pISSN : 2383-6415   eISSN : 2383-6423

Factors Influencing on Pressure Ulcer Incidence among Older Patients with Hip Fracture in a Hospital


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AUTHOR :
Lee Sun Jin  https://orcid.org/0000-0002-8758-7056
Jeong Jae Shim  https://orcid.org/0000-0002-3029-2556
Lim Kyung-Choon  https://orcid.org/0000-0002-2136-9275
Park Eun Young  https://orcid.org/0000-0002-3911-430x
Kim Hye Youn  https://orcid.org/0000-0002-3963-3601

INFORMATION : page. 54~61 / 2019 Vol.21 No.1


ABSTRACT

Purpose: This study aimed to identify the incidence and risks for pressure ulcer among older patients with hip fracture. Methods: The subject were 215 older patients suffering from hip fracture who were admitted for surgical operation from January 1, 2012 to April 30, 2016 in a university-affiliated hospital. The incidence of pressure ulcer was collected retrospectively through medical record review and the risk factors were analyzed using Cox s proportional hazard model. Results: Out of the total, 32 patients (14.9%) developed pressure ulcer with the average occurrence period being 4.72(±3.81) days. Stage Ⅱ pressure ulcer was the most common at 72.0%. Risk factors included ambulation status before injury (p=.039), spinal anesthesia (p=.029), and stay at intensive care unit after operation (p=.009). Conclusion: Despite pressure ulcer prevention efforts, the incidence remained relatively high. Considering the identified risk factors, more efforts is needed for early detection and prevention of pressure ulcers in such patients.

Keyword :

노인,욕창,골절,고관절


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