Department of Dermatology and Copenhagen Wound Healing Centre, Bispebjerg University Hospital, Copenhagen, Denmark.
Int Wound J. 2018 Apr;15(2):212-217. doi: 10.1111/iwj.12847. Epub 2018 Feb 21.
The aims of the study were to determine the prevalence of skin tears in the extremities and to explore factors associated with development of skin tears in inpatients at a Danish hospital. The study was designed as a point prevalence survey and included 202 patients in the age range 19-99 (mean: 70·7, SD: 16·5). The patients were assessed for presence of skin tears, numbers, locations and previous skin tears. Data were collected using a data collection sheet developed for a previous study. The survey team consisted of four specialist nurses. Data were collected over a period of 24 hours spread over 3 days. Of the 202 patients, 23 had skin tears, yielding a prevalence of 11·4%. In total, 40 skin tears were observed. Multiple logistic regression analysis showed that previous skin tears (odds ratio (OR): 9·3, 95% confidence interval (CI): 2·6-33·4, P < 0·001), ecchymosis (OR: 5·6, CI: 1·4-23·2, P < 0·017) and risk of falling (OR: 3·8, CI: 1·2-12·0, P < 0·021) were significantly associated with development of skin tears. The prevalence of skin tears in this study (11·4%) matches other international observations. The following risk factors were recognised: previous skin tear, ecchymosis and risk of falling. These factors could be used to identify patients requiring prevention of skin tears.
本研究的目的是确定丹麦医院住院患者四肢皮肤撕裂伤的发生率，并探讨与皮肤撕裂伤发生相关的因素。本研究设计为现况调查，纳入了年龄在 19-99 岁之间的 202 名患者（平均年龄：70.7，标准差：16.5）。对患者进行皮肤撕裂伤的有无、数量、部位和既往皮肤撕裂伤情况评估。使用为之前的研究制定的数据收集表收集数据。调查小组由 4 名专科护士组成。数据收集在 3 天内持续 24 小时进行。在 202 名患者中，有 23 名患者发生皮肤撕裂伤，发生率为 11.4%。共观察到 40 处皮肤撕裂伤。多因素逻辑回归分析显示，既往皮肤撕裂伤（比值比（OR）：9.3，95%置信区间（CI）：2.6-33.4，P<0.001）、瘀斑（OR：5.6，CI：1.4-23.2，P<0.017）和跌倒风险（OR：3.8，CI：1.2-12.0，P<0.021）与皮肤撕裂伤的发生显著相关。本研究中皮肤撕裂伤的发生率（11.4%）与其他国际观察结果一致。确定了以下危险因素：既往皮肤撕裂伤、瘀斑和跌倒风险。这些因素可用于识别需要预防皮肤撕裂伤的患者。
