<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2019000400192</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en residencias de mayores y centros sociosanitarios de España en 2017]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of pressure injuries and other dependence-related skin lesions in nursing homes and residential care centers in Spain in 2017]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soldevilla Agreda]]></surname>
<given-names><![CDATA[J. Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A7"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Fernández]]></surname>
<given-names><![CDATA[Francisco P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A8"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Palma]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A12"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torra i Bou]]></surname>
<given-names><![CDATA[Joan-Enric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A8 "/>
<xref ref-type="aff" rid="Af9"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pancorbo-Hidalgo]]></surname>
<given-names><![CDATA[Pedro L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A8"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de La Rioja Servicio Riojano de Salud Escuela de Enfermería de Logroño]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Jaén Facultad de Ciencias de la Salud Departamento de Enfermería]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Residencia de Mayores &#8220;José Matía Calvo&#8221;  ]]></institution>
<addr-line><![CDATA[Cádiz ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Lleida Facultad de Enfermería y Fisioterapia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Jaén Facultad de Ciencias de la Salud Departamento de Enfermería]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,GNEAUPP  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad de Jaén Cátedra de Estudios Avanzados en Heridas GNEAUPP ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,GNEAUPP  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Hospital Sant Joan de Déu  ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Universitat de Lleida Grupos de investigación IRB Lleida ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Universitat de Vic-Universitat Central de Catalunya TR2Lab ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="A12">
<institution><![CDATA[,Universidad de Jaén Cátedra de Manejo Avanzado en Heridas GNEAUPP ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>30</volume>
<numero>4</numero>
<fpage>192</fpage>
<lpage>199</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2019000400192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2019000400192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2019000400192&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivos: Obtener las cifras de prevalencia de las lesiones por presión (LPP) y otros tipos de lesiones cutáneas relacionadas con la dependencia (LCRD) en centros residenciales para mayores y centros sociosanitarios (CSS) españoles. Analizar las características demográficas y clínicas de las personas con LCRD y de las lesiones.  Metodología: Estudio observacional, transversal, tipo encuesta epidemiológica (5º Estudio Nacional de Prevalencia), dirigido a residencias de mayores y CSS en España. Recogida de datos entre noviembre y diciembre de 2017 mediante formulario seguro on-line. Variables: características de los centros, número de pacientes con cada tipo de LCRD, medidas de prevención, clasificación de cada lesión, tamaño y tiempo de evolución. Se calculó la prevalencia cruda y su intervalo de confianza del 95%.  Resultados: Se han obtenido datos de 43 CSS y residencias de mayores de 6 comunidades autónomas españolas. Solo un 7% de los centros declararon no tener ninguna persona con LCRD atendida en el momento de obtener los datos. La prevalencia global de LCRD fue del 6,24% (IC 95% 5,51-7,07%), y la de cada tipo de lesión: presión, 4,03%; humedad, 2,19%; fricción, 0,80%; combinadas, 1,01%, y desgarros cutáneos, 1,31%. Para las LPP, la prevalencia fue mayor en centros concertados (8,12%) y privados (4,40%) que en los centros públicos (2,96%). No hay diferencias entre tipos de centros para las otras lesiones. Las LCRD eran de origen nosocomial (originadas en instituciones residenciales u hospitales) en el 92,4% de los casos y solo un 7,6% se originaron en los domicilios.  Conclusiones: La prevalencia de LCRD en residencias de mayores y CSS es la más baja en este tipo de centros en la serie histórica de estudios realizado en España por el GNEAUPP. Debido a la menor participación de centros en el estudio, esta menor prevalencia podría explicarse por mayor representación de centros más motivados en la prevención de LCRD, pero también por una mejora en los programas de prevención implementados. Hay diferencias estadísticamente significativas entre la prevalencia de LCRD en función de la titularidad de los centros, siendo las más bajas en los públicos y las más elevadas en los concertados. El perfil, los tipos de lesiones, severidad y localización de las LCRD son similares a las descritas en atención primaria de salud y hospitales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Aims: To obtain figures on the prevalence of pressure injuries (PI) and other types of dependence-related skin lesions (DRSL) in Spanish nursing homes and residential care centres. To analyse the demographic and clinical characteristics of people with DRSL and the characteristics of the lesions.  Methods: Observational, cross-sectional, epidemiological study through a survey (5th National Prevalence Study), aimed at nursing homes and residential centres in Spain. Data collection between November and December 2017 using a secure on-line form. Variables: characteristics of the centres, number of patients with each type of DRSL, prevention measures, classification of each lesion, size and time of evolution. The crude prevalence and its 95% confidence interval were calculated.  Results: 43 nursing home and residential care centres participated, from 6 Spanish autonomous communities. Only 7% of the centres stated that they did not have any person with DRSL attended at the time of collecting the data. The overall prevalence of LCRD was 6.24% (95%CI: 5.51 7.07%) and that of each type of lesion: pressure 4.03%, humidity 2.19%, friction 0.80%, combined 1.01% and skin tears 1.31%. For PI, the prevalence was higher in subsidised (8.12%) and private (4.40%) centres than in public (2.96%) ones. There are no differences between types of centres for the other injuries. DRSL were of nosocomial origin (originating in residential institutions or hospitals) in 92.4% of cases and only 7.6% originated at home.  Conclusions: The prevalence of DRSL in nursing homes and residential centres is the lowest in this type of settings in the historical series of studies carried out in Spain by GNEAUPP. Due to the fact that the participation of centres has been much lower than that of previous studies, this lower prevalence could be explained by a higher representation in the sample of those centres more motivated toward DRSL prevention; but also by an improvement in preventive programmes. There are statistically significant differences between the prevalence of SLRD according to the funding of the centres, with the lowest in the public centres and the highest in the subsidised centres. The profile, types of injuries, severity and location of the DRSL are similar to those described in primary care or hospitals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lesiones por presión]]></kwd>
<kwd lng="es"><![CDATA[lesiones cutáneas asociadas a la humedad]]></kwd>
<kwd lng="es"><![CDATA[desgarros cutáneos]]></kwd>
<kwd lng="es"><![CDATA[lesiones cutáneas relacionadas con la dependencia]]></kwd>
<kwd lng="es"><![CDATA[atención sociosanitaria]]></kwd>
<kwd lng="es"><![CDATA[prevalencia]]></kwd>
<kwd lng="es"><![CDATA[residencia de mayores]]></kwd>
<kwd lng="en"><![CDATA[Pressure injuries]]></kwd>
<kwd lng="en"><![CDATA[moisture associated skin damage]]></kwd>
<kwd lng="en"><![CDATA[dependence-related skin lesions]]></kwd>
<kwd lng="en"><![CDATA[skin tears]]></kwd>
<kwd lng="en"><![CDATA[nursing homes]]></kwd>
<kwd lng="en"><![CDATA[prevalence]]></kwd>
<kwd lng="en"><![CDATA[nursing home]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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