Identifying the characteristics of children with pressure ulcers.

AIM

To identify the characteristics of children with pressure ulceration so that those at risk may be identified in future.

METHOD

A multicentre survey was undertaken in 11 hospitals to ascertain the incidence, severity and position of pressure ulcers in paediatric inpatients.

RESULTS

The most frequently reported ulcer grade involved blistering of the skin or a superficial skin break. The most frequent site was the sacrum or buttocks, heel, thigh, ear, occipital scalp, malleolus and spine. In 50 per cent (n=27) of children, pressure ulcers could be associated with equipment pressing or rubbing on the skin.

CONCLUSION

Risk assessment tools designed specifically for children are needed, and more research should be undertaken to confirm the characteristics that increase children's risk of pressure ulceration and to establish the significance of individual characteristics.