Pressure ulcer risk due to surgical positioning in adults and older adults

Authors

  • Laura Maria Donofre Universidade Estadual Paulista “Júlio de Mesquita Filho”, Departamento de Enfermagem, Faculdade de Medicina de Botucatu – Botucatu (SP), Brasil. https://orcid.org/0009-0006-4319-496X
  • Rhavenna Thais Silva Oliveira Universidade Estadual Paulista “Júlio de Mesquita Filho”, Departamento de Enfermagem, Faculdade de Medicina de Botucatu – Botucatu (SP), Brasil. https://orcid.org/0000-0001-8380-6867
  • Karime Rodrigues Emilio de Oliveira Universidade Estadual Paulista “Júlio de Mesquita Filho”, Departamento de Enfermagem, Faculdade de Medicina de Botucatu – Botucatu (SP), Brasil. https://orcid.org/0000-0002-5844-4953
  • Silvia Helena Salvador Ramos Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Hospital das Clínicas – Botucatu (SP), Brasil. https://orcid.org/0009-0000-8833-4694
  • Carolina da Silva Ferreira Universidade Estadual Paulista “Júlio de Mesquita Filho”, Departamento de Enfermagem, Faculdade de Medicina de Botucatu – Botucatu (SP), Brasil. https://orcid.org/0009-0003-3737-5551
  • Marla Andréia Garcia de Ávila Universidade Estadual Paulista “Júlio de Mesquita Filho”, Departamento de Enfermagem, Faculdade de Medicina de Botucatu – Botucatu (SP), Brasil. https://orcid.org/0000-0002-6652-4427

DOI:

https://doi.org/10.5327/Z1414-44251032

Keywords:

Pressure ulcer, Patient positioning, Perioperative nursing, Risk assessment, Cross-sectional studies

Abstract

Objective: To compare the risk of adult and elderly patients undergoing elective surgeries developing pressure injuries (PI) due to surgical positioning according to the ELPO scale. Method: A cross-sectional, descriptive study with a quantitative approach and an intentional non-probabilistic sample, composed of individuals undergoing surgeries of different specialties in a tertiary-level hospital located in the interior of São Paulo, Brazil. Data collection was conducted during the immediate preoperative and intraoperative periods. For statistical analysis, the Chi-square test, Student's t-test, and univariate logistic regression were performed, considering p<0.05 as the significance level. Results: The mean ELPO score among the 143 participants was 16.08 for adults and 18.62 for the elderly (p=0.0003), and 11.69% of adults and 34.85% of the elderly (p=0.0009) had a higher risk for PI. An increase of one year in age implies a 1.035-fold increase (p=0.0215) in the likelihood of the patient having a higher final mean score on the ELPO scale. Conclusion: Elderly patients have a higher risk of developing PI due to surgical positioning compared to adults.

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Published

2025-06-17

How to Cite

Donofre, L. M., Oliveira, R. T. S., Oliveira, K. R. E. de, Ramos, S. H. S., Ferreira, C. da S., & Ávila, M. A. G. de. (2025). Pressure ulcer risk due to surgical positioning in adults and older adults. Revista SOBECC, 30. https://doi.org/10.5327/Z1414-44251032

Issue

Vol. 30 (2025)

Section

ORIGINAL ARTICLES

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Copyright (c) 2025 Laura Maria Donofre, Rhavenna Thais Silva Oliveira, Karime Rodrigues Emilio de Oliveira, Silvia Helena Salvador Ramos, Carolina da Silva Ferreira, Marla Andréia Garcia de Ávila

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