title: As of 2012, what are the key predictive risk factors for pressure ulcers? Developing French guidelines for clinical practice.
abstract: BACKGROUND
  An evaluation of predictive risk factors for pressure ulcers is essential in development of a preventive strategy on admission to hospitals and/or nursing homes.
  
  
  OBJECTIVE
  Identification of the predictive factors for pressure ulcers as of 2012.
  
  
  METHODS
  Systematic review of the literature querying the databases PASCAL Biomed, Cochrane Library and PubMed from 2000 through 2010.
  
  
  RESULTS
  Immobility should be considered as a predictive risk factor for pressure ulcers (grade B). Undernutrition/malnutrition may also be a predictive risk factor for pressure ulcers (grade C).
  
  
  CONCLUSIONS
  Even if the level of evidence is low, once these risk factors have been detected, management is essential. Sensitizing and mobilizing health care teams requires training in ways of tracking and screening. According to the experts, risk scales should be used. As decision aids, they should always be balanced and complemented by the clinical judgment of the treatment team.
  
  
  CONCLUSIONS
  According to experts, it is important to know and predictively evaluate risk of pressure ulcers at the time of hospital admission. The predictive risk factors found in this study are identical to those highlighted at the 2001 consensus conference of which was PERSE was the promoter.
authors.affiliation: Pôle de gérontologie clinique, hôpitaux civils de Colmar, France. jeanmarc.michel@ch-colmar.fr
authors.forename: J-M
authors.initials: JM
authors.lastname: Michel
authors.forename: S
authors.initials: S
authors.lastname: Willebois
authors.forename: P
authors.initials: P
authors.lastname: Ribinik
authors.forename: B
authors.initials: B
authors.lastname: Barrois
authors.forename: D
authors.initials: D
authors.lastname: Colin
authors.forename: Y
authors.initials: Y
authors.lastname: Passadori
mesh_terms: D001835:Body Weight; D017028:Caregivers; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007103:Immobilization / Q000009:adverse effects; D007362:Intensive Care Units; D007902:Length of Stay; D044342:Malnutrition / Q000150:complications; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000209:etiology* / Q000517:prevention & control; D012307:Risk Factors; D012709:Serum Albumin / Q000032:analysis; D013119:Spinal Cord Injuries / Q000150:complications
chemical_list: D012709:Serum Albumin