title: Pressure ulcers in trauma patients with suspected spine injury: a prospective cohort study with emphasis on device-related pressure ulcers.
abstract: Of all patients in a hospital environment, trauma patients may be particularly at risk for developing (device-related) pressure ulcers (PUs), because of their traumatic injuries, immobility, and exposure to immobilizing and medical devices. Studies on device-related PUs are scarce. With this study, the incidence and characteristics of PUs and the proportion of PUs that are related to devices in adult trauma patients with suspected spinal injury were described. From January-December 2013, 254 trauma patients were visited every 2 days for skin assessment. The overall incidence of PUs was 28·3% (n = 72/254 patients). The incidence of device-related PUs was 20·1% (n = 51), and 13% (n = 33) developed solely device-related PUs. We observed 145 PUs in total of which 60·7% were related to devices (88/145). Device-related PUs were detected 16 different locations on the front and back of the body. These results show that the incidence of PUs and the proportion of device-related PUs is very high in trauma patients.
authors.affiliation: Emergency Department, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Wietske Hw
authors.initials: WH
authors.lastname: Ham
authors.affiliation: Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom.|Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare (IQ Healthcare), Nijmegen, The Netherlands.
authors.forename: Lisette
authors.initials: L
authors.lastname: Schoonhoven
authors.affiliation: Nursing science, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Marieke J
authors.initials: MJ
authors.lastname: Schuurmans
authors.affiliation: Department of Traumatology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Luke Ph
authors.initials: LP
authors.lastname: Leenen
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D004864:Equipment and Supplies / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000209:etiology*; D011446:Prospective Studies; D018570:Risk Assessment / Q000706:statistics & numerical data*; D013124:Spinal Injuries / Q000150:complications*; D014947:Wounds and Injuries / Q000150:complications*
keywords: Device-related pressure ulcers; Incidence; Suspected spinal injury; Trauma patients