Prognostic factors associated with pressure sore development in the immediate post-operative period

Int J Nurs Stud. 2000 Aug;37(4):279-89. doi: 10.1016/s0020-7489(99)00059-0.

Abstract

The purpose of this study was to identify variables associated with post-operative pressure sore incidence. The data were derived from a sequential, double triangular, randomised, blinded, controlled trial of the intra-operative use of a visco-elastic polymer pad conducted at two centres. Of 446 surgical patients recruited the main endpoint was assessed for 416 patients of whom 65 (15.6%) had a post-operative pressure sore. Analysis determined that the probability of a patient developing a pressure sore was associated with increased number of hypotensive episodes and mean core temperature during surgery, and reduced mobility Day 1 post-operatively. The development of a probability equation illustrates the future potential of prognostic factor research in the development of risk assessment tools and their application within clinical settings.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • England / epidemiology
  • Humans
  • Incidence
  • Logistic Models
  • Middle Aged
  • Multivariate Analysis
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / epidemiology
  • Postoperative Complications / nursing
  • Pressure Ulcer / diagnosis*
  • Pressure Ulcer / epidemiology
  • Pressure Ulcer / nursing
  • Prognosis
  • Risk Assessment*