The prevalence and associated factors of skin tears in Belgian nursing homes: A cross-sectional observational study |
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Authors: | Hanne Van Tiggelen Nele Van Damme Sofie Theys Eline Vanheyste Sofie Verhaeghe Kimberly LeBlanc Karen Campbell Kevin Woo Ann Van Hecke Dimitri Beeckman |
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Institution: | 1. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;2. University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;3. Department Health Care, VIVES University College, Roeselare, Belgium;4. School of Nursing, Faculty of Health Sciences, Queen''s University, Kingston, Ontario, Canada;5. KDS Professional Consulting, Ottawa, Ontario, Canada;6. School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada;7. Nursing Department, Ghent University Hospital, Ghent, Belgium;8. School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland;9. School of Health Sciences, Örebro University, Sweden |
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Abstract: | BackgroundAlthough skin tears are among the most prevalent acute wounds in nursing homes, their recognition as a unique condition remains in its infancy. Elderly patients are at risk of developing skin tears due to increased skin fragility and other contributing risk factors. In order to provide (cost-) effective prevention, patients at risk should be identified in a timely manner.Objectives(1) To determine the point prevalence of skin tears and (2) to identify factors independently associated with skin tear presence in nursing home residents.MethodsA cross-sectional observational study was set up, including 1153 residents in 10 Belgian nursing homes. Data were collected by trained researchers and study nurses using patient records and skin observations. A multiple binary logistic regression model was designed to explore independent associated factors (significance level α?<?0.05).ResultsThe final sample consisted of 795 nursing home residents, of which 24 presented with skin tears, resulting in a point prevalence of 3.0%. Most skin tears were classified as category 3 (defined as complete flap loss) according to the International Skin Tear Advisory Panel (ISTAP) Classification System and 75.0% were located on the lower arms/legs. Five independent associated factors were identified: age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings.ConclusionsThis study revealed a skin tear prevalence of 3.0% in nursing home residents. Age, history of skin tears, chronic use of corticosteroids, dependency for transfers, and use of adhesives/dressings were independently associated with skin tear presence. |
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Keywords: | Skin tear Prevalence Associated factor Elderly Skin integrity Prevention |
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