{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:48:51Z","timestamp":1790624931249,"version":"4.1.0"},"reference-count":65,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,8,19]],"date-time":"2014-08-19T00:00:00Z","timestamp":1408406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ghent University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To identify predictive factors associated with the development of pressure ulcers in patients at risk who receive standardized preventive care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Numerous studies have examined factors that predict risk for pressure ulcer development. Only a few studies identified risk factors associated with pressure ulcer development in hospitalized patients receiving standardized preventive care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Secondary analyses of data collected in a multicentre randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sample consisted of 610 consecutive patients at risk for pressure ulcer development (Braden Score &lt;17) receiving standardized preventive care measures. Patient demographic information, data on skin and risk assessment, medical history and diagnosis were collected during 26\u00a0months (December 2007\u2013January 2010). Predictive factors were identified using multivariate statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pressure ulcers in category <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\u2013<jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> were significantly associated with non\u2010blanchable erythema, urogenital disorders and higher body temperature. Predictive factors significantly associated with superficial pressure ulcers were admission to an internal medicine ward, incontinence\u2010associated dermatitis, non\u2010blanchable erythema and a lower Braden score. Superficial sacral pressure ulcers were significantly associated with incontinence\u2010associated dermatitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite the standardized preventive measures they received, hospitalized patients with non\u2010blanchable erythema, urogenital disorders and a higher body temperature were at increased risk for developing pressure ulcers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Improved identification of at\u2010risk patients can be achieved by taking into account specific predictive factors. Even if preventive measures are in place, continuous assessment and tailoring of interventions is necessary in all patients at risk. Daily skin observation can be used to continuously monitor the effectiveness of the intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12497","type":"journal-article","created":{"date-parts":[[2014,8,19]],"date-time":"2014-08-19T06:11:33Z","timestamp":1408428693000},"page":"391-403","source":"Crossref","is-referenced-by-count":68,"title":["Factors predicting the development of pressure ulcers in an at\u2010risk population who receive standardized preventive care: secondary analyses of a multicentre randomised controlled trial"],"prefix":"10.1111","volume":"71","author":[{"given":"Liesbet","family":"Demarre","sequence":"first","affiliation":[{"name":"University Centre for Nursing and Midwifery Ghent University Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofie","family":"Verhaeghe","sequence":"additional","affiliation":[{"name":"University Centre for Nursing and Midwifery Ghent University Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Van Hecke","sequence":"additional","affiliation":[{"name":"University Centre for Nursing and Midwifery Ghent University Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Els","family":"Clays","sequence":"additional","affiliation":[{"name":"Epidemiology Department of Public Health Ghent University Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Grypdonck","sequence":"additional","affiliation":[{"name":"University Centre for Nursing and Midwifery Ghent University Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitri","family":"Beeckman","sequence":"additional","affiliation":[{"name":"University Centre for Nursing and Midwifery Ghent University Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520350047027"},{"key":"e_1_2_11_3_1","volume-title":"Friction Induced Skin Injuries \u2013 Are They Pressure ulcers? A National Pressure Advisory Panel White Paper","author":"Antokal S.","year":"2012"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1088\/0967-3334\/26\/3\/007"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01261.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnp101"},{"key":"e_1_2_11_7_1","volume-title":"Een nationale richtlijn voor Decubituspreventie. Good Clinical Practice (GCP)","author":"Beeckman D.","year":"2013"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2003.50038"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/3-540-28804-X_1"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770170609"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1994.tb07486.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0473-3-17"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2008.09.016"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.11.019"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2008.17.10.31304"},{"issue":"10","key":"e_1_2_11_16_1","first-page":"492","article-title":"Etiologic factors in pressure sores: an experimental model","volume":"62","author":"Daniel R.K.","year":"1981","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.1999.00254.x"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03250.x"},{"key":"e_1_2_11_19_1","volume-title":"Belgische richtlijnen voor decubituspreventie","author":"Defloor T.","year":"2004"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200509000-00006"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.10.007"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-006-9222-5"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00330.x"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1115\/1.1894386"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzn009"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/3-540-28804-X_11"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2001.00544.x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2011.05.015"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.03.014"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.04.011"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph7010029"},{"issue":"3","key":"e_1_2_11_32_1","first-page":"25","article-title":"The relative contributions of interface pressure, shear stress and temperature on tissue ischemia: a cross\u2010sectional pilot study","volume":"59","author":"Lachenbruch C.","year":"2013","journal-title":"Ostomy Wound Management"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.07.004"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2013.04.015"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/10255842.2011.627682"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2011.05.015"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12077"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003465-199111000-00006"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.10.014"},{"issue":"4","key":"e_1_2_11_40_1","first-page":"161","article-title":"Lymphatic clearance during compressive loading","volume":"14","author":"Miller G.E.","year":"1981","journal-title":"Lymphology"},{"key":"e_1_2_11_41_1","volume-title":"Clinical Practice Guidelines. The Use of Pressure\u2010relieving Devices (Beds, Mattresses and Overlays) for the Prevention of Pressure Ulcers in Primary and Secondary Care","author":"National Institute for Clinical Excellence","year":"2005"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta10220"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38849.478299.7C"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2006.02.010"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02425.x"},{"key":"e_1_2_11_46_1","volume-title":"Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline","author":"NPUAP & EPUAP","year":"2009"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/28.1.45"},{"issue":"3","key":"e_1_2_11_48_1","first-page":"189","article-title":"Temperature effects on surface pressure\u2010induced changes in rat skin perfusion: implications in pressure ulcer development","volume":"36","author":"Patel S.","year":"1999","journal-title":"Journal of Rehabilitation Research & Development"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-475x.2000.00068.x"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1159\/000070407"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-4804(03)00227-0"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00315.x"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7368.797"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2005.015362"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00889.2005"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.01115.2006"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102044.2004.04085.x"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2011.03915.x"},{"key":"e_1_2_11_59_1","volume-title":"Itinera Institute Analyse. De ziekenhuisfinanciering: uitdagingen, sterktes en kansen tot verbetering","author":"Trybou J.","year":"2011"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1067\u20101927.2005.130213.x"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.2007.00183.x"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi057"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2005.01429.x"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.02860.x"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs.2010.043125"},{"key":"e_1_2_11_66_1","volume-title":"Epidemiology. Study Design and Data Analysis","author":"Woodward M.","year":"2005"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12497","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12497","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.12497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T15:28:43Z","timestamp":1696519723000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.12497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,19]]},"references-count":65,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1111\/jan.12497"],"URL":"https:\/\/doi.org\/10.1111\/jan.12497","archive":["Portico"],"relation":{},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,19]]}}}