staying at a public or private institution, and who are staying at the hospital between 8 d and 15 d had an increased risk of PU ( P < 0.05). Conclusion The prevalence of PU in Brazilian general hospitals is high, and the prevalence of malnutrition is extremely high. Malnourishment is one of the most important risk factors associated with the development and severity of PU in hospitals. Patients who are malnourished are more prone to developing PU.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2012.11.008</identifier><identifier>PMID: 23466049</identifier><identifier>CODEN: NUTRER</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Brazil - epidemiology ; Cancer ; Cross-Sectional Studies ; Dermatology ; Diabetes ; Disease Susceptibility ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Hospitals ; Humans ; Length of Stay ; Male ; Malnourished ; Malnutrition ; Malnutrition - epidemiology ; Malnutrition - physiopathology ; Medical sciences ; Metabolic diseases ; Middle Aged ; Mortality ; Neurology ; Nutritional Status ; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) ; Pressure ulcer ; Pressure Ulcer - epidemiology ; Pressure Ulcer - etiology ; Pressure Ulcer - physiopathology ; Pressure Ulcer - therapy ; Pressure ulcer prevalence ; Pressure ulcers ; Prevalence ; Qualitative research ; Risk Factors ; Severity of Illness Index ; Skin involvement in other diseases. Miscellaneous. General aspects ; Statistical analysis ; Status nutritional ; Variables ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Wound healing ; Young Adult</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2013-04, Vol.29 (4), p.646-649</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Apr 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-bbbcf1a269e60eb4fdc4279739fb20e802d0b131b9462a7f723bcc11b8d1731d3</citedby><cites>FETCH-LOGICAL-c509t-bbbcf1a269e60eb4fdc4279739fb20e802d0b131b9462a7f723bcc11b8d1731d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1315209899?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27220532$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23466049$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brito, Patrícia Alves, M.Sc</creatorcontrib><creatorcontrib>Generoso, Simone de Vasconcelos, Ph.D</creatorcontrib><creatorcontrib>Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</creatorcontrib><title>Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status—A multicenter, cross-sectional study</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>Abstract Background Pressure ulcers (PU) represent a widespread, painful, and expensive health care problem directly associated with increased morbidity, mortality, and length of hospital stay. The aim of this study was to determine the prevalence of PU in hospitalised patients in public and private Brazilian institutions and the ulcers’ associations with nutritional status and other risk factors. Methods A multicenter, cross-sectional, quantitative and qualitative study was carried out in hospitals in different geographic regions of Brazil from March 2009 to February 2011. The prevalence and characteristics of PU, the nutritional status and the association between the presence of PU, and the nutritional status and other study variables were evaluated. The association of the presence of PU with the study variables was performed by univariate analyses and multivariate logistic regression models. The final multivariate model was one in which all variables were significant at the 0.05 level. Results According to the subjective global assessment (SGA), the prevalence of PU was 16.9%, and 52.4% of patients were malnourished. PU and their severity were directly associated with malnutrition ( P < 0.05). Patients who are bedridden, who are elderly, who have neurological disorders or cancer, who are staying at a public or private institution, and who are staying at the hospital between 8 d and 15 d had an increased risk of PU ( P < 0.05). Conclusion The prevalence of PU in Brazilian general hospitals is high, and the prevalence of malnutrition is extremely high. Malnourishment is one of the most important risk factors associated with the development and severity of PU in hospitals. Patients who are malnourished are more prone to developing PU.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Brazil - epidemiology</subject><subject>Cancer</subject><subject>Cross-Sectional Studies</subject><subject>Dermatology</subject><subject>Diabetes</subject><subject>Disease Susceptibility</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Malnourished</subject><subject>Malnutrition</subject><subject>Malnutrition - epidemiology</subject><subject>Malnutrition - physiopathology</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neurology</subject><subject>Nutritional Status</subject><subject>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</subject><subject>Pressure ulcer</subject><subject>Pressure Ulcer - epidemiology</subject><subject>Pressure Ulcer - etiology</subject><subject>Pressure Ulcer - physiopathology</subject><subject>Pressure Ulcer - therapy</subject><subject>Pressure ulcer prevalence</subject><subject>Pressure ulcers</subject><subject>Prevalence</subject><subject>Qualitative research</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Skin involvement in other diseases. Miscellaneous. General aspects</subject><subject>Statistical analysis</subject><subject>Status nutritional</subject><subject>Variables</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Wound healing</subject><subject>Young Adult</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kt2K1EAQhYMo7rj6AN5IgwhemFjVnb9GENbFP1hQUK-bTqfC9phJxq5kZbwSfAWf0CexszPuwl541RR8p7rqnEqShwgZApbP19kwT5kElBliBlDfSlZYVypFmee3kxXUWqcaoDpK7jGvAQB1qe8mR1LlZQm5XiW_Pga6sD0NjsTYiW0g5jmQmHtHgYUfxPnIWz_Z_rJ4FewP3ws7tMIyj87byY-D-O6ncxFnCX4pbS94stPMf37-PhGbuZ-8o2Gi8Ey4MDKnTO6Km9vd_eROF_vTg8N7nHx58_rz6bv07MPb96cnZ6krQE9p0zSuQytLTSVQk3ety2WlK6W7RgLVIFtoUGGj81LaqqukapxDbOoWK4WtOk6e7vtuw_htJp7MxrOjvrcDjTObqC1KVUhVRPTxDXQ9ziFOvKck6GhtpHBPXa4VqDPb4Dc27AyCWRIyaxNdMUtCBtHEhKLm0aHz3GyovVL8iyQCTw6AZWf7LtjBeb7mKimhUDJyL_YcRcsuPAXDzi85tj5Ef007-v-O8fKG2vV-8PHDr7Qjvt7WsDRgPi2ntFwSSoA8OqD-AvFoxjE</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Brito, Patrícia Alves, M.Sc</creator><creator>Generoso, Simone de Vasconcelos, Ph.D</creator><creator>Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130401</creationdate><title>Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status—A multicenter, cross-sectional study</title><author>Brito, Patrícia Alves, M.Sc ; Generoso, Simone de Vasconcelos, Ph.D ; Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-bbbcf1a269e60eb4fdc4279739fb20e802d0b131b9462a7f723bcc11b8d1731d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Brazil - epidemiology</topic><topic>Cancer</topic><topic>Cross-Sectional Studies</topic><topic>Dermatology</topic><topic>Diabetes</topic><topic>Disease Susceptibility</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Malnourished</topic><topic>Malnutrition</topic><topic>Malnutrition - epidemiology</topic><topic>Malnutrition - physiopathology</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neurology</topic><topic>Nutritional Status</topic><topic>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</topic><topic>Pressure ulcer</topic><topic>Pressure Ulcer - epidemiology</topic><topic>Pressure Ulcer - etiology</topic><topic>Pressure Ulcer - physiopathology</topic><topic>Pressure Ulcer - therapy</topic><topic>Pressure ulcer prevalence</topic><topic>Pressure ulcers</topic><topic>Prevalence</topic><topic>Qualitative research</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Skin involvement in other diseases. Miscellaneous. General aspects</topic><topic>Statistical analysis</topic><topic>Status nutritional</topic><topic>Variables</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Wound healing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brito, Patrícia Alves, M.Sc</creatorcontrib><creatorcontrib>Generoso, Simone de Vasconcelos, Ph.D</creatorcontrib><creatorcontrib>Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brito, Patrícia Alves, M.Sc</au><au>Generoso, Simone de Vasconcelos, Ph.D</au><au>Correia, Maria Isabel Toulson Davisson, M.D., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status—A multicenter, cross-sectional study</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>29</volume><issue>4</issue><spage>646</spage><epage>649</epage><pages>646-649</pages><issn>0899-9007</issn><eissn>1873-1244</eissn><coden>NUTRER</coden><abstract>Abstract Background Pressure ulcers (PU) represent a widespread, painful, and expensive health care problem directly associated with increased morbidity, mortality, and length of hospital stay. The aim of this study was to determine the prevalence of PU in hospitalised patients in public and private Brazilian institutions and the ulcers’ associations with nutritional status and other risk factors. Methods A multicenter, cross-sectional, quantitative and qualitative study was carried out in hospitals in different geographic regions of Brazil from March 2009 to February 2011. The prevalence and characteristics of PU, the nutritional status and the association between the presence of PU, and the nutritional status and other study variables were evaluated. The association of the presence of PU with the study variables was performed by univariate analyses and multivariate logistic regression models. The final multivariate model was one in which all variables were significant at the 0.05 level. Results According to the subjective global assessment (SGA), the prevalence of PU was 16.9%, and 52.4% of patients were malnourished. PU and their severity were directly associated with malnutrition ( P < 0.05). Patients who are bedridden, who are elderly, who have neurological disorders or cancer, who are staying at a public or private institution, and who are staying at the hospital between 8 d and 15 d had an increased risk of PU ( P < 0.05). Conclusion The prevalence of PU in Brazilian general hospitals is high, and the prevalence of malnutrition is extremely high. Malnourishment is one of the most important risk factors associated with the development and severity of PU in hospitals. Patients who are malnourished are more prone to developing PU.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23466049</pmid><doi>10.1016/j.nut.2012.11.008</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Biological and medical sciences Brazil - epidemiology Cancer Cross-Sectional Studies Dermatology Diabetes Disease Susceptibility Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Gastroenterology and Hepatology Hospitals Humans Length of Stay Male Malnourished Malnutrition Malnutrition - epidemiology Malnutrition - physiopathology Medical sciences Metabolic diseases Middle Aged Mortality Neurology Nutritional Status Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) Pressure ulcer Pressure Ulcer - epidemiology Pressure Ulcer - etiology Pressure Ulcer - physiopathology Pressure Ulcer - therapy Pressure ulcer prevalence Pressure ulcers Prevalence Qualitative research Risk Factors Severity of Illness Index Skin involvement in other diseases. Miscellaneous. General aspects Statistical analysis Status nutritional Variables Vertebrates: anatomy and physiology, studies on body, several organs or systems Wound healing Young Adult |
| title | Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status—A multicenter, cross-sectional study |
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