Journal of Perioperative Practice · 2012 · 53 citations · 13 references
NursingPerioperative NursingSurgeryOperating Room NursingPatient SafetyPerioperative SafetyOperating Room Patient SafetyOperating Room SafetyPressure Injury PreventionPressure Injury Risk AssessmentSurgical ComplicationsSurgical SafetyDiabetes-related Surgical RiskHypothermiaLongitudinal Case StudyLongitudinal Correlation StudyPressure Sore PreventionPressure SoresPressure Ulcer PreventionPressure Ulcer Risk Management
To explore the incidence of intraoperative pressure sores, the associated risk factors and the preventive strategies adopted by nurses, we adopted a longitudinal study in a 900-bed teaching hospital with multiple operating theatres, located in the North of Italy. Patients who underwent major surgery were evaluated four times: at the moment of operating theatre admission, at operating theatre discharge, and on their third and sixth postoperative day. Of the patients included (n = 102) who had an average age of 62.3 years (range 20-87), 12.7% (13/102) developed a pressure ulcer in the operating theatre; 46.1% (6/13) of these ulcers were still present on the third postoperative day. Some health conditions (diabetes mellitus, cardiac diseases) and intra-operative factors (lying on the operating table for more than 6.15 hours, intraoperative hypothermia) are associated with the occurrence of pressure sores.
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Risk indicators for pressure ulcers during surgery
Lisette Schoonhoven, Tom Defloor, Ingeborg van der Tweel et al. · Applied Nursing Research · 2002 · 96 citations