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Comparison of the incidence of pressure ulcers among patients admitted to the palliative care service from different providers

Year 2025, Volume: 10 Issue: 1, 5 - 10, 20.03.2025

Feridun Gurlek , Eyup Tasdemir , Ali Erol , Fatih Coşkun

https://doi.org/10.22391/fppc.1528838

Abstract

Introduction: The aim was to evaluate the prevalence of pressure ulcers among centers providing palliative care.
Methods: This study was conducted among patients admitted to the palliative care center of the Health Sciences University Bursa High Specialization Training and Research Hospital between 2019 and 2020. Medical data of 217 patients who met the definition of palliative care patients admitted from intensive care, home, and wards were retrospectively scanned. Demographic data, diagnoses, chronic diseases, and characteristics of pressure sores of the patients were recorded.
Results: The incidence of pressure ulcers in palliative care patients admitted from intensive care is significantly higher than in patients admitted from home and wards.
Conclusions: In intensive care units, it is more difficult to monitor and care for patients who meet the definition of palliative care patients in terms of pressure ulcers compared to homes and wards. Providing this service to patients who meet the definition of palliative care, especially at home, is important for the prevention and treatment of pressure ulcers.

Keywords

palliative care pressure ulcers healthcare providers

Ethical Statement

The study included patients hospitalized in the Bursa Health Sciences University Hospital Palliative Care Center between May 2019 and September 2020. Ethics committee approval was obtained with the protocol number 2011-KAEK-25 2021/09-04.

References

  • 1. Afzali Borojeny L, Albatineh AN, Hasanpour Dehkordi A, Ghanei Gheshlagh R. The incidence of pressure ulcers and its associations in different wards of the hospital: a systematic review and meta-analysis. Int J Prev Med. 2020;5(11):171. https://doi.org/10.4103/ijpvm.ijpvm_182_19
  • 2. Raziyeva K, Kim Y, Zharkinbekov Z, Kassymbek K, Jimi S, Saparov A. Immunology of acute and chronic wound healing. Biomolecules. 2021;11(5):700. https://doi.org/10.3390/biom11050700
  • 3. Sibbald RG, Krasner DL, Woo KY. Pressure ulcer staging revisited: superficial skin changes & deep pressure ulcer framework. Adv Skin Wound Care. 2011; 24:571-80. https://doi.org/10.1097/01.ASW.0000408467.26999.6d
  • 4. Thomas DR. The new F-tag 314: prevention and management of pressure ulcers. J Am Med Dir Assoc. 2007; 8:117-25. https://doi.org/10.1016/j.jamda.2006.12.013
  • 5. Gefen A. How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies. Ostomy Wound Manage. 2008; 54:26-30. https://pubmed.ncbi.nlm.nih.gov/18927481/
  • 6. Schindler CA, Mikhailov TA, Kuhn EM, Christopher J, Conway P, Ridling D, Scott AM, Simpson VS. Protecting fragile skin: nursing interventions to decrease development of pressure ulcers in pediatric intensive care. Am J Crit Care. 2011;20(1):26-34. https://doi.org/10.4037/ajcc2011754
  • 7. Kottner J, Dassen T. Pressure ulcer risk assessment in critical care: interrater reliability and validity studies of the Braden and Waterlow scales and subjective ratings in two intensive care units. Int J Nurs Stud. 2010;47(6):671-7. https://doi.org/10.1016/j.ijnurstu.2009.11.005
  • 8. Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. JAMA. 2006;296(8):974-84. https://doi.org/10.1001/jama.296.8.974
  • 9. Claudia G, Diane M, Daphney SG, Danièle D. Prevention and treatment of pressure ulcers in a university hospital centre: a correlational study examining nurses' knowledge and best practice. Int J Nurs Pract. 2010;16(2):183-7. https://doi.org/10.1111/j.1440-172X.2010.01828.x
  • 10. James J, Evans JA, Young T, Clark M. Pressure ulcer prevalence across Welsh orthopaedic units and community hospitals: surveys based on the European Pressure Ulcer Advisory Panel minimum data set. Int Wound J. 2010;7(3):147-52. https://doi.org/10.1111/j.1742-481X.2010.00665.x
  • 11. Agrawal K, Chauhan N. Pressure ulcers: back to the basics. Indian J Plast Surg. 2012;45(2):244-54. https://doi.org/10.4103/0970-0358.101287
  • 12. Keller BP, Wille J, van Ramshorst B, van der Werken C. Pressure ulcers in intensive care patients: a review of risks and prevention. Intensive Care Med. 2002;28(10):1379-88. https://doi.org/10.1007/s00134-002-1487-z
  • 13. Cremasco MF, Wenzel F, Zanei SS, Whitaker IY. Pressure ulcers in the intensive care unit: the relationship between nursing workload, illness severity and pressure ulcer risk. J Clin Nurs. 2013; 22:2183-91. https://doi.org/10.1111/j.1365-2702.2012.04216.x
  • 14. European Pressure Ulcer Advisory Panel. Guidelines on treatment of pressure ulcers. EPUAP Rev. 1999; 1:31-3.
  • 15. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel pressure injury staging system. J Wound Ostomy Continence Nurs. 2016;43(6):585-97. https://doi.org/10.1097/won.0000000000000281
  • 16. Lyder CH. Pressure ulcer prevention and management. JAMA. 2003; 289:223-6. https://doi.org/10.1001/jama.289.2.223
  • 17. Dorner B, Posthauer ME, Thomas D. The role of nutrition in pressure ulcer prevention and treatment: National Pressure Ulcer Advisory Panel white paper. Adv Skin Wound Care. 2009; 22:212-21. https://doi.org/10.1097/01.ASW.0000350838.11854.0a
  • 18. Dincer M, Doger C, Tas SS, Karakaya D. An analysis of patients in palliative care with pressure injuries. Niger J Clin Pract. 2018;21(4):484-91. https://doi.org/10.4103/njcp.njcp_51_17
  • 19. Çınar F, Kula Şahin S, Eti Aslan F. Evaluation of studies in Turkey on the prevention of pressure sores in the intensive care unit: a systematic review. Balıkesir Univ Saglik Bilim Derg. 2018;7(1):42-50.
  • 20. Campbell KE, Woodbury MG, Houghton PE. Heel pressure ulcers in orthopedic patients: a prospective study of incidence and risk factors in an acute care hospital. Ostomy Wound Manage. 2010;56(2):44-54. https://pubmed.ncbi.nlm.nih.gov/20200445/
  • 21. Pokorny ME, Koldjeski D, Swanson M. Skin care intervention for patients having cardiac surgery. Am J Crit Care. 2003;12(6):535-44. https://pubmed.ncbi.nlm.nih.gov/14619359/
  • 22. Mervis JS, Phillips TJ. Pressure ulcers: pathophysiology, epidemiology, risk factors, and presentation. J Am Acad Dermatol. 2019;81(4):881-90. https://doi.org/10.1016/j.jaad.2018.12.069
  • 23. Zhang X, Zhu N, Li Z, Xie X, Liu T, Ouyang G. The global burden of decubitus ulcers from 1990 to 2019. Sci Rep. 2021; 11:217-50. https://doi.org/10.1038/s41598-021-01188-4
  • 24. Casimiro C, García-de-Lorenzo A, Usan L. Prevalence of decubitus ulcer and associated risk factors in an institutionalized Spanish elderly population. Nutrition. 2002; 18:408-14. https://doi.org/10.1016/s0899-9007(01)00805-x

Farklı sağlık hizmeti sağlayıcıları tarafından palyatif bakım hizmetine kabul edilen hastalarda bası yarası görülme sıklığının karşılaştırılması

Year 2025, Volume: 10 Issue: 1, 5 - 10, 20.03.2025

Feridun Gurlek , Eyup Tasdemir , Ali Erol , Fatih Coşkun

https://doi.org/10.22391/fppc.1528838

Abstract

Giriş: Palyatif bakım veren merkezler arasındaki bası yarası görülme sıklığının değerlendirilmesi amaçlandı.
Yöntem: Bu çalışma Sağlık Bilimleri Üniversitesi Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi palyatif bakım merkezine 2019-2020 yılları arasında kabul edilen hastalar arasında yapıldı. Yoğun bakım, ev ve servislerden kabul edilen palyatif bakım hastası tanımına uyan 217 hastanın tıbbi verileri geriye dönük olarak tarandı. Hastaların demografik verileri, tanıları, kronik hastalıkları ve bası yaralarının özellikleri kaydedildi.
Bulgular: Yoğun bakımdan kabul edilen palyatif bakım hastalarında bası yarası görülme sıklığı evden ve servislerden kabul edilen hastalardan anlamlı düzeyde yüksektir.
Sonuç: Yoğun bakımlarda palyatif bakım hastası tanımına uyan hastaların bası yarası açısından takip ve bakımları ev ve servislerle karşılaştırıldığında daha zordur. Palyatif bakım tanımına uyan hastalara bu hizmetin özellikle evlerde verilmesi bası yaralanmasının önlenmesi ve tedavisi açısından önemlidir.

Keywords

palyatif bakım bası yaraları sağlık hizmeti sağlayıcıları

Ethical Statement

The study included patients hospitalized in the Bursa Health Sciences University Hospital Palliative Care Center between May 2019 and September 2020. Ethics committee approval was obtained with the protocol number 2011-KAEK-25 2021/09-04.

References

  • 1. Afzali Borojeny L, Albatineh AN, Hasanpour Dehkordi A, Ghanei Gheshlagh R. The incidence of pressure ulcers and its associations in different wards of the hospital: a systematic review and meta-analysis. Int J Prev Med. 2020;5(11):171. https://doi.org/10.4103/ijpvm.ijpvm_182_19
  • 2. Raziyeva K, Kim Y, Zharkinbekov Z, Kassymbek K, Jimi S, Saparov A. Immunology of acute and chronic wound healing. Biomolecules. 2021;11(5):700. https://doi.org/10.3390/biom11050700
  • 3. Sibbald RG, Krasner DL, Woo KY. Pressure ulcer staging revisited: superficial skin changes & deep pressure ulcer framework. Adv Skin Wound Care. 2011; 24:571-80. https://doi.org/10.1097/01.ASW.0000408467.26999.6d
  • 4. Thomas DR. The new F-tag 314: prevention and management of pressure ulcers. J Am Med Dir Assoc. 2007; 8:117-25. https://doi.org/10.1016/j.jamda.2006.12.013
  • 5. Gefen A. How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies. Ostomy Wound Manage. 2008; 54:26-30. https://pubmed.ncbi.nlm.nih.gov/18927481/
  • 6. Schindler CA, Mikhailov TA, Kuhn EM, Christopher J, Conway P, Ridling D, Scott AM, Simpson VS. Protecting fragile skin: nursing interventions to decrease development of pressure ulcers in pediatric intensive care. Am J Crit Care. 2011;20(1):26-34. https://doi.org/10.4037/ajcc2011754
  • 7. Kottner J, Dassen T. Pressure ulcer risk assessment in critical care: interrater reliability and validity studies of the Braden and Waterlow scales and subjective ratings in two intensive care units. Int J Nurs Stud. 2010;47(6):671-7. https://doi.org/10.1016/j.ijnurstu.2009.11.005
  • 8. Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. JAMA. 2006;296(8):974-84. https://doi.org/10.1001/jama.296.8.974
  • 9. Claudia G, Diane M, Daphney SG, Danièle D. Prevention and treatment of pressure ulcers in a university hospital centre: a correlational study examining nurses' knowledge and best practice. Int J Nurs Pract. 2010;16(2):183-7. https://doi.org/10.1111/j.1440-172X.2010.01828.x
  • 10. James J, Evans JA, Young T, Clark M. Pressure ulcer prevalence across Welsh orthopaedic units and community hospitals: surveys based on the European Pressure Ulcer Advisory Panel minimum data set. Int Wound J. 2010;7(3):147-52. https://doi.org/10.1111/j.1742-481X.2010.00665.x
  • 11. Agrawal K, Chauhan N. Pressure ulcers: back to the basics. Indian J Plast Surg. 2012;45(2):244-54. https://doi.org/10.4103/0970-0358.101287
  • 12. Keller BP, Wille J, van Ramshorst B, van der Werken C. Pressure ulcers in intensive care patients: a review of risks and prevention. Intensive Care Med. 2002;28(10):1379-88. https://doi.org/10.1007/s00134-002-1487-z
  • 13. Cremasco MF, Wenzel F, Zanei SS, Whitaker IY. Pressure ulcers in the intensive care unit: the relationship between nursing workload, illness severity and pressure ulcer risk. J Clin Nurs. 2013; 22:2183-91. https://doi.org/10.1111/j.1365-2702.2012.04216.x
  • 14. European Pressure Ulcer Advisory Panel. Guidelines on treatment of pressure ulcers. EPUAP Rev. 1999; 1:31-3.
  • 15. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel pressure injury staging system. J Wound Ostomy Continence Nurs. 2016;43(6):585-97. https://doi.org/10.1097/won.0000000000000281
  • 16. Lyder CH. Pressure ulcer prevention and management. JAMA. 2003; 289:223-6. https://doi.org/10.1001/jama.289.2.223
  • 17. Dorner B, Posthauer ME, Thomas D. The role of nutrition in pressure ulcer prevention and treatment: National Pressure Ulcer Advisory Panel white paper. Adv Skin Wound Care. 2009; 22:212-21. https://doi.org/10.1097/01.ASW.0000350838.11854.0a
  • 18. Dincer M, Doger C, Tas SS, Karakaya D. An analysis of patients in palliative care with pressure injuries. Niger J Clin Pract. 2018;21(4):484-91. https://doi.org/10.4103/njcp.njcp_51_17
  • 19. Çınar F, Kula Şahin S, Eti Aslan F. Evaluation of studies in Turkey on the prevention of pressure sores in the intensive care unit: a systematic review. Balıkesir Univ Saglik Bilim Derg. 2018;7(1):42-50.
  • 20. Campbell KE, Woodbury MG, Houghton PE. Heel pressure ulcers in orthopedic patients: a prospective study of incidence and risk factors in an acute care hospital. Ostomy Wound Manage. 2010;56(2):44-54. https://pubmed.ncbi.nlm.nih.gov/20200445/
  • 21. Pokorny ME, Koldjeski D, Swanson M. Skin care intervention for patients having cardiac surgery. Am J Crit Care. 2003;12(6):535-44. https://pubmed.ncbi.nlm.nih.gov/14619359/
  • 22. Mervis JS, Phillips TJ. Pressure ulcers: pathophysiology, epidemiology, risk factors, and presentation. J Am Acad Dermatol. 2019;81(4):881-90. https://doi.org/10.1016/j.jaad.2018.12.069
  • 23. Zhang X, Zhu N, Li Z, Xie X, Liu T, Ouyang G. The global burden of decubitus ulcers from 1990 to 2019. Sci Rep. 2021; 11:217-50. https://doi.org/10.1038/s41598-021-01188-4
  • 24. Casimiro C, García-de-Lorenzo A, Usan L. Prevalence of decubitus ulcer and associated risk factors in an institutionalized Spanish elderly population. Nutrition. 2002; 18:408-14. https://doi.org/10.1016/s0899-9007(01)00805-x
There are 24 citations in total.

Details

Primary Language English
Subjects Palliative Care
Journal Section Original Research
Authors

Feridun Gurlek 0000-0003-2265-8033

Eyup Tasdemir 0000-0003-3083-4068

Ali Erol 0000-0002-7279-4714

Fatih Coşkun 0000-0003-0541-5910

Publication Date March 20, 2025
Submission Date August 6, 2024
Acceptance Date November 18, 2024
Published in Issue Year 2025 Volume: 10 Issue: 1

Cite

APA Gurlek, F., Tasdemir, E., Erol, A., Coşkun, F. (2025). Comparison of the incidence of pressure ulcers among patients admitted to the palliative care service from different providers. Family Practice and Palliative Care, 10(1), 5-10. https://doi.org/10.22391/fppc.1528838
AMA Gurlek F, Tasdemir E, Erol A, Coşkun F. Comparison of the incidence of pressure ulcers among patients admitted to the palliative care service from different providers. Fam Pract Palliat Care. March 2025;10(1):5-10. doi:10.22391/fppc.1528838
Chicago Gurlek, Feridun, Eyup Tasdemir, Ali Erol, and Fatih Coşkun. “Comparison of the Incidence of Pressure Ulcers Among Patients Admitted to the Palliative Care Service from Different Providers”. Family Practice and Palliative Care 10, no. 1 (March 2025): 5-10. https://doi.org/10.22391/fppc.1528838.
EndNote Gurlek F, Tasdemir E, Erol A, Coşkun F (March 1, 2025) Comparison of the incidence of pressure ulcers among patients admitted to the palliative care service from different providers. Family Practice and Palliative Care 10 1 5–10.
IEEE F. Gurlek, E. Tasdemir, A. Erol, and F. Coşkun, “Comparison of the incidence of pressure ulcers among patients admitted to the palliative care service from different providers”, Fam Pract Palliat Care, vol. 10, no. 1, pp. 5–10, 2025, doi: 10.22391/fppc.1528838.
ISNAD Gurlek, Feridun et al. “Comparison of the Incidence of Pressure Ulcers Among Patients Admitted to the Palliative Care Service from Different Providers”. Family Practice and Palliative Care 10/1 (March2025), 5-10. https://doi.org/10.22391/fppc.1528838.
JAMA Gurlek F, Tasdemir E, Erol A, Coşkun F. Comparison of the incidence of pressure ulcers among patients admitted to the palliative care service from different providers. Fam Pract Palliat Care. 2025;10:5–10.
MLA Gurlek, Feridun et al. “Comparison of the Incidence of Pressure Ulcers Among Patients Admitted to the Palliative Care Service from Different Providers”. Family Practice and Palliative Care, vol. 10, no. 1, 2025, pp. 5-10, doi:10.22391/fppc.1528838.
Vancouver Gurlek F, Tasdemir E, Erol A, Coşkun F. Comparison of the incidence of pressure ulcers among patients admitted to the palliative care service from different providers. Fam Pract Palliat Care. 2025;10(1):5-10.
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Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505