Citas bibligráficas
Vasquez, C., (2022). Factores asociados para el desarrollo de úlceras por presión en adultos mayores de 60 años. Hospital II - 2 Tarapoto. Enero 2018 - diciembre 2020 [Universidad Nacional de San Martín. Fondo Editorial]. http://hdl.handle.net/11458/4482
Vasquez, C., Factores asociados para el desarrollo de úlceras por presión en adultos mayores de 60 años. Hospital II - 2 Tarapoto. Enero 2018 - diciembre 2020 []. PE: Universidad Nacional de San Martín. Fondo Editorial; 2022. http://hdl.handle.net/11458/4482
@misc{renati/1057240,
title = "Factores asociados para el desarrollo de úlceras por presión en adultos mayores de 60 años. Hospital II - 2 Tarapoto. Enero 2018 - diciembre 2020",
author = "Vasquez Guadalupe, Cristian Alfonso",
publisher = "Universidad Nacional de San Martín. Fondo Editorial",
year = "2022"
}
Objective: To determine the factors associated with the development of pressure ulcers (Pus) in hospitalized adults over 60 years old. Material and Methods: Case-control study nested in a retrospective cohort conducted in adults over 60 years old, at Hospital II-2 Tarapoto, from January 2018 to December 2020. A probabilistic sampling was performed, obtaining 35 cases and 70 controls. A data collection form was used as an instrument. Measures of frequency and association were calculated and the X2 test was applied for qualitative variables, as well as the association between the 2 variables, the Odds Ratio (OR) statistic and 95% confidence interval (CI) were applied. Results: The mean age was 80.51 ± 9.92 years, with a higher frequency in the age range of 70 to 79 years, with a predominance of the male sex. The intrinsic factors associated with Pus are: consciousness disorder (OR 40.77; 95% CI 5.04 – 329.57; p = 0.000), low weight (OR 5.20; 95% CI 1.61 – 16.72; p = 0.003), anemia (OR 6.58, 95% CI 2.66 – 16.27, p= 0.000), hypoalbuminemia (OR 4.52; 95% CI 1.71 – 11.96; p = 0.002) and this relationship is statistically significant. Obesity is also associated with PU without statistical significance. Extrinsic factors associated with pressure ulcers are: immobility (OR 5.09; 95% CI 2.12 – 12.25; p = 0.000), head of bed elevation greater than 30° (OR 3.13; 95% CI 1.19 – 8.23; p= 0.01), diaper use (OR 4. 56; 95% CI 1.84 – 11.32; p= 0.001), postural change every 2 hours (OR 3.10; 95% CI 1.10 – 8.76; p= 0.02), hospital stay ≥ 12 days (OR 20.25; 95% CI 6.75 – 60.77; p= 0.000) all with statistical significance. The most frequent location of the PU was in the sacral region with 74.3%, the Norton scale assessment modified medium risk was 42.8%, stage II in 48.6% and the ulcers were not serious in 65.7%. The comorbidities associated with PU are: chronic renal disease V° is associated with PU without statistical significance. Sequelae CVD (OR 4.0; 95% CI 1.50 – 10.67; p= 0.004), chronic malnutrition (OR 3.19; 95% CI 2.39 – 4.25; p= 0.01), liver cirrhosis with encephalopathy (OR 5. 71; 95% CI 1.61 – 20.18; p= 0.003) and exacerbated chronic heart failure (OR 3.54; 95% CI 1.31 – 9.50; p= 0.01) and with statistical significance. Conclusions: The variables associated with the development of Pus are age, male sex, consciousness disorder, low weight, hypoalbuminemia, anemia and obesity; immobility, head of bed elevation greater than 30°, diaper use, postural change every 2 hours and hospital stay greater than or equal to 12 days are also associated with Pus. The most frequent location was sacral region, medium risk and stage II PU. The studied comorbidities are associated with PU.
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