Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals
Background & Aim: Pressure ulcers pose a serious and anticipated challenge within the health system. The present study aimed to determine the incidence of pressure ulcer and associated factors among children and newborns. Methods & Materials: In this cohort study a sample size of 1025 childr...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2023-10-01
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| Series: | حیات |
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| Online Access: | http://hayat.tums.ac.ir/article-1-5015-en.pdf |
| _version_ | 1797359817882337280 |
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| author | Sohbat Safaie Seyedeh Fatemeh Ghasemi Fatemeh Valizadeh Rasool Mohammadi |
| author_facet | Sohbat Safaie Seyedeh Fatemeh Ghasemi Fatemeh Valizadeh Rasool Mohammadi |
| author_sort | Sohbat Safaie |
| collection | DOAJ |
| description | Background & Aim: Pressure ulcers pose a serious and anticipated challenge within the health system. The present study aimed to determine the incidence of pressure ulcer and associated factors among children and newborns.
Methods & Materials: In this cohort study a sample size of 1025 children aged 0 to 14 years hospitalized in two medical training centers affiliated with Kermanshah University of Medical Sciences, were included. The sampling method employed was convenience sampling, conducted between March and July 2022. The data collection tools utilized in this study included a demographic information questionnaire, the Glasgow Coma Scale, National Pressure Ulcer Counseling Association classification, and Braden Q Scale. The data was analyzed using both univariate and multivariate logistic regression analyses.
Results: The incidence rate of pressure ulcers was found to be 4.97% (51 people). In terms of severity, the majority of pressure ulcers were categorized as first grade, accounting for 82.14% (46 people), with the hand area being the most frequently affected site of ulceration, representing 35.71% (20 people). The factors exhibited a significantly higher relative risk of pressure ulcers in children and infants included consciousness level of less than 14 (RR=6.07, 2.90-12.73: 95%CI), hospitalization duration of more than five days (RR=1.08, 1.05-1.12: 95%CI), presence of respiratory problems (RR=2.17, 1.19-3.94: 95%CI), immobility (RR=6.46, 3.44-12.13: 95% CI), utilization of NCPAP mask (RR=1.11, 1.05-1.18: 95% CI), and pulse oximeter (RR=6.07, 1.03-1.10: 95% CI). In the multivariate analysis, hospitalization duration of more than five days (RR=4.89, 2.29-10.40: 95% CI, P<0.001) and immobility (RR=2.49, 1.29-6.29: 95% CI, P=0.01) were found to be significantly associated with an increased risk of pressure ulcers.
Conclusion: The incidence rate of pressure ulcers observed in the present study was relatively low, measuring below 5%. Notably, prolonged hospitalization duration and immobility were identified as the most important risk factors contributing to the development of pressure ulcers among children and infants. Moreover, the utilization of specific medical devices, especially angiocaths and NCPAP masks, as well as the presence of respiratory diseases emerged as additional significant factors associated with the occurrence of pressure ulcers. |
| first_indexed | 2024-03-08T15:29:15Z |
| format | Article |
| id | doaj.art-397eb108874b4e43aa566523f255a61f |
| institution | Directory Open Access Journal |
| issn | 1735-2215 2008-188X |
| language | fas |
| last_indexed | 2024-03-08T15:29:15Z |
| publishDate | 2023-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | حیات |
| spelling | doaj.art-397eb108874b4e43aa566523f255a61f2024-01-10T06:45:56ZfasTehran University of Medical Sciencesحیات1735-22152008-188X2023-10-01293329342Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitalsSohbat Safaie0Seyedeh Fatemeh Ghasemi1Fatemeh Valizadeh2Rasool Mohammadi3 Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran Dept. of Pediatric Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran Dept. of Biostatistics and Epidemiology, School of Public Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran Background & Aim: Pressure ulcers pose a serious and anticipated challenge within the health system. The present study aimed to determine the incidence of pressure ulcer and associated factors among children and newborns. Methods & Materials: In this cohort study a sample size of 1025 children aged 0 to 14 years hospitalized in two medical training centers affiliated with Kermanshah University of Medical Sciences, were included. The sampling method employed was convenience sampling, conducted between March and July 2022. The data collection tools utilized in this study included a demographic information questionnaire, the Glasgow Coma Scale, National Pressure Ulcer Counseling Association classification, and Braden Q Scale. The data was analyzed using both univariate and multivariate logistic regression analyses. Results: The incidence rate of pressure ulcers was found to be 4.97% (51 people). In terms of severity, the majority of pressure ulcers were categorized as first grade, accounting for 82.14% (46 people), with the hand area being the most frequently affected site of ulceration, representing 35.71% (20 people). The factors exhibited a significantly higher relative risk of pressure ulcers in children and infants included consciousness level of less than 14 (RR=6.07, 2.90-12.73: 95%CI), hospitalization duration of more than five days (RR=1.08, 1.05-1.12: 95%CI), presence of respiratory problems (RR=2.17, 1.19-3.94: 95%CI), immobility (RR=6.46, 3.44-12.13: 95% CI), utilization of NCPAP mask (RR=1.11, 1.05-1.18: 95% CI), and pulse oximeter (RR=6.07, 1.03-1.10: 95% CI). In the multivariate analysis, hospitalization duration of more than five days (RR=4.89, 2.29-10.40: 95% CI, P<0.001) and immobility (RR=2.49, 1.29-6.29: 95% CI, P=0.01) were found to be significantly associated with an increased risk of pressure ulcers. Conclusion: The incidence rate of pressure ulcers observed in the present study was relatively low, measuring below 5%. Notably, prolonged hospitalization duration and immobility were identified as the most important risk factors contributing to the development of pressure ulcers among children and infants. Moreover, the utilization of specific medical devices, especially angiocaths and NCPAP masks, as well as the presence of respiratory diseases emerged as additional significant factors associated with the occurrence of pressure ulcers.http://hayat.tums.ac.ir/article-1-5015-en.pdfpressure ulcerschildrennewbornsrisk factors |
| spellingShingle | Sohbat Safaie Seyedeh Fatemeh Ghasemi Fatemeh Valizadeh Rasool Mohammadi Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals حیات pressure ulcers children newborns risk factors |
| title | Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals |
| title_full | Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals |
| title_fullStr | Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals |
| title_full_unstemmed | Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals |
| title_short | Incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals |
| title_sort | incidence rate of pressure ulcers and associated factors among children and newborn hospitalized in teaching hospitals |
| topic | pressure ulcers children newborns risk factors |
| url | http://hayat.tums.ac.ir/article-1-5015-en.pdf |
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