Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study.
Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study.
复制标题
日本一家长期医疗机构的老年患者四肢皮肤撕裂的发生率：一项前瞻性队列研究。
DOI：
10.1111/ggi.12405
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发表时间：
2015
影响因子：
3.3
通讯作者：
Sugama J.
中科院分区：
文献类型：
--
作者：
Sanada H;Nakagami G;Koyano Y;Iizaka S;Sugama J.
目的缺乏亚洲国家老年人皮肤撕裂发生率的队列研究数据。我们估计皮肤撕裂的累积发生率，并确定其危险因素。方法本前瞻性队列研究在日本一家长期医疗机构进行。参与者包括接受医院护理的65岁或以上的患者（n= 368）。通过直接检查四肢来确定皮肤撕裂的3个月累积发生率。为了找到皮肤撕裂发生的危险因素，使用logistic回归分析估计皮肤撕裂发生与这些因素相关的比值比及其95%置信区间。结果14例患者出现皮肤撕裂，累计发生率为3.8%。没有皮肤撕裂的患者四肢出现多处伤口。一半的皮肤撕裂发生在右前臂外侧，只有三处皮肤撕裂发生在小腿。多重逻辑分析显示，预先存在的皮肤撕裂（优势比15.42,95%可信区间3.53-67.43，P< 0.001）和布雷登量表总分下降6分（优势比0.10,95%可信区间0.01-0.83，P< 0.033）与皮肤撕裂的发生显著相关。结论布雷登量表评分较低且已存在皮肤撕裂的患者在3个月内发生皮肤撕裂的风险较高。这些因素可用于识别需要皮肤撕裂预防护理的患者。Geriatr Gerontol Int 2015；15: 1058 - 1063。
AimThere is a lack of data from cohort studies for the incidence of skin tears among an elderly population in an Asian country. We estimated the cumulative incidence of skin tear, and identify its risk factor.MethodsThe present prospective cohort study was carried out at a long‐term medical facility in Japan. Participants included patients (n= 368) aged 65 years or older receiving hospital care. The 3‐month cumulative incidence of skin tears was estimated by identifying them using direct inspection of the extremities. In order to find the risk factors for the skin tear incidence, odds ratios and their 95% confidence intervals of skin tear development in association with the factors were estimated using logistic regression analyses.ResultsA total of 14 patients developed skin tears, and their cumulative incidence was 3.8%. No patients with skin tears developed multiple wounds on their extremities. Half of the skin tears occurred on the outside of the right forearm, and just three skin tears were found in the lower legs. Multiple logistic analyses showed that pre‐existing skin tears (odds ratio 15.42, 95% confidence interval 3.53–67.43,P< 0.001) and a 6‐point decrease in the total score of the Braden Scale (odds ratio 0.10, 95% confidence interval 0.01–0.83,P< 0.033) were significantly associated with skin tear development.ConclusionsPatients with pre‐existing skin tears and a low score of the Braden Scale have a higher risk of skin tear development during 3 months. These factors could be used to identify patients requiring prevention care for skin tears.Geriatr Gerontol Int 2015; 15: 1058–1063.