Evidence map›Paper›PMID 39032130›Full record

Observational studyNursing in critical care2025

Skin tears in older patients in intensive care units: A multicentre point prevalence study.

Hatice Yuceler Kacmaz, Hilal Kahraman, Ayşe Topal Hancer, Füsun Uzgor, Sevgi Gur, Nevra Kalkan, Ozlem Ceyhan, Meryem Yilmaz, Sahin Temel

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hatice Yuceler KacmazDepartment of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.ORCID https://orcid.org/0000-0003-4529-1991
Hilal KahramanDepartment of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.ORCID https://orcid.org/0000-0001-6389-8039
Ayşe Topal HancerDepartment of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.ORCID https://orcid.org/0000-0002-5105-6405
Füsun UzgorDepartment of Nursing, Fethiye Faculty of Health Sciences, Mugla Sitki Kocman University, Mugla, Turkey.ORCID https://orcid.org/0000-0002-4233-7774
Sevgi GurDepartment of Nursing, Faculty of Health Sciences, Selcuk University, Konya, Turkey.ORCID https://orcid.org/0000-0002-6925-3351
Nevra KalkanDepartment of Nursing, Faculty of Health Sciences, Gazi University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-4536-7933
Ozlem CeyhanDepartment of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.ORCID https://orcid.org/0000-0002-1869-8713
Meryem YilmazDepartment of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.ORCID https://orcid.org/0000-0001-7686-3572
Sahin TemelFaculty of Medicine, Department of Internal Medicine, Erciyes University, Kayseri, Turkey.ORCID https://orcid.org/0000-0002-2766-4312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the ageing of the global population, it is predicted that the population of older adult patients in hospitals and intensive care units (ICUs) will increase. Because of health conditions, care practices and ageing-related skin changes, older adult ICU patients are prone to skin integrity problems, including skin tears (STs).

aimTo determine the prevalence of STs and associated factors in older patients hospitalized in ICUs. STUDY

designThe study is a regional, multicentre, point prevalence study conducted in five centres in the five largest cities in terms of population in the Central Anatolia Region of Türkiye. Data were collected simultaneously in each centre on the same day. The list of patients hospitalized in the ICUs on the day of data collection was drawn up, and 200 patients who were 65 years of age or older, were hospitalized in ICUs and agreed to participate in the research were included. The researchers formed an "ST chart" to record patient demographic characteristics, clinical variables and skin assessment.

resultsSTs were detected in 14.5% of patients in ICUs, with 72.5% of them having stage 1 ST. A significant relationship was found between individuals' average body mass index (BMI) (p = .043), age (p = .014), length of stay in the ICU (p = .004) and having ST. There was also a statistically significant relationship between skin temperature (p = .002), skin turgor (p = .001) and ST. More STs were observed in patients with cold skin and low turgor. The prevalence of ST was higher in individuals with a history of ST. Additionally, there was a statistically significant relationship between consciousness (p = .014), incontinence (p = .006), the Braden score (p = .004), the Itaki fall risk score (p = .006) and ST.

conclusionsIn this multicentre point prevalence study, the prevalence of ST in older patients in ICUs was 14.5%, and many factors associated with ST have been identified. RELEVANCE TO CLINICAL PRACTICE: Given the insufficient information and attention to STs in older adults, the study emphasizes the importance of addressing STs. The impact of STs includes increased treatment costs, length of stay and risk of complications. Therefore, understanding the global extent of STs in ICUs and developing effective interventions for prevention and management are crucial.

Indexed as

Intensive Care UnitsLacerationsSkinAgedAged, 80 and overFemaleHumansLength of StayMalePrevalenceRisk FactorsTurkeyintensive care unitsolder patientsskin tearswound care

Identifiers

PMID39032130
PMCPMC11891027

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.