A Retrospective Study of the Impact of Pressure Ulcers on Survival in Elderly Persons With Chronic Diseases.

A Retrospective Study of the Impact of Pressure Ulcers on Survival in Elderly Persons With Chronic Diseases. Ostomy Wound Manage. 2017 May;63(5):26-32 Authors: Jaul E, Rosenzweig JP Abstract Medical advancements are extending the lives of persons with chronic diseases, increasing their risk for pressure ulcer (PU) development. A retrospective chart review of 192 patients (49.48% male, mean age 9.7 ± 10.9 years) admitted to a skilled nursing department between 2008 and 2013 was performed to determine whether PUs and comorbidities, singly and combined, affect patient survival. Characteristics abstracted and assessed included sociodemographic factors (age, gender), diseases/comorbidities (eg, chronic renal failure, dementia, Parkinson's disease [PD], ischemic heart disease, and diabetes mellitus), persistent vegetative state (PVS), type and quantity of PUs (excluding Stage I and PUs that developed during the study), body mass index (BMI) <22, and laboratory data (serum albumin, total protein level, and hemoglobin [Hg] <10). Results were expressed as proportion or mean ± standard deviation. All statistical tests were 2-sided. A P value <.05 was considered significant. Hazard ratios (HR) and statistical significance for survival by risk factors were calculated by the Cox proportional hazards model. Univariate survival models were fitted for all risk factors. Statistical and clinical considerations were used to choose a subset o...
Source: Ostomy Wound Management - Category: Surgery Tags: Ostomy Wound Manage Source Type: research