Risk Factors ID'd for Pressure Ulcers in Prolonged Surgery

Use of foam pads in surgery, having a lower day-one Braden score predictive of pressure ulcers

THURSDAY, Dec. 1 (HealthDay News) -- Pressure ulcer development during surgical procedures that last more than three hours is significantly related to the type of positioning device, table surface, skin assessment, and gender; with use of a foam pad and a lower day-one Braden score significantly predictive of pressure ulcers, according to a study published in the December issue of the AORN Journal.

Mike Primiano, R.N., from the MetroHealth Medical Center in Cleveland, and colleagues examined the prevalence and risk factors associated with the development of pressure ulcers among 258 patients who underwent surgical procedures lasting longer than three hours. Data on pressure ulcer risk factors were gathered preoperatively, intraoperatively, and postoperatively for all adult same-day admission patients scheduled for a three-hour surgical procedure, during an eight-month period.

The investigators found that, in bivariate analyses, pressure ulcer development was significantly associated with the type of positioning (heels elevated), bed surface in the operating room (foam table pad), skin assessment in the postanesthesia care unit, and male gender. Factors that were significantly predictive of pressure ulcers in logistic regression analyses were use of a foam pads during surgery and a lower day-one Braden score.

"Findings indicate that positioning and table surfaces are two key components that may influence pressure ulcer development. Perioperative nurses can use this information when assessing patient risk for pressure ulcers and delivering interventions to prevent pressure ulcer development," the authors write.

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