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As of 2012, what are the key predictive risk factors for pressure ulcers ? Developing French guidelines for clinical practice = Quels sont les facteurs de risque prédictifs d'escarre ? Vers l'élaboration de recommandations françaises pour la pratique clinique

MICHEL JM; WILLEBOIS S; RIBINIK P; BARBIER BARROIS B; COLIN A; PASSADORI Y
ANN PHYS REHABIL MED , 2012, vol. 55, n° 7, p. 454-465
Doc n°: 159577
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2012.08.003
Descripteurs : DA451 - ESCARRES

An evaluation of predictive risk factors for pressure ulcers is
essential in development of a preventive strategy on admission to hospitals and/or nursing homes. OBJECTIVES: Identification of the predictive factors for
pressure ulcers as of 2012. METHOD: Systematic review of the literature querying
the databases PASCAL Biomed, Cochrane Library and PubMed from 2000 through 2010.
RESULTS: Immobility should be considered as a predictive risk factor for pressure
ulcers (grade B). Undernutrition/malnutrition may also be a predictive risk
factor for pressure ulcers (grade C). DISCUSSION: Even if the level of evidence
is low, once these risk factors have been detected, management is essential.
Sensitizing and mobilizing health care teams requires training in ways of
tracking and screening. According to the experts, risk scales should be used. As
decision aids, they should always be balanced and complemented by the clinical
judgment of the treatment team. CONCLUSION: According to experts, it is important
to know and predictively evaluate risk of pressure ulcers at the time of hospital
admission. The predictive risk factors found in this study are identical to those
highlighted at the 2001 consensus conference of which was PERSE was the promoter.
CI - Copyright (c) 2012. Published by Elsevier Masson SAS.

Langue : ANGLAIS

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