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Pressure ulcers in patients receiving palliative care: A systematic review.

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Title: Pressure ulcers in patients receiving palliative care: A systematic review.
Authors: Ferris, Amy, Price, Annie, Harding, Keith
Source: Palliative Medicine. Jul2019, Vol. 33 Issue 7, p770-782. 13p. 2 Diagrams, 6 Charts, 1 Graph.
Subjects: Age distribution, Pressure ulcers, CINAHL database, Length of stay in hospitals, Medical databases, Information storage & retrieval systems, Medical information storage & retrieval systems, MEDLINE, Movement disorders, Palliative treatment, Risk assessment, Systematic reviews, Ulcers, Disease risk factors
Abstract: Background: Pressure ulcers are associated with significant morbidity and mortality as well as high cost to the health service. Although often linked with inadequate care, in some patients, they may be unavoidable. Aim: This systematic review aims to quantify the prevalence and incidence of pressure ulcers in patients receiving palliative care and identify the risk factors for pressure ulcer development in these patients as well as the temporal relationship between pressure ulcer development and death. Design: The systematic review is registered in the PROSPERO database (CRD42017078211) and conducted in accordance with the 'PRISMA' pro forma. Articles were reviewed by two independent authors. Data sources: MEDLINE (1946–22 September 2017), EMBASE (1996–22 September 2017), CINAHL (1937–22 September 2017) and Cochrane Library databases were searched. In all, 1037 articles were identified and 12 selected for analysis based on pre-defined inclusion and exclusion criteria. Results: Overall pressure ulcer prevalence and incidence were found to be 12.4% and 11.7%, respectively. The most frequently identified risk factors were decreased mobility, increased age, high Waterlow score and long duration of stay. Conclusion: The prevalence of pressure ulcers is higher in patients receiving palliative care than the general population. While this should not be an excuse for poor care, it does not necessarily mean that inadequate care has been provided. Skin failure, as with other organ failures, may be an inevitable part of the dying process for some patients. [ABSTRACT FROM AUTHOR]
Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Pressure ulcers in patients receiving palliative care: A systematic review.
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  Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Jul2019, Vol. 33 Issue 7, p770-782. 13p. 2 Diagrams, 6 Charts, 1 Graph.
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  Label: Abstract
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  Data: Background: Pressure ulcers are associated with significant morbidity and mortality as well as high cost to the health service. Although often linked with inadequate care, in some patients, they may be unavoidable. Aim: This systematic review aims to quantify the prevalence and incidence of pressure ulcers in patients receiving palliative care and identify the risk factors for pressure ulcer development in these patients as well as the temporal relationship between pressure ulcer development and death. Design: The systematic review is registered in the PROSPERO database (CRD42017078211) and conducted in accordance with the 'PRISMA' pro forma. Articles were reviewed by two independent authors. Data sources: MEDLINE (1946–22 September 2017), EMBASE (1996–22 September 2017), CINAHL (1937–22 September 2017) and Cochrane Library databases were searched. In all, 1037 articles were identified and 12 selected for analysis based on pre-defined inclusion and exclusion criteria. Results: Overall pressure ulcer prevalence and incidence were found to be 12.4% and 11.7%, respectively. The most frequently identified risk factors were decreased mobility, increased age, high Waterlow score and long duration of stay. Conclusion: The prevalence of pressure ulcers is higher in patients receiving palliative care than the general population. While this should not be an excuse for poor care, it does not necessarily mean that inadequate care has been provided. Skin failure, as with other organ failures, may be an inevitable part of the dying process for some patients. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1177/0269216319846023
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 13
        StartPage: 770
    Subjects:
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Pressure ulcers
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Length of stay in hospitals
        Type: general
      – SubjectFull: Medical databases
        Type: general
      – SubjectFull: Information storage & retrieval systems
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Movement disorders
        Type: general
      – SubjectFull: Palliative treatment
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Ulcers
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
    Titles:
      – TitleFull: Pressure ulcers in patients receiving palliative care: A systematic review.
        Type: main
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            NameFull: Ferris, Amy
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            NameFull: Price, Annie
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            NameFull: Harding, Keith
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            – D: 01
              M: 07
              Text: Jul2019
              Type: published
              Y: 2019
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              Value: 02692163
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              Value: 33
            – Type: issue
              Value: 7
          Titles:
            – TitleFull: Palliative Medicine
              Type: main
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