Identification of risk factors associated with the development of skin tears in hospitalised older persons: A case-control study
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To identify the risk factors associated with the development of skin tears in older persons four hundred and fifty three patients (151 cases and 302 controls) were enrolled in a case-control study in a 500-bed metropolitan tertiary hospital in Western Australia between December 2008 and June 2009. Case eligibility was defined by a skin tear on admission, which had occurred in the last 5days; or, a skin tear developed during hospitalisation. For each case, two controls who did not have a skin tear and had been admitted within 1day of the case, were also enrolled. Data collected from the nursing staff and inpatient medical records included characteristics known, or hypothesised, to be associated with increased vulnerability to skin tears. Data analysis included a series of multivariate stepwise regressions to identify a number of different potential explanatory models. The most parsimonious model for predicting skin tear development comprised six variables: ecchymosis (bruising); senile purpura; haematoma; evidence of a previously healed skin tear; oedema; and inability to reposition oneself independently. The ability of these six characteristics to predict who among older patients could subsequently develop a skin tear now needs to be determined by a prospective study.
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Newall, N.; Lewin, Gill; Bulsara, M.; Carville, K.; Leslie, G.; Roberts, Pam (2015)The aim of the present study is to develop a reliable and valid skin tear risk assessment tool. The six characteristics identified in a previous case control study as constituting the best risk model for skin tear development ...
Carville, Keryln; Lewin, Gill; Newall, Nelly; Haslehurst, P.; Michael, Rene; Santamaria, Nick; Roberts, Pamela (2007)Until now the Payne-Martin Classification System for Skin Tears has been the only skin tear classification system reported in the literature. Considering that the development of this taxonomy began over twenty years ago, ...
Newall, Tracy (Nelly) (2014)This study was an adjunct to a randomised controlled trial (RCT) to test whether skin moisturising reduced the incidence of skin tear development.Staff surveys and interviews identified that there was ad hoc moisturising ...