Publication details
Decubitus as a Cause of Death even in the 21st Century
| Authors | |
|---|---|
| Year of publication | 2016 |
| Type | Article in Periodical |
| Magazine / Source | Česká a slovenská neurologie a neurochirurgie |
| MU Faculty or unit | |
| Citation | |
| Doi | http://dx.doi.org/10.14735/amcsnn2016S37 |
| Field | Surgery incl. transplantology |
| Keywords | decubitus; risk factors; risk assessment; incidence |
| Description | Aim: The aim of the study was to analyze the incidence of decubitus in patients hospitalized and undergo ing a surgery at the 1st Surgical Clinic (St. An na’s Hospital in Brno) in 2015. Methods: A retrospective analysis of data from the hospital data system and a specifi c electronic tool (I-hojeni.cz). The statistical software R was used to obtain results of Pearson‘s Chi-squared test with Yates‘ continuity cor rection and statistical signifi cance level of 0.05. Results: The majority of the 3,937 hospitalized patients underwent a surgery (n = 3,431; 86.4%). A newly developed decubitus was detected in 31 patients. The mean age of patients was 82.61 years, the majority were women (18 : 13). Mean body mass index (BMI) was 25.37, mean duration of hospitalization reached 26.67 days. Mean decubitus grade within our group was 1.64. Five patients had more than one decubitus. Decubitus were most frequently located in the area of heel, fol lowed by buttocks area and sacrum. Development of a pres sure ulcer was independent of BMI (p > 0.05). There was an as sociation between patient age and development of decubitus (p = 0.02493). Three patients died of decubitus. Conclusion: In spite of implementation of all available preventive measures, decubitus ulcers still occur in surgical ly treated patients in the 21st century and their treatment is as sociated with signifi cant fi nancial and time cost. |