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Gerokomos

Print version ISSN 1134-928X

Abstract

REAL LOPEZ, Luis et al. Hospital prevalence of dependence-related lesions in the province of Burgos. Multicenter study. Gerokomos [online]. 2020, vol.31, n.2, pp.98-106.  Epub Oct 05, 2020. ISSN 1134-928X.

Aim:

To determine the hospital prevalence of dependencerelated lesions (DRL) in the province of Burgos. Determine the characteristics of the DRL. Identify the risk assessments of pressure ulcer (PU) and the use of PU prevention devices. Quantify the DRL nursing records.

Methodology:

Observational, descriptive, cross-sectional and multicenter study, performed through direct observation and review of the health record of adults admitted to hospitalization units.

Results:

The population totaled 511 patients, of wich 188 presented DRL. 328 DRL were detected: 176 (53.65%) PU, 48 (14.63%) moisture lesions, 81 (24,69%) friction lesions, 11 (3.35%) combined lesions, and 12 (3.65%) multifactorial lesions. The most numerous was PU category 1 totaling 35.36%. 78.96% of the DRL were determined to be hospital acquired. The prevalence of DRL is 36.79%. The prevalences for DRL types are: PU 20.93%, moisture lesions 9%, friction 12.72%, combined 1.76% and multifactorial 1.56%. 35.61% of patients had some type of preventive device, 60.07% had a risk assessment for PU, 30.31% had a record of the lesion and 18.37% had a specific care plan.

Conclusions:

The prevalence of DRL, obtained by direct inspection, quadruples national results, but it seems to be more accurate than the data obtained through nursing records. It is advisable to universalize the assessment of the risk of suffering PU to all patients, to improve nursing records and to reinforce preventive efforts.

Keywords : Prevalence; Dependence-related lesions; Pressure ulcer; Moisture lesions; Acute hospital; Multicentric.

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