Joanna Blackburn1, Karen Ousey2,3, Lauren Taylor4, Barry Moore5, Declan Patton6,7,8, Zena Moore9,10,11,12,13,14, Pinar Avsar15. 1. 1 Research Fellow, Institute of Skin Integrity and Infection Prevention, School of Human and Health Sciences, University of Huddersfield, Queensgate, Huddersfield, UK. 2. 2 Professor of Skin Integrity, Director Institute of Skin Integrity and Infection Prevention University of Huddersfield, Institute of Skin Integrity and Infection Prevention, School of Human and Health Sciences, University of Huddersfield, UK. 3. 3 Clinical Professor, Queensland University of Technology, Australia. 4. 4 Research Registrar, Pinderfields Research Unit, Pinderfields General Hospital, UK. 5. 5 Chartered Physiotherapist, Tallaght University Hospital, Dublin 24, Ireland. 6. 6 Senior Lecturer, Director of Nursing and Midwifery Research and Deputy Director of the Skin Wounds, and Trauma Research Centre, School of Nursing and Midwifery, Royal College of Surgeons in Ireland. 7. 7 Honorary Senior Fellow, Faculty of Science, Medicine and Health, University of Wollongong, Australia. 8. 8 Adjunct Associate Professor, Fakeeh College of Health Sciences, Jeddah, Saudi Arabia. 9. 9 Head of School of Nursing and Midwifery and Director of the Skin Wounds and Trauma Research Centre, Royal College of Surgeons in Ireland (RCSI). 10. 10 Adjunct Professor, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia. 11. 11 Professor, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University. 12. 12 Honorary Professor, Lida Institute, Shanghai. 13. 13 Senior Tutor, University of Wales. 14. 14 Adjunct Professor, School of Nursing, Fakeeh College, Jeddah, Saudi Arabia. 15. 15 School of Nursing and Midwifery, Royal College of Surgeons in Ireland.
Abstract
OBJECTIVE: The aim of this systematic review was to examine the associations and relationship between commonly cited risk factors and the pathology of pressure ulcer (PU) development. METHOD: Using systematic review methodology, original research studies, prospective design and human studies written in English were included. The search was conducted in March 2018, using Ovid, Ovid EMBASE and CINAHL databases. Data were extracted using a pre-designed extraction tool and all included studies were quality appraised using the evidence-based librarianship critical appraisal. RESULTS: A total of 382 records were identified, of which five met the inclusion criteria. The studies were conducted between 1994 and 2017. Most studies were conducted in hospital and geriatric wards. The mean sample size was 96±145.7 participants. Ischaemia, recovery of blood flow and pathological impact of pressure and shear was mainly found as the cited risk factor and PU aetiology. CONCLUSION: This review systematically analysed five papers exploring the relationship between risk factors for PU development and aetiology. It identified many risk factors and underlying pathological mechanisms that interact in the development of PU including ischaemia, stress, recovery of blood flow, tissue hypoxia and the pathological impact of pressure and shear. There are several pathways in which these pathological mechanisms contribute to PU development and identifying these could establish potential ways of preventing or treating the development of PU for patients.
OBJECTIVE: The aim of this systematic review was to examine the associations and relationship between commonly cited risk factors and the pathology of pressure ulcer (PU) development. METHOD: Using systematic review methodology, original research studies, prospective design and human studies written in English were included. The search was conducted in March 2018, using Ovid, Ovid EMBASE and CINAHL databases. Data were extracted using a pre-designed extraction tool and all included studies were quality appraised using the evidence-based librarianship critical appraisal. RESULTS: A total of 382 records were identified, of which five met the inclusion criteria. The studies were conducted between 1994 and 2017. Most studies were conducted in hospital and geriatric wards. The mean sample size was 96±145.7 participants. Ischaemia, recovery of blood flow and pathological impact of pressure and shear was mainly found as the cited risk factor and PU aetiology. CONCLUSION: This review systematically analysed five papers exploring the relationship between risk factors for PU development and aetiology. It identified many risk factors and underlying pathological mechanisms that interact in the development of PU including ischaemia, stress, recovery of blood flow, tissue hypoxia and the pathological impact of pressure and shear. There are several pathways in which these pathological mechanisms contribute to PU development and identifying these could establish potential ways of preventing or treating the development of PU for patients.
Authors: María Dolores López-Franco; Laura Parra-Anguita; Inés María Comino-Sanz; Pedro L Pancorbo-Hidalgo Journal: Int J Environ Res Public Health Date: 2020-11-18 Impact factor: 3.390
Authors: Magdalena Sylwia Kamińska; Anna Maria Cybulska; Karolina Skonieczna-Żydecka; Katarzyna Augustyniuk; Elżbieta Grochans; Beata Karakiewicz Journal: Int J Environ Res Public Health Date: 2020-10-27 Impact factor: 3.390