Pressure ulcers in critically ill patients: incidence and associated factors.

نویسندگان

  • Andressa Tomazini Borghardt
  • Thiago Nascimento do Prado
  • Sheilla Diniz Silveira Bicudo
  • Denise Silveira de Castro
  • Maria Edla de Oliveira Bringuente
چکیده

OBJECTIVE to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients. METHOD this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories. RESULTS an incidence of 22% (95% CI 12.6 - 31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%). CONCLUSION the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

عوامل خطر ساز ابتلا به زخم فشاری در بیماران دارای ضایعه مغزی - نخاعی بستری در منزل

Background: Critically ill brain-spinal cord injured patients are at high risk for pressure ulcers. The aim of this study was to investigate risk factors of developing pressure ulcers in critically ill patients with brain-spinal cord injuries. Methods: This cross-sectional study was conducted on 62 home care patients with brain-spinal cord injuries in Hamadan city in 2012. For three weeks, ev...

متن کامل

COMPARISON OF INCIDENCE AND GRADE OF PRESSURE ULCER IN SMOKERS AND NON-SMOKERS ADMITTED TO INTENSIVE CARE UNIT

Background & Aims: Pressure ulcer is a serious problem in patients admitted to the intensive care unit. It is associated with major complications such as prolonged length of stay and delayed recovery. The aim of this study was to compare the incidence and grade of pressure ulcers in smokers and non-smokers admitted to the intensive care unit. Materials & Methods: This study is an analytical cr...

متن کامل

Five-Layered Soft Silicone Foam Dressing to Prevent Pressure Ulcers in the Intensive Care Unit.

BACKGROUND In critically ill patients, prevention of pressure ulcers is a challenge because of the high risk for multiple comorbid conditions, immobility, hemodynamic instability, and increased use of medical devices. OBJECTIVES To compare the difference in incidence rates of hospital-acquired pressure ulcers (HAPUs) in critically ill patients between those treated with usual preventive care ...

متن کامل

Predictors of pressure ulcers in adult critical care patients.

BACKGROUND Pressure ulcers are one of the most underrated conditions in critically ill patients. Despite the introduction of clinical practice guidelines and advances in medical technology, the prevalence of pressure ulcers in hospitalized patients continues to escalate. Currently, consensus is lacking on the most important risk factors for pressure ulcers in critically ill patients, and no ris...

متن کامل

A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial.

The prevention of hospital acquired pressure ulcers in critically ill patients remains a significant clinical challenge. The aim of this trial was to investigate the effectiveness of multi-layered soft silicone foam dressings in preventing intensive care unit (ICU) pressure ulcers when applied in the emergency department to 440 trauma and critically ill patients. Intervention group patients (n ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Revista brasileira de enfermagem

دوره 69 3  شماره 

صفحات  -

تاریخ انتشار 2016