A New Theoretical Model for the Development of Pressure Ulcers and Other Dependence‐Related Lesions

García-Fernández, Francisco Pedro; Ágreda, José Javier Soldevilla; Soriano, José Verdú; Hidalgo, Pedro Luis Pancorbo

doi:10.1111/jnu.12051

Cited by 73 publications

(61 citation statements)

References 29 publications

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“…During movement to the examination table or bed, a patient can experience friction and shear, important factors in the development of pressure ulcers. 18,30,31 Use of vasopressors and low systolic blood pressure were significant variables in our study.…”

Section: Discussionmentioning

confidence: 82%

“…However, an interaction between multiple variables most likely explains why a pressure ulcer develops in some patients but not in other patients at risk. 1,18,20 The variables we examined were significantly associated with the development of pressure ulcers, and 4 variables were significant predictors in both regression models.…”

Section: Discussionmentioning

confidence: 99%

“…Hemodynamic status was identified as a coadjuvant factor that favors decreased tissue tolerance and development of pressure ulcers. 18 Lower mean arterial pressure 12,14 or diastolic pressure 13,32 was a predictor of pressure ulcers. In some studies, 17,33 lower blood pressure in patients in whom a pressure ulcer developed was not a significant predictor in the ICU or intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Subsequently, research [12][13][14][15][16][17][18] has been focused on additional risk factors observed in ICU patients to develop a new critical care risk scale. In 2 studies, 12,13 oxygen and perfusion variables were examined as risk factors for pressure ulcers.…”

mentioning

confidence: 99%

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A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Bly

Schallom

Sona

et al. 2016

American Journal of Critical Care

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This article has been designated for CE contact hour(s). The evaluation tests your knowledge of the following objectives: Background Although most intensive care patients are at risk for pressure ulcers, not all experience such ulcers.Objective To examine a model of variables related to extrinsic and intrinsic pressure on skin and underlying tissues, oxygenation, perfusion, and baseline comorbid conditions to identify risk factors associated with pressure ulcers in critically ill adults. Method A retrospective chart review was conducted on patients identified by weekly rounds from January 2010 through October 2010 to determine the prevalence of pressure ulcers. Variables were analyzed via bivariate analysis and logistic regression for unit-acquired pressure ulcers. Results Data on 345 patients with 436 intensive care admissions were reviewed. Variables were significant in each model category at P < .05. In the regression analysis of first admission only (n = 306), the model was significant (P < .001) and yielded correct classification of 86.3% of patients. For all intensive care admissions (n = 391), the model was significant (P < .001) and yielded correct classification of 83.9% of patients. In both models, 4 of the same variables were significant: any transport off the unit, number of days to bed change, systolic blood pressure less than 90 mm Hg, and use of more than 1 vasopressor. History of pulmonary disease and presence of a feeding tube were also significant in regression analyses. Conclusions Several variables within the model of pressure, oxygenation, and perfusion were significantly associated with development of pressure ulcers.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Bly

Schallom

Sona

et al. 2016

American Journal of Critical Care

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“…10 Other organizations have adopted similar definitions but with some modifications. Thanks to the new model created by García-Fernández et al, 11 a PU is considered as a dependence-related injury. Thus, the National Group for the Study and Assessment of Pressure Ulcers (GNEAUPP) 10,12 suggested in 2014 the following definition: "A pressure ulcer is a localized lesion on the skin and/or the underlying tissue, over a bony prominence, as a result of pressure, or pressure in combination with shear forces.…”

Section: Neonatal Pusmentioning

confidence: 99%

Neonatal pressure ulcers: prevention and treatment

García-Molina¹,

Alfaro-López²,

García-Rodríguez³

et al. 2017

RRN

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Health professionals should be prepared to respond to the needs of hospitalized neonates. The health team must consider multiple situations, where the neonate is at risk of having an adverse effect. One of the main interventions that health professionals must practice when interacting with hospitalized newborns is skin care. Neonates often suffer from diaper rash or intravenous drugs extravasation. Recently, hospitalized neonates and especially those in an unstable clinical situation are also at a risk of developing pressure ulcers. The presence of a pressure ulcer in a neonate can lead to serious problems to survival (eg, sepsis, clinical instability). This is the reason why, with this literature review, we attempt to answer questions from health professionals caring for neonates about the prevention and treatment of pressure ulcers.

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Large‐Scale and Washable Smart Textiles Based on Triboelectric Nanogenerator Arrays for Self‐Powered Sleeping Monitoring

Lin

Yang

et al. 2017

Adv Funct Materials

359

230

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Sleeping disorder is a major health threatening in high-pace modern society. Characterizing sleep behavior with pressure-sensitive, simple fabrication, and decent washability still remains a challenge and highly desired. Here, a pressure-sensitive, large-scale, and washable smart textile is reported based on triboelectric nanogenerator (TENG) array as bedsheet for real-time and self-powered sleep behavior monitoring. Fabricated by conductive fibers and elastomeric materials with a wave structure, the TENG units exhibit desirable features including high sensitivity, fast response time, durability, and water resistance, and are interconnected together, forming a pressure sensor array. Furthermore, highly integrated data acquisition, processing, and wireless transmission system is established and equipped with the sensor array to realize real-time sleep behavior monitoring and sleep quality evaluation. Moreover, the smart textile can further serve as a self-powered warning system in the case of an aged nonhospitalized patients falling down from the bed, which will immediately inform the medical staff. This work not only paves a new way for real-time noninvasive sleep monitoring, but also presents a new perspective for the practical applications of remote clinical medical service.

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A New Theoretical Model for the Development of Pressure Ulcers and Other Dependence‐Related Lesions

Abstract: The prevention and treatment of these lesions requires a correct diagnosis and differentiation of their cause and management of the risk dimensions involved. The type of lesion also influences the selection of local approach.

Cited by 73 publications

References 29 publications

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Neonatal pressure ulcers: prevention and treatment

Large‐Scale and Washable Smart Textiles Based on Triboelectric Nanogenerator Arrays for Self‐Powered Sleeping Monitoring

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