Pressure ulcer prevalence: cross sectional study in a hospital of the Azores

Authors

DOI:

https://doi.org/10.37914/riis.v8i2.484

Keywords:

pressure ulcer, prevalence, risk assessment

Abstract

Background: pressure ulcers are complex, multifactorial and often debilitating injuries. They entail economic and social costs, having a direct impact on quality of life. Given the progressive aging of the population and the consequent increase in chronic diseases, an increase in the prevalence of wounds, particularly pressure ulcers, has been observed. Objectives: to determine the prevalence rate of pressure ulcers in a hospital in the Azores; to characterize the sample from a sociodemographic point of view, associated pathologies, risk assessment of pressure ulcer development and preventive measures applied. Methodology: quantitative, cross-sectional and correlated study. The SPSS software (version 30) was used for the statistical processing of the data. Results: the sample consisted of 115 patients. The results indicated a prevalence rate of 12.77%, with the majority of the ulcers (57,14%) being acquired in a hospital environment. Risk assessment revealed that 26.96% of participants were at high risk of developing pressure ulcers. Conclusion: the prevalence rate is similar to that described in studies of the same nature. The importance of prevention, continuous training, and proper allocation of resources stands out as fundamental elements in managing these injuries.

References

Alves, J. (2024). O papel do enfermeiro na prevenção de lesões por pressão em unidades de cuidados intensivos: ensaio teórico. Revista de Investigação & Inovação em Saúde, 7(3), 1–11. https://doi.org/10.37914/riis.v7i3.410

Carvalhal, R., Chácon, R., Espírito Santo, T., Estévez, M., Ferrera, M., Gomes, M., & Teixeira, B. (2008). Projecto ICE - estudo de prevalência das UPP: Açores, Madeira e Canárias. In L. M. Gomes (Coord) & L. Cardoso (Trad), Enfermagem e úlceras por pressão: da reflexão sobre a disciplina às evidências nos cuidados (pp. 317-329). Grupo ICE. https://aprenderly.com/doc/3467903/enfermagem-e-%C3%BAlceras-por-press%C3%A3o--da-reflex%C3%A3o-sobre-a-dis.

Conceição, N. M. P. D. (2014). Prevalência de feridas no CHVNG/E [Dissertação de Mestrado, UCP – Universidade Católica Portuguesa]. Veritati - Repositório Institucional da UCP. https://repositorio.ucp.pt/bitstream/10400.14/36435/1/201498863.pdf

Defloor, T., Clark, M., Witherow, A., Colin, D., Lindholm, C., Schoonhoven, L., & Moore, Z. (2005). EPUAP statement on prevalence and incidence monitoring of pressure ulcer occurrence. Journal of Tissue Viability, 15(3), 20–27. https://doi.org/10.1016/S0965-206X(05)53004-3

Direção-Geral da Saúde. (2011). Orientação nº 17/2011. Escala de Braden: versão adulto e pediátrica (Braden Q). https://www.dgs.pt/departamento-da-qualidade-na-saude/ficheiros-anexos/orientacao_ulceraspdf-pdf.aspx

European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, & Pan Pacific Pressure Injury Alliance. (2019). Prevention and treatment of pressure ulcers/injuries: quick reference guide (Emily Haesler, Ed.). https://static1.squarespace.com/static/6479484083027f25a6246fcb/t/647dc6c178b260694b5c9365/1685964483662/Quick_Reference_Guide-10Mar2019.pdf

Goodall, R., Armstrong, A., Hughes, W., Fries, C. A., Marshall, D., Harbinson, E. B., Salciccioli, J., & Shalhoub, J. (2020). Trends in decubitus ulcer disease burden in European Union 15+ countries, from 1990 to 2017. Plastic and Reconstructive Surgery - Global Open, 8(11), 1–9. https://doi.org/10.1097/GOX.0000000000003252

Gorecki, C., Nixon, J., Madill, A., Firth, J., & Brown, J. M. (2012). What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors. Journal of Tissue Viability, 21(1), 3–12. https://doi.org/10.1016/j.jtv.2011.11.001

Jacq, G., Valera, S., Muller, G., Decormeille, G., Youssoufa, A., Poiroux, L., Allaert, F., Barrois, B., Rigaudier, F., Ferreira, P., Huard, D., Heming, N., Aissaoui, N., Barbar, S., Boissier, F., Grimaldi, D., Hraiech, S., Lascarrou, J. B., Piton, G., & Michel, P. (2021). Prevalence of pressure injuries among critically ill patients and factors associated with their occurrence in the intensive care unit: the pressure study. Australian Critical Care, 34(5), 411-418. https://doi.org/10.1016/j.aucc.2020.12.001

Lopes, T. S., Videira, L. M. M. D. S., Saraiva, D. M. R. F., Agostinho, E. S., & Bandarra, A. J. F. (2020). Multicentre study of pressure ulcer point prevalence in a Portuguese region. Journal of tissue viability, 29(1), 12–18. https://doi.org/10.1016/j.jtv.2019.11.002

McEvoy, N., Avsar, P., Patton, D., Curley, G., Kearney, C. J., & Moore, Z. (2021). The economic impact of pressure ulcers among patients in intensive care units. A systematic review. Journal of Tissue Viability, 30(2), 168-177. https://doi.org/10.1016/j.jtv.2020.12.004

Moore, Z., Avsar, P., Conaty, L., Moore, D. H., Patton, D., & O'Connor, T. (2019). The prevalence of pressure ulcers in Europe, what does the European data tell us: a systematic review. J Wound Care, 28(11). 710-719. https://doi.org/10.12968/jowc.2019.28.11.710

Organisation for Economic Co-operation and Development. (2016). Health at a glance: Europe 2016 - state of health in the EU cycle. http://dx.doi.org/10.1787/9789264265592-en

Organisation for Economic Co-operation and Development, & European Observatory on Health Systems and Policies. (2017). Portugal: perfil de saúde do país 2017, State of health in the EU. http://dx.doi.org/10.1787/9789264285385-pt

Organisation for Economic Co-operation and Development. (2019). Health at a glance 2019: OECD indicators. https://doi.org/10.1787/4dd50c09-en

Organisation for Economic Co-operation and Development. (2021). Health at a glance 2021: OECD indicators. https://doi.org/10.1787/ae3016b9-en

Oliveira, B. A., Zanchetta, F. C., Barbieri, B., Falcioni, C. A. S., Araújo, E. P. , & Lima, M. H. M. (2024). Point prevalence and risk factors for pressure ulcers in hospitalized adult patients: a cross-sectional study. Einstein, 22, eAO0811. https://doi.org/10.31744/einstein_journal/2024AO0811

Poldrugovac, M., Padget, M., Schoonhoven, L., Thompson, N. D., Klazinga, N. S., & Kringos, D. S. (2021). International comparison of pressure ulcer measures in long-term care facilities: assessing the methodological robustness of 4 approaches to point prevalence measurement. Journal of Tissue Viability, 30(4), 517-526. https://doi.org/10.1016/j.jtv.2021.01.007

Santamaria, N., Carville, K., & Prentice, J. (2009). WoundsWest: identifying the prevalence of wounds within Western Australia’s public health system. European Wound Management Association Journal, 9(3), 13-18. https://research.ebsco.com/c/wev74e/viewer/pdf/rlza3tkl4z?route=details

The European Chronic Disease Alliance. (2017, november, 27). Improving the employment of people with chronic diseases in Europe - Call to action to enhance labour opportunities for people with chronic diseases [Join statement during the meeting of the EU Health Policy Platform in Brussels]. https://alliancechronicdiseases.org/boosting-the-employment-of-people-with-chronic-diseases-in-europe/

Triantafyllou, C., Chorianopoulou, E., Kourkouni, E., Zaoutis, T. E., & Kourlaba, G. (2021). Prevalence, incidence, length of stay and cost of healthcare-acquired pressure ulcers in pediatric populations: a systematic review and meta-analysis. International Journal of Nursing Studies, 115, 103843. https://doi.org/10.1016/j.ijnurstu.2020.103843

Vanderwee, K., Clark, M., Dealey, C., Gunningberg, L., & Defloor, T. (2007). Pressure ulcer prevalence in Europe: a pilot study. J Eval Clin Pract, 13(2), 227-235. https://doi.org/10.1111/j.1365-2753.2006.00684.x

Published

27-11-2025

How to Cite

Leal, M., Dias, L., Furtado, K., Gaspar, P., & Vieira, A. (2025). Pressure ulcer prevalence: cross sectional study in a hospital of the Azores. Journal of Health Research & Innovation, 8(2), e484. https://doi.org/10.37914/riis.v8i2.484

Most read articles by the same author(s)