Association between pressure injury prediction and biochemical markers

Abstract

Objective: to verify the association of pressure injury prediction with albumin, hematocrit and hemoglobin levels. Methods: documentary study, developed in an Intensive Care Unit for Adults with records of eligible patients (n=255). Sociodemographic and clinical characterizations lesion, development of pressure injury and region; a score of the Braden scale and results of biochemical markers were extracted. There was a descriptive and inferential statistical analysis, adopting a significance level of 5.0%. Results: there was a prevalence of males (64.7%) and surgical patients (69.8%). There was no significant association between hematocrit and hemoglobin markers with the pressure injury prediction, unlike albumin levels (p=0.023). Conclusion: there is an injury pressure prediction association in the albumin. The protein intake of the patient should be seen in greater detail by the health team.

Incidência de lesão por pressão em unidade de terapia intensiva para adultos

“…However, it should be noted that the study cited did not include ICU in its sample, so it may not be considered a reliable standard of comparison, but it certainly can be interpreted as a north for improvement. Regarding the location of injuries in the sample (Table 4), he highest concentration (76.5%) of PI in the sacral region is an aspect of wide agreement in the literature 8,[10][11][12][13] . In addition to the fact that the second largest portion of PI involvement occurred in the scapular region of the patients, it can be inferred that the skin care of the back, although not exclusive, should be a factor of attention to the health team and, mainly of nursing of the ICU researched.…”

Incidence of pressure injury in an adult intensive care unit

“…In the context of PI in ICU, the rst monthly evaluation report of the year 2015 of hospitals adhering to the CHQ for the event incidence indicator resulted in a maximum of 26.53% 23 , that is, a value higher than that found in the study. Although this data was the result of a shorter time of Regarding the location of injuries in the sample (Table 4), he highest concentration (76.5%) of PI in the sacral region is an aspect of wide agreement in the literature 8,[10][11][12][13] . In addition to the fact that the second largest portion of PI involvement occurred in the scapular region of the patients, it can be inferred that the skin care of the back, although not exclusive, should be a factor of attention to the health team and, mainly of nursing of the ICU researched.…”

“…Lesión por presión; Unidades de terapia intensiva; Seguridad del paciente; Cuidados de enfermería; Estomaterapia Incidence of pressure injury in an adult intensive care unit Although the PI classi cation is essentially valid for the planning of its best treatment, it is postulated that knowing the risk factors and the measures of prevention of this adverse event is a fundamental aspect in the elaboration of quali ed and individualized care, nurses, who must rea rm their professional autonomy in these actions 6,7 . In this context, it is known that the environment of hospitalization in the Intensive Care Unit (ICU) is a place that deserves even more attention in the prevention of PI, since the intrinsic risk factors to the patient hospitalized in ICU and therapeutic diagnostic interventions of intensive care may favor the predisposition to this undesirable event 8 . e intensive hospital care is a factor of concern for the development of PI due to the patients' own clinical severity, which usually incurs the use of sedatives for mechanical ventilation that favors full immobilization but that realized by the health team, with a focus on nursing; muscle mass loss; and the long average stay at hospitalization 7 .…”

“…e intensive hospital care is a factor of concern for the development of PI due to the patients' own clinical severity, which usually incurs the use of sedatives for mechanical ventilation that favors full immobilization but that realized by the health team, with a focus on nursing; muscle mass loss; and the long average stay at hospitalization 7 . Also, nutritional imbalance, especially in the context of albuminwhich favors cell growth and, consequently, the healing process -is also a risk factor for PI found in ICU 8 .…”

Risk assessment for perioperative pressure injuries

“…In the present sample, approximately 25% of the patients had altered hemoglobin levels. Low levels of hemoglobin deserve attention because they imply less transport of nutrients and oxygen to tissues, and consequently become a significant factor involved in the maintenance of skin integrity 22 .…”