ArticleBMC nursing2013
The prevalence of pain at pressure areas and pressure ulcers in hospitalised patients.
Article in BMC nursing, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 5 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Risk factors for new vertebral compression fracture following percutaneous vertebral augmentation: a systematic review and meta-analysis based on multivariate logistic regression analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Effect of training programmes on nurses' ability to care for subjects with pressure injuries: A meta-analysis.International wound journal · 2022Pooled it
- Organisation of health services for preventing and treating pressure ulcers.The Cochrane database of systematic reviews · 2018Pooled it
- Support surfaces for treating pressure ulcers.The Cochrane database of systematic reviews · 2018Pooled it
- Support surfaces for pressure ulcer prevention.The Cochrane database of systematic reviews · 2015Pooled it
- Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention: Results from a study in 26 nursing homes in Belgium.International wound journal · 2019Trial
- The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: a randomized triple-blind clinical trial.BMC complementary and alternative medicine · 2018Trial
- Article
- Quantifying and Visualizing the Pressure Distribution of In-Bed Positions to Reduce Pressure Injury Risk.Advances in skin & wound care · 2026Article
- The relation between resident-related factors and care problems in nursing homes: a multi-level analysis.BMC health services research · 2024Article
- The Random Forest Model Has the Best Accuracy Among the Four Pressure Ulcer Prediction Models Using Machine Learning Algorithms.Risk management and healthcare policy · 2021Article
- Is Clinical Scenario Simulation Teaching Effective in Cultivating the Competency of Nursing Students to Recognize and Assess the Risk of Pressure Ulcers?Risk management and healthcare policy · 2021Article
- The prevalence and incidence of community-acquired pressure injury: A protocol for systematic review and meta-analysis.Medicine · 2020Article
- Article
- Preventing pressure ulcers in nursing homes using a care bundle: A feasibility study.Health & social care in the community · 2019Article
- The role of psychological distress in the relationship between the severity of pressure injury and pain intensity in hospitalized adults.Journal of advanced nursing · 2019Article
- [The Hospital Admision Register (CMBD) use for the analisys of hospital aquired pressure ulcer at the region of Valencia (2012-2015)].Revista espanola de salud publica · 2019Article
- The prevalence of pressure ulcers in community-dwelling older adults: A study in an Indonesian city.International wound journal · 2019Article
- A patient-reported pressure ulcer health-related quality of life instrument for use in prevention trials (PU-QOL-P): psychometric evaluation.Health and quality of life outcomes · 2018Article
- Turning frequency in adult bedridden patients to prevent hospital-acquired pressure ulcer: A scoping review.International wound journal · 2018Article
Corrections and comments
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Authors and funding
12 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundPatients with pressure ulcers (PUs) report that pain is their most distressing symptom, but there are few PU pain prevalence studies. We sought to estimate the prevalence of unattributed pressure area related pain (UPAR pain) which was defined as pain, soreness or discomfort reported by patients, on an "at risk" or PU skin site, reported at a patient level.
methodsWe undertook pain prevalence surveys in 2 large UK teaching hospital NHS Trusts (6 hospitals) and a district general hospital NHS Trust (3 hospitals) during their routine annual PU prevalence audits. The hospitals provide secondary and tertiary care beds in acute and elective surgery, trauma and orthopaedics, burns, medicine, elderly medicine, oncology and rehabilitation. Anonymised individual patient data were recorded by the ward nurse and PU prevalence team. The analysis of this prevalence survey included data summaries; no inferential statistical testing was planned or undertaken. Percentages were calculated using the total number of patients from the relevant population as the denominator (i.e. including all patients with missing data for that variable).
resultsA total of 3,397 patients in 9 acute hospitals were included in routine PU prevalence audits and, of these, 2010 (59.2%) patients participated in the pain prevalence study. UPAR pain prevalence was 16.3% (327/2010). 1769 patients had no PUs and of these 223 patients reported UPAR pain, a prevalence of 12.6%. Of the 241 people with pressure ulcers, 104 patients reported pain, a UPAR pain prevalence of 43.2% (104/241).
conclusionOne in six people in acute hospitals experience UPAR pain on 'at risk' or PU skin sites; one in every 8 people without PUs and, more than 2 out of every five people with PUs. The results provide a clear indication that all patients should be asked if they have pain at pressure areas even when they do not have a PU.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.