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J R Soc Med. 1999 November; 92(11): 576–578.
PMCID: PMC1297433

The limits of pressure sore prevention.

Abstract

Pressure sore prevalence and incidence were assessed in 275 patients who were admitted to a well-staffed internal medicine ward during a 12-month study period or who were present on day 1. Pressure sore risk was assessed by use of the Braden scale and patients scoring 16 or less were provided with intensive preventive care. During the study period 5.1% (95% confidence interval 2.7-7.8) of 275 patients had pressure sores (prevalence) and 4.4% (1.9-6.9) developed sores (incidence). None of the 239 patients who were assessed as not being at risk developed a sore. 36 patients were assessed as being at risk at some time during the study and 12 of these developed sores despite receiving high-quality preventive care. The results suggest that not all pressure sores can be prevented in severely ill patients. We believe that the 4.4% incidence of sores in this study approaches the current limit of prevention.

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Allcock N, Wharrad H, Nicolson A. Interpretation of pressure-sore prevalence. J Adv Nurs. 1994 Jul;20(1):37–45. [PubMed]
  • Nyquist R, Hawthorn PJ. The prevalence of pressure sores within an area health authority. J Adv Nurs. 1987 Mar;12(2):183–187. [PubMed]
  • Clark M, Watts S. The incidence of pressure sores within a National Health Service Trust hospital during 1991. J Adv Nurs. 1994 Jul;20(1):33–36. [PubMed]
  • St Clair M, Cooper S, Gebhardt K. Tissue viability. Measuring pressure sore incidence: a study. Nurs Stand. 1995 Feb 1;9(19):50–51. [PubMed]
  • Hunter SM, Cathcart-Silberberg T, Langemo DK, Olson B, Hanson D, Burd C, Sauvage TR. Pressure ulcer prevalence and incidence in a rehabilitation hospital. Rehabil Nurs. 1992 Sep-Oct;17(5):239–242. [PubMed]
  • Oot-Giromini BA. Pressure ulcer prevalence, incidence and associated risk factors in the community. Decubitus. 1993 Sep;6(5):24–32. [PubMed]
  • Brandeis GH, Ooi WL, Hossain M, Morris JN, Lipsitz LA. A longitudinal study of risk factors associated with the formation of pressure ulcers in nursing homes. J Am Geriatr Soc. 1994 Apr;42(4):388–393. [PubMed]
  • Bridel J. Tissue viability. Interpreting pressure sore data. Nurs Stand. 1995 Feb 1;9(19):52–54. [PubMed]
  • Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden Scale for Predicting Pressure Sore Risk. Nurs Res. 1987 Jul-Aug;36(4):205–210. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press