A risk model for the prediction of skin tears in aged care residents: A prospective cohort study

© 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd The objective of this study was to construct a predictive model to identify aged care residents at risk of future skin tears. Extensive data about individual characteristics, skin characteristics, and skin properties were gathered from...

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Main Authors: Rayner, R., Carville, K., Leslie, Gavin, Dhaliwal, S.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd 2018
Online Access:http://hdl.handle.net/20.500.11937/72070
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author Rayner, R.
Carville, K.
Leslie, Gavin
Dhaliwal, S.
author_facet Rayner, R.
Carville, K.
Leslie, Gavin
Dhaliwal, S.
author_sort Rayner, R.
building Curtin Institutional Repository
collection Online Access
description © 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd The objective of this study was to construct a predictive model to identify aged care residents at risk of future skin tears. Extensive data about individual characteristics, skin characteristics, and skin properties were gathered from 173 participants at baseline and at 6 months. A predictive model, developed using multivariable logistic regression, identified five variables that significantly predicted the risk of skin tear at 6 months. These included: a history of skin tears in the previous 12 months (OR 3.82 [1.64-8.90], P = 0.002), purpura =20 mm in size (OR 3.64 [1.42-9.35], P = 0.007), a history of falls in the previous 3 months (OR 3.37 [1.54-7.41], P = 0.002), clinical manifestations of elastosis (OR 3.19 [1.38-7.38], P = 0.007), and male gender (OR 3.08 [1.22-7.77], P = 0.017). The predictive model yielded an area under the receiver operating characteristic curve of 0.854 with an 81.7% sensitivity and an 81.4% specificity. This predictive model could inform a simple but promising bedside tool for identifying older individuals at risk of skin tears.
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publishDate 2018
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spelling curtin-20.500.11937-720702018-12-13T09:32:48Z A risk model for the prediction of skin tears in aged care residents: A prospective cohort study Rayner, R. Carville, K. Leslie, Gavin Dhaliwal, S. © 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd The objective of this study was to construct a predictive model to identify aged care residents at risk of future skin tears. Extensive data about individual characteristics, skin characteristics, and skin properties were gathered from 173 participants at baseline and at 6 months. A predictive model, developed using multivariable logistic regression, identified five variables that significantly predicted the risk of skin tear at 6 months. These included: a history of skin tears in the previous 12 months (OR 3.82 [1.64-8.90], P = 0.002), purpura =20 mm in size (OR 3.64 [1.42-9.35], P = 0.007), a history of falls in the previous 3 months (OR 3.37 [1.54-7.41], P = 0.002), clinical manifestations of elastosis (OR 3.19 [1.38-7.38], P = 0.007), and male gender (OR 3.08 [1.22-7.77], P = 0.017). The predictive model yielded an area under the receiver operating characteristic curve of 0.854 with an 81.7% sensitivity and an 81.4% specificity. This predictive model could inform a simple but promising bedside tool for identifying older individuals at risk of skin tears. 2018 Journal Article http://hdl.handle.net/20.500.11937/72070 10.1111/iwj.12985 Wiley-Blackwell Publishing Ltd restricted
spellingShingle Rayner, R.
Carville, K.
Leslie, Gavin
Dhaliwal, S.
A risk model for the prediction of skin tears in aged care residents: A prospective cohort study
title A risk model for the prediction of skin tears in aged care residents: A prospective cohort study
title_full A risk model for the prediction of skin tears in aged care residents: A prospective cohort study
title_fullStr A risk model for the prediction of skin tears in aged care residents: A prospective cohort study
title_full_unstemmed A risk model for the prediction of skin tears in aged care residents: A prospective cohort study
title_short A risk model for the prediction of skin tears in aged care residents: A prospective cohort study
title_sort risk model for the prediction of skin tears in aged care residents: a prospective cohort study
url http://hdl.handle.net/20.500.11937/72070