Open AccessRelationship between dry skin and pressure injury in older patients: A multicentre cross‐sectional survey in China
Author(s) -
Jiang Qixia,
Chen Kesu,
Liu Yuxiu,
Zhou Jihong,
Bai Yuxuan,
Zhao Jing,
Weng Yajuan,
Zhu Yuling,
Feng Haixia,
Wang Jing,
Cai Yunmin,
Ou Yulan
Publication year - 2023
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13993
Subject(s) - medicine , confidence interval , stage (stratigraphy) , cross sectional study , pressure injury , receiver operating characteristic , dry skin , surgery , emergency medicine , dermatology , pathology , paleontology , biology
Dry skin and pressure injuries in older persons have become global health care problems. This was a multicentre, prospective cross‐sectional study in 44 hospitals and 8 long term care institutions from 20 provinces, autonomous regions and municipalities in China and aimed to explore the relationship between the two skin problems in older patients. We mainly found 11 602 cases with dry skin and 1076 cases with pressure injuries in a total of 33 769 valid participants. The overall prevalence of dry skin and pressure injuries was 34.4% (95% confidence interval [CI] 33.9–34.9) and 3.1% (95% CI 2.9–3.3). Stage 2+ pressure injuries were the most (32.9%), followed by stage 1 (32.4%). The patients with dry skin had more pressure injuries than ones without dry skin (50.0% vs 33.9%). The patients with very severe and severe dry skin had more pressure injury risk (OR 2.22 and 1.90) and more stage 2+ pressure injury risk (OR 2.83 and 1.63). Other nine predictors associated with overall pressure injuries and stage 2+ pressure injuries. The area under receiver operating characteristic (ROC) curve of the predictive models of overall pressure injuries and stage 2+ pressure injuries were 0.89 (95% CI 0.88–0.90) and 0.91 (95% CI 0.90–0.92), respectively.