SCIENCE, PRACTICE AND EDUCATION long-term care facilities (Table 1). Studies in long- term care have reported skin tear prevalence rates be- tween 3.0% and 41.2%, measured in samples ranging from 34 to 1253 residents. In acute care settings, skin tear prevalence is slightly lower, varying from 1.1% to 19.8%. One study was conducted in the pallia- tive care setting, reporting a skin tear prevalence of 16.1%. 15 Carville and Lewin (1998) and Carville and Smith (2004) documented skin tear prevalence rates of 5.5% and 19.5%, respectively, among Australian patients in community care. 16,17 In several studies, only the extremities of the body were observed, which may have resulted in the omission and underreport- ing of skin tears. Table 1: Prevalence of skin tears Authors (year) Country 16 Carville & Lewin (1998) 17 Carville & Smith (2004) 18 McErlean et al. (2004) 19 McLane et al. (2004) 20 Santamaria et al. (2009) 21 Hsu & Chang (2010) 22 Lopez et al. (2011) 23 Amaral et al. (2012) 15 Maida et al. (2012) 24 LeBlanc et al. (2013b) 25 Chang et al. (2016) 26 Koyano et al. (2016) 27 Ayello (2017) 28 Edwards et al. (2017) 29 Hahnel et al. (2017) 30 LeBlanc (2017); 31 LeBlanc et al. (2020) 32 Skiveren et al. (2017) Australia Australia Australia US Australia Taiwan Australia Brazil Canada Canada Singapore Japan US Australia Germany Canada Denmark Healthcare setting Skin tear prevalence % (number of participants with 1 or more STs / total study sample) Community care (1146 home care patients) 5.5% (63/1146) Community care (492 home care patients) 19.5% (96/492) Acute and critical care (1 tertiary hospital) 10.7% (20/187) Acute paediatric care (9 children’s hospitals) 3.7% (39/1064) Acute care (86 public hospitals) 8.0% (464/5800) Acute and critical care (1 hospital) 11.0% (80/724) Acute care (2 public hospitals) 19.8% (19/96) Acute and critical care 3.3% (5/157) (1 oncology teaching hospital) Palliative care (hospital + community programme) 16.1% (83/517) Long-term care (1 facility) 22.1% (25/113) Acute care (1 tertiary teaching hospital) 6.2% (9/144) Long-term care (1 facility, age ≥ 65 years) 3.9% (16/410) Long-term care (CMS national health database) In 2012: 4.7% (NR/NR) In 2013: 5.4% (NR/NR) Long-term care (7 aged care facilities) 23.5% (47/200) Long-term care 6.3% (14/223) (10 facilities, age ≥ 65 years) Long-term care (4 facilities, age ≥ 65 years) 20.8% (79/380) Long-term care 4.6% (6/128) (1 nursing home, age ≥ 65 years) 39 JOURNAL OF WOUND MANAGEMENT OFFICIAL JOURNAL OF THE EUROPEAN WOUND MANAGEMENT ASSOCIATION
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