Location-dependent depth and undermining formation of pressure ulcers.

Abstract: Aim of the study: We examined the location-specific properties of pressure ulcers, focusing on depth and undermining formation, which are often unfavorable factors for ulcer healing. Methods: We conducted a retrospective observational study of 2 independent databases on pressure ulcers. Da...

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Published in:Journal of Tissue Viability Vol. 22; no. 3; pp. 63 - 68
Main Authors: Takahashi, Yoshiko, Isogai, Zenzo, Mizokami, Fumihiro, Furuta, Katsunori, Nemoto, Tetsuya, Kanoh, Hiroyuki, Yoneda, Masahiko
Format: research tables/charts Journal Article
Published: Elsevier B.V. Aug2013
Online Access:View this record in EBSCOhost
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      dt: Aug2013
      vid: 22
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      pub: Elsevier B.V.
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        10.1016/j.jtv.2013.05.001
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        atl: Location-dependent depth and undermining formation of pressure ulcers.
      aug:
        au:
          Takahashi, Yoshiko
          Isogai, Zenzo
          Mizokami, Fumihiro
          Furuta, Katsunori
          Nemoto, Tetsuya
          Kanoh, Hiroyuki
          Yoneda, Masahiko
        affil: Department of Nursing & Health, School of Nursing & Health, Aichi Prefectural University, Aichi, Japan
      sug:
        subj:
          Pressure Ulcer Classification
          Interface Pressure Classification
          Wound Measurement
          Human
          Record Review
          Pressure Ulcer Etiology
          Ilium
          Sacrum
          Adipose Tissue Distribution
      ab: Abstract: Aim of the study: We examined the location-specific properties of pressure ulcers, focusing on depth and undermining formation, which are often unfavorable factors for ulcer healing. Methods: We conducted a retrospective observational study of 2 independent databases on pressure ulcers. Databases from a 200-bed hospital (database A) and a 300-bed hospital (database B) were collected during different time periods. Relationships between ulcer location, ulcer depth, and undermining formation were analyzed. All pressure ulcers were accurately diagnosed and classified according to their locations. Results: A total of 282 pressure ulcers in 189 patients from database A and 232 pressure ulcers in 154 patients from database B were analyzed. It was found that pressure ulcers primarily developed over the sacrum. Ratio of stages III and IV pressure ulcers was high in pressure ulcers of the foot, ankle, and crus on the lower leg. Among the deep pressure ulcers, undermining formation was frequently observed on the greater trochanter, ilium, and sacrum. In contrast, pressure ulcers of the foot, ankle, and crus did not exhibit undermining formation. Conclusion: Our results revealed marked differences in pressure ulcer properties depending on their location. Factors affecting depth and undermining of pressure ulcers appear to be related to anatomical and physical properties of the bone and subcutaneous tissue.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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