AORN Journal
Volume 81, Issue 5 , Pages 985-1006 , May 2005

Predicting and preventing pressure ulcers in surgical patients

  • Alyce Schultz, RN

      Affiliations

    • Alyce Schultz, RN, PhD, FAAN, is a clinical scientist/nurse researcher at the University of California Davis Medical Center, Center for Nursing Research, Sacramento, Calif.

Notes 

  1. S A Aronovitch, “A comparative, randomized, controlled study to determine safety and efficacy of preventive pressure ulcer systems: Preliminary analysis,” seminar presented at the First Annual Symposium on Operating Room Acquired Pressure Ulcers, Atlanta, 9 March 1998.
  2. Agency for Health Care Policy and Research  . “Pressure ulcers in adults: Prediction and prevention” . Clinical Practice Guideline, No 3, No. 92--0047 . Rockville, Md: Agency for Health Care Policy and Research, US Department of Health and Human Services; May 1992; Also available at http://www.guideline.gov/summary/summary.aspx?doc_id=2601&nbr=1827&string=%22Pressure+Ulcers+in+Adlts%3a+Prediction%22+and+Prevention (8 March 2005).
  3. Braden B , Bergstrom N . “A conceptual schema for the study of the etiology of pressure sores” . Rehabilitation Nursing . January/February 1987;12:8–12
  4. Souther SG , Carr SD , Vistnes LM . “Pressure, tissue ischemia, and operating table pads” . Archives of Surgery . October 1973;107:544–547
  5. Stotts N . “Predicting pressure ulcers in surgical patients” . Heart Lung . November 1988;17:641–647
  6. Versluysen M . “How elderly patients with femoral fractures develop pressure sores in hospitals” . British Medical Journal (Clinical Research) . May 17, 1986;292:1311–1313
  7. Brown SJ . “Bed surfaces and pressure sore prevention: An abridged report” . Orthopaedic Nursing . July/August 2001;20:38–40
  8. Ratliff CR , Rodeheaver GT . “Prospective study of the incidence of OR-induced pressure ulcers in elderly patients undergoing lengthy surgical procedures” . Advances in Wound Care . May/June 1998;11:10
  9. Webster CI . “A pressure care survey in the operating theatres” . Australian Clinical Review . January 1993;13:29–37
  10. Nixon J , et al.   “Prognostic factors associated with pressure sore development in the immediate post-operative period” . International Journal of Nursing Studies . August 2000;37:279–289
  11. Nixon J , et al.   “A sequential randomised controlled trial comparing a dry visco-elastic polymer pad and standard operating table mattress in the prevention of post-operative pressure sores” . International Journal of Nursing Studies . August 1998;35:193–203
  12. Kemp MG , et al.   “Factors that contribute to pressure sores in surgical patients” . Research in Nursing and Health . October 1990;13:293–301
  13. Lewicki LJ , et al.   “Patient risk factors for pressure ulcers during cardiac surgery” . AORN Journal . May 1997;65:932–942
  14. Papantonio CT , Wallop JM , Kolodner KB . “Sacral ulcers following cardiac surgery: Incidence and risks” . Advances in Wound Care . March 1994;7:24–36
  15. Russell JA , Lichtenstein SL . “Randomized controlled trial to determine the safety and efficacy of a multi-cell pulsating dynamic mattress system in the prevention of pressure ulcers in patients undergoing cardiovascular surgery” . Ostomy/Wound Management . February 2000;46:46–55
  16. Aronovitch SA . “Intraoperatively acquired pressure ulcer prevalence: A national study” . Advances in Wound Care . May/June 1998;(11 suppl):8–9
  17. Aronovitch SA , et al.   “A comparative study of an alternating air mattress for the prevention of pressure ulcers in surgical patients” . Ostomy Wound Management . March 1999;45:34–44
  18. Schoonhoven L , et al.   “Risk indicators for pressure ulcers during surgery” . Applied Nursing Research . August 2002;15:163–173
  19. Schultz AA , et al.   “Etiology and incidence of pressure ulcers in surgical patients” . AORN Journal . September 1999;70:434–449
  20. Hoshowsky VM , Schramm CA . “Intraoperative pressure sore prevention: An analysis of bedding materials” . Research in Nursing and Health . October 1994;17:333–339
  21. Koziak M . “Etiology and pathology of ischemic ulcers” . Archives of Physical Medicine Rehabilitation . February 1959;40:62–69
  22. Scott S , Mayhew PA , Harris EA . “Pressure ulcer development in the operating room: Nursing implications” . AORN Journal . August 1992;56:242–250
  23. Vermillion C . “Operating room acquired pressure ulcers” . Decubitus . February 1990;3:26–30
  24. Scott EM , et al.   “Effects of warming therapy on pressure ulcers: A randomized trial” . AORN Journal . May 2001;73:921–938
  25. Bergstrom N , et al.   “Predicting pressure ulcer risk: A multisite study of the predictive validity of the Braden Scale” . Nursing Research . September/October 1998;45:261–269
  26. Grous CA , Reilly NJ , Gift AG . “Skin integrity in patients undergoing prolonged operations” . Journal of Wound, Ostomy, Continence Nursing . March 1997;24:86–91
  27. Sanada H , et al.   “The role of skin blood flow in pressure ulcer development during surgery” . Advances in Wound Care . October 1997;10:29–34
  28. Steinmetz JA , Langemo DK . “Changes in occipital capillary perfusion pressures during coronary artery bypass graft surgery” . Advances in Wound Care . May/June 1996;9:28–32

 This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.A minimum score of 70% on the multiple-choice examination is necessary to earn 4.7 contact hours for this independent study.Purpose/Goal: To educate perioperative nurses about the body of knowledge regarding pressure ulcer risk in surgical patients.

PII: S0001-2092(06)60465-1

doi: 10.1016/S0001-2092(06)60465-1

AORN Journal
Volume 81, Issue 5 , Pages 985-1006 , May 2005

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