Published in:
Journal of Clinical Nursing, 32 (2023) 9-10, Seite 1979-1992
Language:
English
DOI:
10.1111/jocn.16260
ISSN:
0962-1067;
1365-2702
Origination:
Footnote:
Description:
AbstractAims and objectivesProviding the first meta‐analysis of risk factors for pressure ulcer development in adult patients.BackgroundPressure ulcers remain a serious health complication for patients and nursing staff. However, there is a lack of statistical evidence for risk factors as previous research did not include any quantitative synthesis.DesignMeta‐analysis, using PRISMA guidelines.MethodsStudies from PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews and sources were screened and checked against the inclusion criteria. The risk of bias was evaluated using a slightly modified QUIPS tool. Data regarding population, design, statistical analysis and risk factors were extracted. Meta‐analysis with comparable studies was conducted for age, sex, and Braden scale. The sub‐group analysis was used to account for heterogeneity.Results28 studies with 570,162 patients were entered in meta‐analysis. Older age and a low total Braden scale score increased the risk for pressure ulcers. All subscales excluding ‘moisture’ reached significance in meta‐analysis based only on few studies, however, limiting overall evidence. Male sex achieved mixed results, too.ConclusionThe first meta‐analytic analysis shows evidence for age and Braden scale as risk factors for pressure ulcer development. Limitations regarding study quality and heterogeneity must be considered, highlighting the need for unifying certain conditions in risk factor research.Relevance to clinical practicePatients at risk for new pressure ulcers can be identified by their total Braden score and age, whereas the latter is also connected to deeper pressure ulcers. Nurses and health personnel should pay great attention to patients in older age and undergo specific training to utilise and evaluate the Braden scale effectively, if necessary.