Karahan A, AAbbasoğlu A, Işık SA, Çevik B, Saltan Ç, Elbaş NÖ, Yalılı A, et al.
Ostomy/wound management. Date of publication 2018 Feb 1;volume 64(2):32-39.
1. Ostomy Wound Manage. 2018 Feb;64(2):32-39.
Factors Affecting Wound Healing in Individuals With Pressure Ulcers: A
Retrospective Study.
Karahan A(1), AAbbasoğlu A(1), Işık SA(1), Çevik B(1), Saltan Ç(2), Elbaş NÖ(2),
Yalılı A(3).
Author information:
(1)Baskent University, Health Sciences Faculty, Department of Nursing, Ankara,
Turkey.
(2)Baskent University Ankara Hospital, Ankara, Turkey.
(3)Health Sciences University, Nursing Faculty, İstanbul, Turkey.
Owing to the number and severity of concomitant factors, pressure ulcers remain a
significant problem. A retrospective study of data from adult patients with a
pressure ulcer was conducted to identify factors that may affect their healing.
Data from patients who were hospitalized between January 1, 2011, and December
31, 2015, in a private Turkish university hospital who had a Stage 2, Stage 3,
Stage 4, or unstageable pressure ulcer that was assessed using the Bates-Jensen
Wound Assessment Tool (BWAT) were abstracted. The following variables were
examined: demographic characteristics (gender, age, hospital unit, duration of
hospitalization), health status and disease data (vital signs, mobility,
nutrition, diagnosis, chronic diseases, medication), laboratory values (albumin,
hemoglobin, blood glucose), and pressure ulcer characteristics (stage, location,
healing status, duration) and pressure ulcer risk status as determined by patient
Braden Scale score. Seventy-eight (78) patient records were identified. Patient
mean age was 70.8 ± 13.47 years, and length of hospitalization was on average
32.52 ± 27.2 days. Most ulcers (62; 79.5%) were Stage 2 and located in the sacral
area (59; 75.6%). Thirty-four (34) patients (43.6%) were discharged and 44
(56.4%) died. At the time of discharge or death, 65.4% of the ulcers had not
healed. Patients whose wounds were healed were significantly more likely to have
higher hemoglobin and mean arterial pressure, better mobility, received oral
nutrition, and discharged from the hospital than patients whose ulcers did not
heal. The results suggest that these variables, including Braden Scale and BWAT
scores, might be considered when developing a treatment plan of care. Additional
studies examining risk factors for nonhealing pressure ulcers, including studies
with large samples to facilitate multivariate analyses, are needed.
PMID: 29481325 [Indexed for MEDLINE]
