Associated factors with pressure injury in elderly people with gastrointestinal cancer

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4279

Keywords:

Aged; Gastrointestinal Cancer; Pressure ulcer.

Abstract

Objective: To evaluate the frequency of pressure injuries and associated factors in the older pacients with gastrointestinal cancer. Methods: Cross-sectional study of 212 individuals aged 60 years and older and diagnosed with untreated gastrointestinal cancer confirmed by histology, cytology or immunohistochemistry. Patients who had undergone previous cancer treatment, except surgical ones, were excluded. The variables studied were: pressure injury, nutritional status, weight loss in the three months prior to the assessment, functionality, level of physical activity, presence of comorbidities and laboratory variables. For media comparisons, Student's test and categorical variables or square test or Fisher's exact test were used. In the multivariate analysis using logistic regression, the Wald test was used to evaluate the independent effects of factors with p <0.20 and applied to the Hosmer-Lemesho test. Results: The frequency of LP was 68/212 (32.1%). In the multivariate analysis, variables that may remain associated with the presence of LP were: hypertension and cerebrovascular disease. The final model presents an adequate fit to the data (Hosmer-Lemeshow test (p = 0.736). Conclusion: these findings can guide future research and can serve as a guide in health care services decisions about the use of pressure injury prevention strategies.

Author Biography

Isabelle Eunice de Albuquerque Pontes, Universidade Estadual da Paraíba

Fisioterapeuta, Doutora em Saúde Integral, Professora da Universidade Estadual da Paraíba

References

Abbas, A.K., Fausto, N., Mitchell, R.N. & Kumar, V. (2008). Reparo tecidual: regeneração, cicatrização e fibrose. In: Robbins, Patologia Básica. 8ª ed. Rio de Janeiro: Elsevier, p.63- 186.

Agarwal, E., Miller, M., Yaxley, A. & Isenring, E. (2013). Malnutrition in the elderly: a narrative review. Maturitas, 76, 296-302.

Bates-Jensen, B.M. (2001). Quality indicators for prevention and management of pressure ulcers in vulnerable elders. Ann Intern Med, 135(8), 744-51.

Batolotto, L.A. (2015). SOCESP: Hipertensão arterial: novos conhecimentos e novos desafios. Rev Socied Cardiol, 25(1), 1-38.

Boyle, P. & Levin, B. (2008). World Cancer Report 2008. France: International Agency for Research on Cancer.

Chaboyer, W., Mills, P.M., Roberts, S. & Latimer, S. (2015). Physical activity levels and torso orientations of hospitalized patients at risk of developing a pressure injury: An observational study. International Journal of Nursing Practice, 21: 11-17.

Cuddigan, J., Berlowitz, D.R. & Ayello, E.A. (2002). Pressure ulcers in America: Prevalence, incidence and implications for the future. Adv Skin Wound Care, 15(1), 208-15.

Errante, P.R., Frazão, J.B. & Contino-Neto, A. (2011). Deficiência da adesão leucocitária tipo I. Rev. Bras. Alerg. Imunopatol, 34(6), 225-233.

Ferreira, L.T., Saviolli, I.H., Valenti, V.E. & Abreu, L.C. (2011). Diabetes mellitus: hiperglicemia crônica e suas complicações. Arq Bras Ciênc Saúde, 36(3), 182-8.

Francischetti, I., Moreno, J.B., Scholz, M. & Yoshida, W.B. (2010). Os leucócitos e a resposta inflamatória na lesão de isquemia-reperfusão. Rev Bras Cir Cardiovasc, 25(4), 575-584.

Giannotti, C. et al. (2019). Frailty assessment in elective gastrointestinal oncogeriatric surgery: Predictors of one-year mortality and functional status. J Geriatr Oncol., S1879-4068:(18), 30344-8.

Global Burden of Disease Cancer Collaboration. (2017). Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncology, 3(4), 524-548.

Jaul, E. (2010). Assessment and manegement of pressure ulcers in the elderly: current strategies. Drugs Aging, 27(4), 311-325.

Jaul, E., Barron, J., Rosenzweig, J.P. & Menczel, J. (2018) An overview of co-morbidities and the development of pressure ulcers among older adults. BMC Geriatr, 18:305.

Jeon, M.S., Jeong, Y.M., Yee, J., et al. (2019). Association of pre-operative medication use with unplanned 30-day hospital readmission after surgery in oncology patients receiving comprehensive geriatric assessment. The American Journal of Surgery, S0002-9610(18), 31185-1.

Komici, K., Vitale, D.F., Leosco, D., Mancini, A., Corbi, G., Bencivenga, L., Mezzani, A., Trimarco, B., Morisco, C., Ferrar, N. & Rengo, G. (2017). Pressures injuries in elderly with acute myocardial infarction. Clin Interv Aging, 12, 1495-1501.

Latimer, S., Chaboyer, W., Thalib, L., McInnes, E., Bucknall, T. & Gillespie, B.M. (2019). Pressure injury prevalence and predictors among older adults in the first 36 hours of hospitalization. J Clin Nurs, 19. doi: 10.1111/jocn.14967.

Leo, S., Accettura, C., Gnoni, A., Licchetta, A., Giampaglia, M., Mauro, A., Saracino, V. & Carr, B.I. (2013). Systemic Treatment of Gastrointestinal Cancer in Elderly pactientes. J Gastrointest Canc, 44, 22–32.

Liu, Y., Ma, Y., Li, Z., Cao, J, et al. (2019). The prevalence, incidence, and associated fator of pressure injuries among immobile inpatients: a multicentre, cross-sectional, exploratory descriptive study in China. Int Wound J, 16(2), 459-466.

Macena, M.S.A., et al. (2017). Pressure ulcer risk evaluation in critical patients: clinical and social characteristics. Open Nurse J, 28(11), 91-97.

Medzhitov, R. (2010). Inflammation 2010: New Adventures of an Old Flame. Cell. 140(6), 771-776.

Rogenski, N.M.B. & Kurcgant, P. (2012). Incidência de úlceras por pressão após a implementação de um protocolo de prevenção. Rev. Latino-Am. Enfermagem. 20(2), 333-339.

Sarfati, D., Koczwara, B. & Jackson, C. (2016). The impact of comorbidity on cancer and its treatment. CA: a cancer journal for clinicians. Cancer J Clin, 66(4), 337‐350.

Schlesinger-Raab, A., et al. (2015). Outcome of gastric cancer in the elderly: a population-based evaluation of the Munich Cancer Registry. Gastric Cancer. 19(3), 713-722.

Song, Y.P., Shen, H.W., Cai, J.Y., Zha, M.L. & Chen, H.L. (2019). The relationship between pressure injury complication and mortality risk o folder patients in follow-up: a systematic review and meta-analysis. Int Wound J, 16(6), 1533‐1544. doi: 10.1111/iwj.13243.

Published

16/06/2020

How to Cite

PONTES, I. E. de A.; SANTOS, D. R. B. dos; LIMA, J. T.; CAVALCANTI, Z.; FERNANDES, R. A. M. L.; ORANGE, F. A. de. Associated factors with pressure injury in elderly people with gastrointestinal cancer. Research, Society and Development, [S. l.], v. 9, n. 7, p. e826974279, 2020. DOI: 10.33448/rsd-v9i7.4279. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/4279. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences