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Category I Pressure Ulcers How Reliable Is Clinical Assessment?
Karolinska Institutet / Karolinska University Hospital.
Red Cross University College of Nursing. Karolinska University Hospital.
Karolinska Institutet.
Karolinska Institutet / Karolinska University Hospital.
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2011 (English)In: Orthopedic Nursing, ISSN 0744-6020, E-ISSN 1542-538X, Vol. 30, no 3, 194-205 p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Pressure ulcer prevention is an indicator of quality of care. Reliable identification of Category I pressure ulcers is essential in prevalence studies and to prevent further tissue damage. PURPOSE: The primary purpose of this study was to establish interrater reliability between blanching and nonblanching erythema assessed by 2 independent assessors. The secondary purpose was to investigate potential correlations between risk factors and pressure ulcers. METHOD: Ninety-seven patients 65 years or older with hip fractures were consecutively recruited for this prospective, comparative observation study. Seventy-eight patients completed the study. The sacral area of each patient was visually assessed and a finger-press test was administered to each patient by 2 independent assessors. Kappa statistics were used for analysis. FINDINGS: Finger-press tests and visual observation alone were not reliable methods to discriminate between blanching and nonblanching erythema. Forty-seven percent of the patients had a risk score 20 or fewer (high risk for pressure ulcers). Forty-four patients (56%) had pressure ulcers at discharge.

Place, publisher, year, edition, pages
2011. Vol. 30, no 3, 194-205 p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-1172DOI: 10.1097/NOR.0b013e318219ae77PubMedID: 21597349OAI: oai:DiVA.org:rkh-1172DiVA: diva2:759394
Available from: 2014-10-29 Created: 2014-10-21 Last updated: 2014-10-29Bibliographically approved

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