{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:02:43Z","timestamp":1785765763762,"version":"3.56.0"},"reference-count":58,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T00:00:00Z","timestamp":1508716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100010663","name":"Lovisenberg Diaconal University College","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010663","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100010678","name":"Lovisenberg Diakonale Hospital","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010678","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe the prevalence of pressure ulcers among middle\u2010 and older\u2010aged patients in a general medical hospital in Norway and to describe the associations between pressure ulcers and potential risk factors additional to the Braden risk score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Degrees of mobility, activity, perfusion and skin status are risk factors for development of pressure ulcer. Nurses\u2019 clinical judgements combined with risk assessment tools are effective to detect pressure ulcer risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was performed as part of a research project conducted between September 2012\u2013May 2014 in a general hospital in the capital of Norway. Registered nurses and nursing students collected data from all eligible patients on 10\u00a0days during the students\u2019 clinical practice studies. The Braden scale was used to measure pressure ulcer risk, and skin examinations were performed to classify the skin area as normal or as indicative of pressure ulcer according to the definitions by the National Pressure Ulcer Advisory Panel. Comorbidities were collected by patient's self\u2010report. This analysis focused on the 255 inpatients at the medical wards \u226552\u00a0years of age, most of whom had more than one comorbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of pressure ulcers was 14.9% in this sample. Higher age, underweight, diabetes and worse Braden scores were factors associated with pressure ulcer, and pressure ulcer was most frequently sited at the sacrum or heel.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adding age, weight and diabetes status to pressure ulcer risk assessment scales may improve identification of patients at risk for pressure ulcers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Knowledge about strengths and limitations of risk assessment tools is important for clinical practice. Age, weight and diabetes status should be considered for inclusion in risk assessment tools for pressure ulcers in medical wards.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14088","type":"journal-article","created":{"date-parts":[[2017,9,28]],"date-time":"2017-09-28T15:36:43Z","timestamp":1506613003000},"source":"Crossref","is-referenced-by-count":35,"title":["Prevalence of pressure ulcer and associated risk factors in middle\u2010 and older\u2010aged medical inpatients in Norway"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2124-2127","authenticated-orcid":false,"given":"Tove E","family":"B\u00f8rsting","sequence":"first","affiliation":[{"name":"Lovisenberg Diaconal University College Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine R","family":"Tvedt","sequence":"additional","affiliation":[{"name":"Lovisenberg Diaconal University College Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid J","family":"Skogestad","sequence":"additional","affiliation":[{"name":"Lovisenberg Diakonale Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tove I","family":"Granheim","sequence":"additional","affiliation":[{"name":"Department of Human Relations Lovisenberg Diakonale Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caryl L","family":"Gay","sequence":"additional","affiliation":[{"name":"Department of Family Health Care Nursing University of California, San Francisco San Francisco CA USA"},{"name":"Department of Research and Development Lovisenberg Diakonale Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7144-5096","authenticated-orcid":false,"given":"Anners","family":"Lerdal","sequence":"additional","affiliation":[{"name":"Department of Research and Development Lovisenberg Diakonale Hospital Oslo Norway"},{"name":"Department of Nursing Science Institute of Health and Society Faculty of Medicine University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000481115.78879.63"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2011.20.1.18"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2007.02029.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12079"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.7.749"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04474.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-199809000-00005"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198707000-00002"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.07.005"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2012.11.008"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e3182549102"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12176"},{"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":"10.1111\/jan.12444"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/62.11.1310"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2008.17.10.31304"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2012.04216.x"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200102000-00011"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2007.12.001"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12386"},{"key":"e_1_2_11_22_1","first-page":"CD009958","article-title":"Repositioning for pressure ulcer prevention in adults","author":"Gillespie B. 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