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Relationship between pressure ulcer risk and sarcopenia in patients with hip fractures

Authors
Cha, Yong-HanSong, Sang-YounPark, Ki-SooYoo, Jun-Il
Issue Date
Jun-2022
Publisher
MA HEALTHCARE LTD
Keywords
Braden scale; hip fracture; older people; pressure ulcer; sarcopenia; skeletal muscle; ulcer; wound; wound care; wound dressing; wound healing
Citation
JOURNAL OF WOUND CARE, v.31, no.6, pp.532 - 536
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF WOUND CARE
Volume
31
Number
6
Start Page
532
End Page
536
URI
https://scholarworks.bwise.kr/gnu/handle/sw.gnu/1219
DOI
10.12968/jowc.2022.31.6.532
ISSN
0969-0700
Abstract
Objective: Pressure ulcer (PU) is a frequent complication of hip fractures. PUs can develop at any time after a hip fracture but most appear within 2-4 days after surgery. The purpose of this study was to investigate the association between hip fractures due to sarcopenia and the risk of PUs in patients with hip fracture. Method: Between March 2017 and March 2019, patients aged =65 years of age with hip fractures were included in this retrospective cohort study. PU risk assessment according to the Braden Scale was performed within the first few hours after arrival at hospital. Skeletal muscle mass index (SMI) and hand grip strength were evaluated for a diagnosis of sarcopenia. Results: Of the 289 patients admitted to the study institution, 180 patients were finally enrolled in the study (129 females; 51 males). In male patients, as SMI increased, so too did the Braden Scale score, which was statistically significant (p=0.02). However, there was no statistically significant difference between SMIs and Braden Scale scores in female patients (p=0.304). In male patients, there was no statistically significant difference between hand grip strength and Braden Scale score (p=0.251). However, in female patients, as hand grip strength increased, so too did the Braden Scale score; this was also statistically significant (p=0.041). Conclusion: In this study, decreased muscle mass and muscle weakness in patients with hip fractures were associated with increased PU risk as measured by Braden Scale scores in both males and females.
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