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Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis

  • 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.

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Metadaten
Verfasserangaben:Man-Long Chung, Manuel Widdel, Julian Kirchhoff, Julia Sellin, Mohieddine Jelali, Franziska Geiser, Martin Mücke, Rupert Conrad
URN:urn:nbn:de:hbz:832-epub4-19300
DOI:https://doi.org/10.3390/ijerph19020761
ISSN:1660-4601
Titel des übergeordneten Werkes (Englisch):International Journal of Environmental Research and Public Health
Verlag:MDPI
Herausgeber*in:Raúl Juárez-Vela, Vicente Gea-Caballero
Dokumentart:Wissenschaftlicher Artikel
Sprache:Englisch
Datum der Veröffentlichung:11.01.2022
Datum der Freigabe:06.05.2022
GND-Schlagwort:Prävention; Risikofaktor; Therapie
Freies Schlagwort / Tag:narrative synthesis; pressure injury; prevention; risk factors; systematic review; treatment
Jahrgang:19
Ausgabe / Heft:2
Seitenzahl:17
Fakultäten und Zentrale Einrichtungen:Anlagen, Energie- und Maschinensysteme (F09) / Fakultät 09 / Institut für Produktentwicklung und Konstruktionstechnik
DDC-Sachgruppen:600 Technik, Medizin, angewandte Wissenschaften
Lizenz (Deutsch):License LogoCreative Commons - CC BY - Namensnennung 4.0 International