TY  - JOUR
U1  - Zeitschriftenartikel, wissenschaftlich - begutachtet (reviewed)
A1  - Chung, Man-Long
A1  - Widdel, Manuel
A1  - Kirchhoff, Julian
A1  - Sellin, Julia
A1  - Jelali, Mohieddine
A1  - Geiser, Franziska
A1  - Mücke, Martin
A1  - Conrad, Rupert
ED  - Juárez-Vela, Raúl
ED  - Gea-Caballero, Vicente
T1  - Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis
JF  - International Journal of Environmental Research and Public Health
N2  - Pressure injuries remain a serious health complication for patients and nursing staff. Evidence from the past decade has not been analysed through narrative synthesis yet. PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews/sources were screened. Risk of bias was evaluated using a slightly modified QUIPS tool. Risk factor domains were used to assign (non)statistically independent risk factors. Hence, 67 studies with 679,660 patients were included. In low to moderate risk of bias studies, non-blanchable erythema reliably predicted pressure injury stage 2. Factors influencing mechanical boundary conditions, e.g., higher interface pressure or BMI < 18.5, as well as factors affecting interindividual susceptibility (male sex, older age, anemia, hypoalbuminemia, diabetes, hypotension, low physical activity, existing pressure injuries) and treatment-related aspects, such as length of stay in intensive care units, were identified as possible risk factors for pressure injury development. Health care professionals’ evidence-based knowledge of above-mentioned risk factors is vital to ensure optimal prevention and/or treatment. Openly accessible risk factors, e.g., sex, age, BMI, pre-existing diabetes, and non-blanchable erythema, can serve as yellow flags for pressure injury development. Close communication concerning further risk factors, e.g., anemia, hypoalbuminemia, or low physical activity, may optimize prevention and/or treatment. Further high-quality evidence is warranted.
KW  - Prävention
KW  - narrative synthesis
KW  - pressure injury
KW  - prevention
KW  - treatment
KW  - risk factors
KW  - systematic review
KW  - Therapie
KW  - Risikofaktor
Y1  - 2022
UN  - https://nbn-resolving.org/urn:nbn:de:hbz:832-epub4-19300
SN  - 1660-4601
SS  - 1660-4601
U6  - https://doi.org/10.3390/ijerph19020761
DO  - https://doi.org/10.3390/ijerph19020761
VL  - 19
IS  - 2
SP  - 17
S1  - 17
PB  - MDPI
ER  -