Factors Affecting Wound Healing in Individuals With Pressure Ulcers: A Retrospective Study

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,...

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Bibliographic Details
Published in:	Ostomy/wound management Vol. 64; no. 2; pp. 32 - 39
Main Authors:	Karahan, Azize, AAbbasoğlu, Aysel, Işık, Sevcan Avcı, Çevik, Banu, Saltan, Çiğdem, Elbaş, Nalan Özhan, Yalılı, Ayşe
Format:	Journal Article
Language:	English
Published:	United States HMP Communications 01-02-2018
Subjects:	Aged Aged, 80 and over Comorbidity Demographics Female Humans Male Middle Aged Nursing Nursing Assessment - methods Pressure Ulcer - classification Pressure Ulcer - etiology Pressure Ulcer - physiopathology Pressure ulcers Retrospective Studies Risk Factors Severity of Illness Index Turkey Wound healing Wound Healing - physiology Turkey
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0889-5899 2640-5237 1943-2720 2640-5245
DOI:	10.25270/owm.2018.2.3239