Skip to main content

Table 2 Summary of scoping review articles

From: Incidence and risk factors for pressure injuries in patients who have undergone vascular operations: a scoping review

Author (year of study)

Type of procedure

Study design

Study sample

Relevant data

Result

Ratliff (2020) [8]

Lower limb amputation

Cross-sectional research design

46 patients with peripheral arterial disease. All were vascular surgery patients who were discharged from a level one trauma center from 2016 to 2017

Frequency of pressure injury

Frequency of 37%

Mehaffey et al. (2017) [13]

Open or endovascular carotid repair, open abdominal aortic aneurysm repair, femoral artery to distal vessel revascularization, endovascular peripheral arterial stenting or above and/or below knee amputation

Using the 2009 National Inpatient Survey, all adult patients who underwent vascular surgery were selected

All adult patients who underwent vascular surgery in 2009 in the USA (n = 538, 808)

Frequency of pressure injury, risk factors

3.04% percent overall

Thomson et al. (2009) [23]

Elective open abdominal aortic aneurysm repair

National Vascular Database of the Vascular Society of New Zealand was used to conduct retrospective analysis

1549 patients who underwent open abdominal aortic aneurysm repair from 1 January 1994 to 31 December 2005 in all hospitals performing vascular surgery in New Zealand

Incidence, risk factors

0.1 percent of patients developed pressure injury

Spittle et al. (2001) [20]

Lower leg amputations

A retrospective survey of medical and nursing records of all patients

122 patients who had an amputation involving the lower limb in Hereford between January 1995 and December 1998(n = 62 for major amputation, n = 60 for minor amputation)

Incidence, risk factors

After major amputations, incidence of pressure injury was 55%. After minor amputations, 20%. See Table 4 for risk factors

Schultz et al. (1999) [9]

Vascular surgery

Prospective, randomized design, comparing standard surgical care to new intraoperative mattress overlay

29 vascular surgery patients were included, with 19 using the experimental overlay, and 10 using the standard surgical care

Incidence

45% of patients developed a pressure injury

Aronovitch (1999) [17]

Vascular surgery

1523 packets were mailed to Wound Ostomy, and Continence Nursing Society members who identified their work setting as hospital-based acute care. Each member was asked to collect data on patients who underwent surgery lasting 3 h or longer on Monday through Thursday of a particular week

110 vascular surgery patients met the outlined criteria

Incidence

17.2% of patients developed a pressure injury

Shah et al. (2015) [18]

Open abdominal aortic aneurysm repair, carotid endarterectomy, and lower extremity bypass/femoral endarterectomy

The Nationwide Inpatient Sample (NIS) (2003–2011) was queried to identify never events applicable to vascular surgery patients, including stage 3 and 4 pressure injuries

267,734 patients qualified for inclusion in the study

Frequency of pressure injury, risk factors

Frequency of 0.05%. See Table 3 for risk factors

Corniello et al. (2014) [25]

Vascular surgery

Retrospective medical review

Sample included 849 patients with vascular diseases, who were  > 18 years old and were receiving hospital care on a 25-bed vascular surgery step-down unit from November 1, 2008, through December 31, 2009

Risk factors

See Table 3 for risk factors

Aragon-Sanchez (2010) [21]

Below/above the knee amputations

Retrospective analysis

283 patients were included, all of whom underwent major amputation between January 1, 1998, and December 31, 2008, at the General Surgery Department and Diabetic Foot Unit of La Paloma Hospital in Las Palmas de Gran Canaria. 221 patients were diabetic and 62 patients were non-diabetic

Incidence, risk factor

Incidence of 3.5%

Ploeg et al. (2005)[19]

Above knee and below knee amputations

Prospective study

A total of 45 above knee amputations and 77 below knee amputations were performed in 97 patients

Incidence

Incidence of 2.6% in below knee amputations, 15.6% in above knee amputations

Lardenoye et al. (2009) [22]

Amputation, peripheral vascular surgery

Prospective study

204 amputations, and 1370 peripheral vascular surgeries were performed

Incidence

8.8% incidence in amputations, 0.9% in peripheral vascular surgeries

Bath et al. (2018) [24]

Endovascular and open elective abdominal aorta repair

Retrospective study

66,923 patients who underwent abdominal aorta repair between 2009 and 2012

Incidence

In the open group, 49 (0.5%) patients developed a pressure injury and in the endovascular group 117 patients (0.2%) developed a pressure injury, for an overall incidence of 0.25%