• Mayara Spin Universidade Estadual Paulista – Faculdade de Medicina de Botucatu − Botucatu (SP), Brasil.
  • Marcelli Cristine Vocci Universidade Estadual Paulista – Faculdade de Medicina de Botucatu − Botucatu (SP), Brasil.
  • Kyara Marcondes Sardeli Universidade Estadual Paulista – Faculdade de Medicina de Botucatu − Botucatu (SP), Brasil.
  • Clarita Terra Rodrigues Serafim Universidade Estadual Paulista – Faculdade de Medicina de Botucatu − Botucatu (SP), Brasil.
  • Bruna Cristina Velozo Universidade Estadual Paulista – Faculdade de Medicina de Botucatu − Botucatu (SP), Brasil.
  • Regina Célia Popim Universidade Estadual PaulistaUniversidade Estadual Paulista – Faculdade de Medicina de Botucatu − Botucatu (SP), Brasil.
  • Meire Cristina Novelli e Castro Universidade Estadual PaulistaUniversidade Estadual Paulista – Faculdade de Medicina de Botucatu − Botucatu (SP), Brasil.


Objectives: to identify in the scientific literature the knowledge produced about skin tears injuries in the elderly. Methods: it is an integrative literature review (2014-2019), carried out by searching the databases/platforms National Library of Medicine, Biomedical Answers and Biblioteca Virtual em Saúde, with descriptors and the Boolean operators “and” and “or ”. Results: from the bibliographic search, selection and analysis, eight articles made up the sample. For skin tears injuries in the elderly, four pillars of care emerged: maintenance of organic and tissue homeostasis with a focus on proper nutrition and hydration; avoid trauma to senile skin, providing a safe environment with suitable devices; and the systematization of health care and education for elderly skin care. Conclusion: as prevention mechanisms, primary prevention is achieved through a unique care plan and health education activities, focused on risk factors and vulnerabilities, minimizing damage and complications.



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Miranda GMD, Mendes ACG, Silva AL. Population aging in Brazil: current and future social challenges and consequences. Rev Bras Geriatr Gerontol 2016;19(3):507-519.

ONU. Organização das Nações Unidas. Mundo terá dois milhões de idosos em 2050: OMS diz que envelhecer bem deve ser prioridade global, 2014. Disponível em:

Lini EV, Portella MR, Doring M. Factors associated with the institutionalization of the elderly: a case-control study. Rev Bras Geriatr Gerontol 2016;19(6):1004-14.

Freitas EV, Py L. Tratado de geriatria e gerontologia. 4ª Edição. Guanabara Koogan. Rio de Janeiro, 2017.

Carvalho TC, Valle AP do, Jacinto AF, Mayoral VF de S, Boas PJFV. Impact of hospitalization on the functional capacity of the elderly: A cohort study. Rev Bras Geriatr Gerontol 2018;21(2):134-42.

Resolução de Diretoria Colegiada – RDC nº 283, de 26 de setembro de 2005. ANVISA – Agência Nacional de Vigilância Sanitária. Disponível em:

Payne RL, Martin ML. The epidemiology and management of skin tears in older adults. Ostomy Wound Manage 1990;26:26-37. PMID: 2306325

Mamédio C, Santos DC, Andrucioli C, Pimenta M, Roberto M, Nobre C. The PICO strategy for the research question construction and evidence search. Rev. Latino-AmEnfermagem 2007; 15(3):508-511.

Koyano Y, Nakagami G, Iizaka S, Sugama J, Sanada H. Skin property can predict the development of skin tears among elderly patients: a prospective cohort study. Int Wound J 2017;14(4):691-697.

Murphree RW. Impairments in Skin Integrity. Nurs Clin North Am. 2017;52(3):405-417.

LeBlanc K, Langemo D, Woo K, Campos HMH, Santos V, Holloway S. Skin tears: prevention and management. Br J Community Nurs 2019;1;24(Sup9):S12-S18.

Lewin GF, Newall N, Alan JJ, Carville KJ, Santamaria NM, Roberts PA. Identification of risk factors associated with the development of skin tears in hospitalised older persons: a case-control study. Int Wound J 2016;13(6):1246-1251.

Brimelow RE, Wollin JA. The impact of care practices and health demographics on the prevalence of skin tears and pressure injuries in aged care. J Clin Nurs 2018;27(7-8):1519-1528.

Sanada H, Nakagami G, Koyano Y, Iizaka S, Sugama J. Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study. Geriatr Gerontol Int 2015;15(8):1058-63.

Rando T, Kang AC, Guerin M, Boylan J, Dyer A. Simplifying wound dressing selection for residential aged care. J Wound Care 2018;27(8):504-511. PMID: 30086249.

Feng H, Wu Y, Su C, Li G, Xu C, Ju C. Skin injury prevalence and incidence in China: a multicentre investigation. J Wound Care 2018;27(Sup10):S4-S9.

Tristão FR, Girondi JBR, Hammerschmidt KSA, Soares CF, Martins T, Lima DKS. Risco para lesão por fricção em idosos longevos na atenção primária à saúde. ESTIMA Braz J Enterostomal Ther 2018;16:e3218.

LeBlanc K, Baranoski S. Skin Tears: finally recognized. Adv Skin Wound Care 2017;30(2):62-3.

Garbaccio JL, Ferreira AD, Pereira ALGG. Self-skincare knowledge and practice described by elderly persons in the mid-west of Minas Gerais. Rev Bras Geriatr Gerontol 2016;19(1).

Munro EL, Hickling DF, Williams DM, Bel J. Malnutrition is independently associated with skin tears in hospital inpatient setting – Findings of a 6-year point prevalence audit. Int Wound J. 2018;15(4):527-33. iwj.12893.

Andrade UV, França VF, Rynaldi KSC. Comparative study between professional and informal carers of elderly with dementia. Braz J of Develop 2020;6(7):50884-93.

Strazzieri-pulido KC, Peres GRP, Campanili TCGF, Santos VLCG. Skin tear prevalence and associated factors: a systematic review. Rev Esc Enferm USP 2015; 49(4):674-680.

Serra R, Ielapi N, Barbetta A, Franciscis S. Skin tears and risk factors assessment: a systematic review on evidence‐based medicine. Int Wound J 2018;15(1):38-42. https://doi. org/10.1111/iwj.12815

Santos EI. Skin tear treatment and prevention by nurses: an integrative literature review. Rev Gaúcha Enferm 2014 jun;35(2):142-9. 1447.2014.02.45178

Palareti G, Legnani C, Cosmi B, Antonucci E, Erba N, Poli D, Testa S et al. Comparison between different D-Dimer cutoff values to assess the individual risk of recurrent venous thromboembolism: analysis of results obtained in the DULCIS study. Int J Lab Hematol 2016;38(1):42-9.

Leblanc K, Baranski S, Christensen D, Langemo D, Edwards K, Holloway S, et al. The art of dressing selection. Adv Skin Wound Care. 2016;29(1). http://

Gomes BE, Souza PV de, Silva GD da, Rocha RM, Kuriyama SN, Silvino ZR. Systematizing knowledge about prevention of skin tears in the aged skin. REAID 2019;77(15).

LeBlanc K, Campbell K, Beeckman D, Dunk AM, Harley C, Hevia H et al. Best practice recommendations for the prevention and management of skin tears in aged skin. Wounds International 2018. Available from:


2021-02-09 — Updated on 2021-02-11


How to Cite

Spin M, Vocci MC, Marcondes Sardeli K, Terra Rodrigues Serafim C, Velozo BC, Popim RC, Novelli e Castro MC. SKIN TEARS IN THE ELDERLY. ESTIMA [Internet]. 2021 Feb. 11 [cited 2022 Aug. 15];19. Available from:



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