Risk factors for pressure ulcers in adult patients: A meta-analysis on sociodemographic factors and the Braden scale.
Braden scale
meta-analysis
pressure ulcer
risk factors
systematic review
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
revised:
11
01
2022
received:
27
08
2021
accepted:
04
02
2022
medline:
24
4
2023
pubmed:
23
2
2022
entrez:
22
2
2022
Statut:
ppublish
Résumé
Providing the first meta-analysis of risk factors for pressure ulcer development in adult patients. Pressure ulcers remain a serious health complication for patients and nursing staff. However, there is a lack of statistical evidence for risk factors as previous research did not include any quantitative synthesis. Meta-analysis, using PRISMA guidelines. Studies from PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews and sources were screened and checked against the inclusion criteria. The risk of bias was evaluated using a slightly modified QUIPS tool. Data regarding population, design, statistical analysis and risk factors were extracted. Meta-analysis with comparable studies was conducted for age, sex, and Braden scale. The sub-group analysis was used to account for heterogeneity. 28 studies with 570,162 patients were entered in meta-analysis. Older age and a low total Braden scale score increased the risk for pressure ulcers. All subscales excluding 'moisture' reached significance in meta-analysis based only on few studies, however, limiting overall evidence. Male sex achieved mixed results, too. The first meta-analytic analysis shows evidence for age and Braden scale as risk factors for pressure ulcer development. Limitations regarding study quality and heterogeneity must be considered, highlighting the need for unifying certain conditions in risk factor research. Patients at risk for new pressure ulcers can be identified by their total Braden score and age, whereas the latter is also connected to deeper pressure ulcers. Nurses and health personnel should pay great attention to patients in older age and undergo specific training to utilise and evaluate the Braden scale effectively, if necessary.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
Providing the first meta-analysis of risk factors for pressure ulcer development in adult patients.
BACKGROUND
BACKGROUND
Pressure ulcers remain a serious health complication for patients and nursing staff. However, there is a lack of statistical evidence for risk factors as previous research did not include any quantitative synthesis.
DESIGN
METHODS
Meta-analysis, using PRISMA guidelines.
METHODS
METHODS
Studies from PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews and sources were screened and checked against the inclusion criteria. The risk of bias was evaluated using a slightly modified QUIPS tool. Data regarding population, design, statistical analysis and risk factors were extracted. Meta-analysis with comparable studies was conducted for age, sex, and Braden scale. The sub-group analysis was used to account for heterogeneity.
RESULTS
RESULTS
28 studies with 570,162 patients were entered in meta-analysis. Older age and a low total Braden scale score increased the risk for pressure ulcers. All subscales excluding 'moisture' reached significance in meta-analysis based only on few studies, however, limiting overall evidence. Male sex achieved mixed results, too.
CONCLUSION
CONCLUSIONS
The first meta-analytic analysis shows evidence for age and Braden scale as risk factors for pressure ulcer development. Limitations regarding study quality and heterogeneity must be considered, highlighting the need for unifying certain conditions in risk factor research.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Patients at risk for new pressure ulcers can be identified by their total Braden score and age, whereas the latter is also connected to deeper pressure ulcers. Nurses and health personnel should pay great attention to patients in older age and undergo specific training to utilise and evaluate the Braden scale effectively, if necessary.
Types de publication
Meta-Analysis
Journal Article
Review
Langues
eng
Pagination
1979-1992Subventions
Organisme : Federal Ministry for Economic Affairs and Energy (BMWi)
ID : ZF4698801TS9
Informations de copyright
© 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
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