Pressure Ulcers in Knee Replacement Surgery

Istituto Ortopedico Rizzoli565 enrolled

Overview

From the point of view of nursing to know exactly the different risk factors for the onset of pressure ulcers is very important as it allows to accurately orient preventive care interventions. All the variable that could influence the development of pressure ulcer in patients undergoing knee replacement surgery are identified and collected: age, sex, body max index, risk to develop Pressure Ulcer (braden score), treatment to prevent pressure ulcers (typology of the devices used, such as air mattresses with alternating or static pressure, heel drains, frequency of mobilization carried out by both the patient care), management of eventual incontinence (use of diapers, urinary catheter), type of anesthesia, type of analgesia, length of stay, the ASA physical status classification system (ASA score), comorbidity, cancer, use of devices for controlling the position of the operated limb (foam valve), the number of physical therapy sessions actually carried out.

Study Type

OBSERVATIONAL

Enrollment

565

Conditions

Knee Osteoarthritis Pressure Ulcer

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Primary knee joint replacement * Secondary knee joint replacement Exclusion Criteria: * Cancer patients * Adult or Senior with pressure ulcer at the heel

Locations (1)

Outcomes

Primary Outcomes

Heel Pressure Sores

Numbers of Participants With Heel Pressure Sores of all grade Detected According to the Classification of the Scale of the National Pressure Ulcer Advisory Panel -N.P.U.A.P.

Time frame: every day until discharge (expected average of 6 days).

Secondary Outcomes

Heel Pressure Sores of grade ≥2

Numbers of Participants With Heel Pressure Sores of grade ≥2 Detected According to the Classification of the Scale of the National Pressure Ulcer Advisory Panel -N.P.U.A.P.

Time frame: every day until discharge (expected average of 6 days).

Pressure Sores in any other site

Numbers of Participants With Pressure Sores in any other site Detected According to the Classification of the Scale of the National Pressure Ulcer Advisory Panel -N.P.U.A.P.

Time frame: every day until discharge (expected average of 6 days).

Pain

Pain Score on the "Numeric Rating Scale (NRS)". The NRS scale had values from 0 to 10 where zero represented no pain and 10 the worst possible pain

Time frame: up to the first 3 days post intervention