Prevalence and factors associated with chronic wounds in older adults in primary care

ABSTRACT Objective: To analyze the prevalence of pressure injuries, diabetic and vasculogenic ulcers and associated factors in older adults attended in primary care. Method: A cross-sectional, analytical study with older adults attended in the Family Health Strategy in a Brazilian municipality. Data collection was performed from January to March 2016 using interviews and evaluations of injuries. The variables were submitted to the multivariate logistic regression model using the odds ratio, with their respective 95% confidence intervals and significance set at <0.05. Results: 339 older adults participated in the study. The mean age was 71.1 years, 67.3% were female, 44% were illiterate, 85% had low family income, 91.7% had underlying diseases, 37.2% had dietary restrictions, and 76.1% did not practice physical activity. The prevalence of pressure injury was 5.0%, diabetic ulcer 3.2%, and vasculogenic ulcer 2.9%. Not working and not regularly practicing physical activity increased the chances of presenting these injuries by 1.5 and 2.3 times, respectively. Being actively mobility and not having dietary restrictions were protective factors for not developing chronic wounds. Conclusion: The prevalence of injuries among older adults was high, and its occurrence is associated with socioeconomic and clinical characteristics.

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Main Authors: Vieira,Chrystiany Plácido de Brito, Araújo,Telma Maria Evangelista de
Format: Digital revista
Language:English
Published: Universidade de São Paulo, Escola de Enfermagem 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100491
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spelling oai:scielo:S0080-623420180001004912018-12-18Prevalence and factors associated with chronic wounds in older adults in primary careVieira,Chrystiany Plácido de BritoAraújo,Telma Maria Evangelista de Aged Prevalence Wounds and Injuries Primary Health Care Primary Care Nursing ABSTRACT Objective: To analyze the prevalence of pressure injuries, diabetic and vasculogenic ulcers and associated factors in older adults attended in primary care. Method: A cross-sectional, analytical study with older adults attended in the Family Health Strategy in a Brazilian municipality. Data collection was performed from January to March 2016 using interviews and evaluations of injuries. The variables were submitted to the multivariate logistic regression model using the odds ratio, with their respective 95% confidence intervals and significance set at <0.05. Results: 339 older adults participated in the study. The mean age was 71.1 years, 67.3% were female, 44% were illiterate, 85% had low family income, 91.7% had underlying diseases, 37.2% had dietary restrictions, and 76.1% did not practice physical activity. The prevalence of pressure injury was 5.0%, diabetic ulcer 3.2%, and vasculogenic ulcer 2.9%. Not working and not regularly practicing physical activity increased the chances of presenting these injuries by 1.5 and 2.3 times, respectively. Being actively mobility and not having dietary restrictions were protective factors for not developing chronic wounds. Conclusion: The prevalence of injuries among older adults was high, and its occurrence is associated with socioeconomic and clinical characteristics.info:eu-repo/semantics/openAccessUniversidade de São Paulo, Escola de EnfermagemRevista da Escola de Enfermagem da USP v.52 20182018-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100491en10.1590/s1980-220x2017051303415
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Vieira,Chrystiany Plácido de Brito
Araújo,Telma Maria Evangelista de
spellingShingle Vieira,Chrystiany Plácido de Brito
Araújo,Telma Maria Evangelista de
Prevalence and factors associated with chronic wounds in older adults in primary care
author_facet Vieira,Chrystiany Plácido de Brito
Araújo,Telma Maria Evangelista de
author_sort Vieira,Chrystiany Plácido de Brito
title Prevalence and factors associated with chronic wounds in older adults in primary care
title_short Prevalence and factors associated with chronic wounds in older adults in primary care
title_full Prevalence and factors associated with chronic wounds in older adults in primary care
title_fullStr Prevalence and factors associated with chronic wounds in older adults in primary care
title_full_unstemmed Prevalence and factors associated with chronic wounds in older adults in primary care
title_sort prevalence and factors associated with chronic wounds in older adults in primary care
description ABSTRACT Objective: To analyze the prevalence of pressure injuries, diabetic and vasculogenic ulcers and associated factors in older adults attended in primary care. Method: A cross-sectional, analytical study with older adults attended in the Family Health Strategy in a Brazilian municipality. Data collection was performed from January to March 2016 using interviews and evaluations of injuries. The variables were submitted to the multivariate logistic regression model using the odds ratio, with their respective 95% confidence intervals and significance set at <0.05. Results: 339 older adults participated in the study. The mean age was 71.1 years, 67.3% were female, 44% were illiterate, 85% had low family income, 91.7% had underlying diseases, 37.2% had dietary restrictions, and 76.1% did not practice physical activity. The prevalence of pressure injury was 5.0%, diabetic ulcer 3.2%, and vasculogenic ulcer 2.9%. Not working and not regularly practicing physical activity increased the chances of presenting these injuries by 1.5 and 2.3 times, respectively. Being actively mobility and not having dietary restrictions were protective factors for not developing chronic wounds. Conclusion: The prevalence of injuries among older adults was high, and its occurrence is associated with socioeconomic and clinical characteristics.
publisher Universidade de São Paulo, Escola de Enfermagem
publishDate 2018
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100491
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