Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study
Aim There is a lack of data from cohort studies for the incidence of skin tears among an elderly population in an Asian country. We estimated the cumulative incidence of skin tear, and identify its risk factor. Methods The present prospective cohort study was carried out at a long‐term medical facil...
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| Veröffentlicht in: | Geriatrics & gerontology international 2015-08, Vol.15 (8), p.1058-1063 |
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| creator | Sanada, Hiromi Nakagami, Gojiro Koyano, Yuiko Iizaka, Shinji Sugama, Junko |
| description | Aim
There is a lack of data from cohort studies for the incidence of skin tears among an elderly population in an Asian country. We estimated the cumulative incidence of skin tear, and identify its risk factor.
Methods
The present prospective cohort study was carried out at a long‐term medical facility in Japan. Participants included patients (n = 368) aged 65 years or older receiving hospital care. The 3‐month cumulative incidence of skin tears was estimated by identifying them using direct inspection of the extremities. In order to find the risk factors for the skin tear incidence, odds ratios and their 95% confidence intervals of skin tear development in association with the factors were estimated using logistic regression analyses.
Results
A total of 14 patients developed skin tears, and their cumulative incidence was 3.8%. No patients with skin tears developed multiple wounds on their extremities. Half of the skin tears occurred on the outside of the right forearm, and just three skin tears were found in the lower legs. Multiple logistic analyses showed that pre‐existing skin tears (odds ratio 15.42, 95% confidence interval 3.53–67.43, P |
| doi_str_mv | 10.1111/ggi.12405 |
| format | Article |
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There is a lack of data from cohort studies for the incidence of skin tears among an elderly population in an Asian country. We estimated the cumulative incidence of skin tear, and identify its risk factor.
Methods
The present prospective cohort study was carried out at a long‐term medical facility in Japan. Participants included patients (n = 368) aged 65 years or older receiving hospital care. The 3‐month cumulative incidence of skin tears was estimated by identifying them using direct inspection of the extremities. In order to find the risk factors for the skin tear incidence, odds ratios and their 95% confidence intervals of skin tear development in association with the factors were estimated using logistic regression analyses.
Results
A total of 14 patients developed skin tears, and their cumulative incidence was 3.8%. No patients with skin tears developed multiple wounds on their extremities. Half of the skin tears occurred on the outside of the right forearm, and just three skin tears were found in the lower legs. Multiple logistic analyses showed that pre‐existing skin tears (odds ratio 15.42, 95% confidence interval 3.53–67.43, P < 0.001) and a 6‐point decrease in the total score of the Braden Scale (odds ratio 0.10, 95% confidence interval 0.01–0.83, P < 0.033) were significantly associated with skin tear development.
Conclusions
Patients with pre‐existing skin tears and a low score of the Braden Scale have a higher risk of skin tear development during 3 months. These factors could be used to identify patients requiring prevention care for skin tears. Geriatr Gerontol Int 2015; 15: 1058–1063.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.12405</identifier><identifier>PMID: 25407109</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Arm ; Cohort Studies ; Confidence Intervals ; dermatology ; epidemiology ; Female ; Geriatric Assessment ; Hand ; Health risk assessment ; Humans ; Incidence ; Japan - epidemiology ; Leg ; Logistic Models ; Long-Term Care - methods ; Male ; Multivariate Analysis ; nursing care ; Odds Ratio ; Patient Safety - statistics & numerical data ; Pressure Ulcer - diagnosis ; Pressure Ulcer - epidemiology ; preventive medicine ; Prospective Studies ; Risk Assessment ; Skilled Nursing Facilities - statistics & numerical data ; Skin - injuries ; skin tears</subject><ispartof>Geriatrics & gerontology international, 2015-08, Vol.15 (8), p.1058-1063</ispartof><rights>2014 Japan Geriatrics Society</rights><rights>2014 Japan Geriatrics Society.</rights><rights>Copyright © 2015 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fggi.12405$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fggi.12405$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25407109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sanada, Hiromi</creatorcontrib><creatorcontrib>Nakagami, Gojiro</creatorcontrib><creatorcontrib>Koyano, Yuiko</creatorcontrib><creatorcontrib>Iizaka, Shinji</creatorcontrib><creatorcontrib>Sugama, Junko</creatorcontrib><title>Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study</title><title>Geriatrics & gerontology international</title><addtitle>Geriatrics & Gerontology International</addtitle><description>Aim
There is a lack of data from cohort studies for the incidence of skin tears among an elderly population in an Asian country. We estimated the cumulative incidence of skin tear, and identify its risk factor.
Methods
The present prospective cohort study was carried out at a long‐term medical facility in Japan. Participants included patients (n = 368) aged 65 years or older receiving hospital care. The 3‐month cumulative incidence of skin tears was estimated by identifying them using direct inspection of the extremities. In order to find the risk factors for the skin tear incidence, odds ratios and their 95% confidence intervals of skin tear development in association with the factors were estimated using logistic regression analyses.
Results
A total of 14 patients developed skin tears, and their cumulative incidence was 3.8%. No patients with skin tears developed multiple wounds on their extremities. Half of the skin tears occurred on the outside of the right forearm, and just three skin tears were found in the lower legs. Multiple logistic analyses showed that pre‐existing skin tears (odds ratio 15.42, 95% confidence interval 3.53–67.43, P < 0.001) and a 6‐point decrease in the total score of the Braden Scale (odds ratio 0.10, 95% confidence interval 0.01–0.83, P < 0.033) were significantly associated with skin tear development.
Conclusions
Patients with pre‐existing skin tears and a low score of the Braden Scale have a higher risk of skin tear development during 3 months. These factors could be used to identify patients requiring prevention care for skin tears. Geriatr Gerontol Int 2015; 15: 1058–1063.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arm</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>dermatology</subject><subject>epidemiology</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Hand</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Leg</subject><subject>Logistic Models</subject><subject>Long-Term Care - methods</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>nursing care</subject><subject>Odds Ratio</subject><subject>Patient Safety - statistics & numerical data</subject><subject>Pressure Ulcer - diagnosis</subject><subject>Pressure Ulcer - epidemiology</subject><subject>preventive medicine</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Skilled Nursing Facilities - statistics & numerical data</subject><subject>Skin - injuries</subject><subject>skin tears</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1uEzEUhUeIiv7AghdAltiwmdY3Y4_H7KqKpoEIkIiExMZy7Dup2_mr7Wk7L8Bz4yRtF3jjq3u_c3Xsk2XvgZ5COmebjTuFGaP8VXYEjImccsle72qWA6_Kw-w4hBtKQUiAN9nhjDMqgMqj7O-iM85iZ5D0NQm3riMRtQ9kW1wjwcfosXXRYSC67bsNwcaibyYy6NTsYmpHokmTRnlE35IWrTO6IbU2rnFx2m76qgfdfSbnZPB9GNBEd4_E9Ne9jyTE0U5vs4NaNwHfPd0n2eryy-riKl_-mC8uzpe5S4Z5LqnlmnLNudBg0TBbM7SCUr1mHCinUspKF9owrAprmeRyJmqo1iWvrLTFSfZpvzb5uBsxRNW6YLBpdIf9GBQI4BJ4CZDQj_-hN_3ou2ROQSkrSSmVNFEfnqhxnR6uBu9a7Sf1_MEJONsDD67B6WUOVG2TUyk5tUtOzeeLXZEU-V7hQsTHF4X2t6oUheDq9_e5qvivbz9Xyyv1p_gHB-KaWg</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Sanada, Hiromi</creator><creator>Nakagami, Gojiro</creator><creator>Koyano, Yuiko</creator><creator>Iizaka, Shinji</creator><creator>Sugama, Junko</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study</title><author>Sanada, Hiromi ; Nakagami, Gojiro ; Koyano, Yuiko ; Iizaka, Shinji ; Sugama, Junko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i4075-90d5a05a557a1dec4df4ed700ab4510509998a3ac4e83dd495927f18b658d9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arm</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>dermatology</topic><topic>epidemiology</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Hand</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Leg</topic><topic>Logistic Models</topic><topic>Long-Term Care - methods</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>nursing care</topic><topic>Odds Ratio</topic><topic>Patient Safety - statistics & numerical data</topic><topic>Pressure Ulcer - diagnosis</topic><topic>Pressure Ulcer - epidemiology</topic><topic>preventive medicine</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Skilled Nursing Facilities - statistics & numerical data</topic><topic>Skin - injuries</topic><topic>skin tears</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sanada, Hiromi</creatorcontrib><creatorcontrib>Nakagami, Gojiro</creatorcontrib><creatorcontrib>Koyano, Yuiko</creatorcontrib><creatorcontrib>Iizaka, Shinji</creatorcontrib><creatorcontrib>Sugama, Junko</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sanada, Hiromi</au><au>Nakagami, Gojiro</au><au>Koyano, Yuiko</au><au>Iizaka, Shinji</au><au>Sugama, Junko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatrics & Gerontology International</addtitle><date>2015-08</date><risdate>2015</risdate><volume>15</volume><issue>8</issue><spage>1058</spage><epage>1063</epage><pages>1058-1063</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
There is a lack of data from cohort studies for the incidence of skin tears among an elderly population in an Asian country. We estimated the cumulative incidence of skin tear, and identify its risk factor.
Methods
The present prospective cohort study was carried out at a long‐term medical facility in Japan. Participants included patients (n = 368) aged 65 years or older receiving hospital care. The 3‐month cumulative incidence of skin tears was estimated by identifying them using direct inspection of the extremities. In order to find the risk factors for the skin tear incidence, odds ratios and their 95% confidence intervals of skin tear development in association with the factors were estimated using logistic regression analyses.
Results
A total of 14 patients developed skin tears, and their cumulative incidence was 3.8%. No patients with skin tears developed multiple wounds on their extremities. Half of the skin tears occurred on the outside of the right forearm, and just three skin tears were found in the lower legs. Multiple logistic analyses showed that pre‐existing skin tears (odds ratio 15.42, 95% confidence interval 3.53–67.43, P < 0.001) and a 6‐point decrease in the total score of the Braden Scale (odds ratio 0.10, 95% confidence interval 0.01–0.83, P < 0.033) were significantly associated with skin tear development.
Conclusions
Patients with pre‐existing skin tears and a low score of the Braden Scale have a higher risk of skin tear development during 3 months. These factors could be used to identify patients requiring prevention care for skin tears. Geriatr Gerontol Int 2015; 15: 1058–1063.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>25407109</pmid><doi>10.1111/ggi.12405</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Arm Cohort Studies Confidence Intervals dermatology epidemiology Female Geriatric Assessment Hand Health risk assessment Humans Incidence Japan - epidemiology Leg Logistic Models Long-Term Care - methods Male Multivariate Analysis nursing care Odds Ratio Patient Safety - statistics & numerical data Pressure Ulcer - diagnosis Pressure Ulcer - epidemiology preventive medicine Prospective Studies Risk Assessment Skilled Nursing Facilities - statistics & numerical data Skin - injuries skin tears |
| title | Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study |
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