Medical conditions as risk factors for pressure ulcers in an outpatient setting
Identifieur interne : 009077 ( Main/Exploration ); précédent : 009076; suivant : 009078Medical conditions as risk factors for pressure ulcers in an outpatient setting
Auteurs : David J. Margolis [États-Unis] ; Jill Knauss [États-Unis] ; Warren Bilker [États-Unis] ; Mona Baumgarten [États-Unis]Source :
- Age and Ageing [ 0002-0729 ] ; 2003-05.
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Abstract
Objectives: the purpose of this study was to evaluate the likelihood that the presence of certain medical conditions in older ambulatory patients are associated with the risk of developing a new pressure ulcer. Design: a cohort study. Setting and subjects: a large outpatient record database from the United Kingdom called the General Practice Research Database. Methods: the frequency of disease was reported as simple percentages and the associations between the medical conditions and the development of a pressure ulcer as instantaneous rate ratios. Results: we studied 75,168 older individuals. Pressure ulcers occurred in 1,211 individuals. The medical conditions that were significantly associated with the development of a pressure ulcer after adjustment were: Alzheimer's disease, congestive heart failure, chronic obstructive pulmonary disease, cerebral vascular accident, diabetes mellitus, deep venous thrombosis, hip fracture, hip surgery, limb paralysis, lower limb oedema, malignancy, malnutrition, osteoporosis, Parkinson's disease, rheumatoid arthritis, and urinary tract infections. Angina, hypertension, and pneumonia were inversely associated with the development of a pressure ulcer. Conclusions: it is important that physicians recognise that patients with many medical conditions may be at higher risk for pressure ulcers so that even in the ambulatory care environment appropriate prevention and detection strategies can be directed towards the patients who are most likely to benefit.
Url:
DOI: 10.1093/ageing/32.3.259
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Margolis</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Knauss, Jill" sort="Knauss, Jill" uniqKey="Knauss J" first="Jill" last="Knauss">Jill Knauss</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Bilker, Warren" sort="Bilker, Warren" uniqKey="Bilker W" first="Warren" last="Bilker">Warren Bilker</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Baumgarten, Mona" sort="Baumgarten, Mona" uniqKey="Baumgarten M" first="Mona" last="Baumgarten">Mona Baumgarten</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, MD 21201</wicri:regionArea><placeName><region type="state">Maryland</region><settlement type="city">College Park (Maryland)</settlement></placeName><orgName type="university">Université du Maryland</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j">Age and Ageing</title><title level="j" type="abbrev">Age Ageing</title><idno type="ISSN">0002-0729</idno><idno type="eISSN">1468-2834</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2003-05">2003-05</date><biblScope unit="volume">32</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="259">259</biblScope><biblScope unit="page" to="264">264</biblScope></imprint><idno type="ISSN">0002-0729</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-0729</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>aged</term><term>epidemiology</term><term>pressure ulcers</term><term>risk factors</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: the purpose of this study was to evaluate the likelihood that the presence of certain medical conditions in older ambulatory patients are associated with the risk of developing a new pressure ulcer. Design: a cohort study. Setting and subjects: a large outpatient record database from the United Kingdom called the General Practice Research Database. Methods: the frequency of disease was reported as simple percentages and the associations between the medical conditions and the development of a pressure ulcer as instantaneous rate ratios. Results: we studied 75,168 older individuals. Pressure ulcers occurred in 1,211 individuals. The medical conditions that were significantly associated with the development of a pressure ulcer after adjustment were: Alzheimer's disease, congestive heart failure, chronic obstructive pulmonary disease, cerebral vascular accident, diabetes mellitus, deep venous thrombosis, hip fracture, hip surgery, limb paralysis, lower limb oedema, malignancy, malnutrition, osteoporosis, Parkinson's disease, rheumatoid arthritis, and urinary tract infections. Angina, hypertension, and pneumonia were inversely associated with the development of a pressure ulcer. Conclusions: it is important that physicians recognise that patients with many medical conditions may be at higher risk for pressure ulcers so that even in the ambulatory care environment appropriate prevention and detection strategies can be directed towards the patients who are most likely to benefit.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Pennsylvanie</li></region><settlement><li>College Park (Maryland)</li></settlement><orgName><li>Université du Maryland</li></orgName></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Margolis, David J" sort="Margolis, David J" uniqKey="Margolis D" first="David J." last="Margolis">David J. Margolis</name></region><name sortKey="Baumgarten, Mona" sort="Baumgarten, Mona" uniqKey="Baumgarten M" first="Mona" last="Baumgarten">Mona Baumgarten</name><name sortKey="Bilker, Warren" sort="Bilker, Warren" uniqKey="Bilker W" first="Warren" last="Bilker">Warren Bilker</name><name sortKey="Knauss, Jill" sort="Knauss, Jill" uniqKey="Knauss J" first="Jill" last="Knauss">Jill Knauss</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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