Incidence and Factors Related to the Appearance of Pressure Injuries in an Intensive Care Unit

Abstract

Objectives: identify the incidence and characterize pressure injuries in an adult intensive care unit regarding the occurrence, locations and risk factors, and verify whether there is an association between these and the appearance of the injuries. Method: observational, cohort, prospective study, developed in an intensive care unit of a tertiary hospital, from October to December 2019. The population consists of adults on the first day of admission to the unit, without pressure injury at admission. Participants were monitored during hospitalization, sociodemographic and clinical variables, and risk assessment of developing a pressure injury, skin assessment and Braden scale were collected daily. Pearson’s chi-square tests and student’s t-test were used to assessing the relationship between variables and injuries. For the analyzes, a significance level (α) of 5% was considered. Results: 40 participants were included, 20% had pressure injuries with a predominance of stages 1 and 2; the main affected sites were the sacral region followed by the calcaneus. The average hospital stay was 23.38 days for the injured group and 5.77 days for the non-injured group; time showed a significant relationship with the appearance of lesions (p = 0.002). Conclusion: it was concluded that the most affected site was the sacral region and grade 1 was the most frequent staging; length of stay was the variable that influenced the appearance of injuries.

State‐wide prevalence of pressure injury in intensive care versus acute general patients: A five‐year analysis

“…In terms of hospital-acquired pressure injury category counts, we found a much smaller propor- (Cox et al, 2022). A large proportion (40.8%) of severe pressure injuries (Stages III and IV) was also reported in the French intensive care prevalence study (Jacq et al, 2021), although this may have included non-intensive care-acquired pressure injuries, and a small Brazilian study in which a third were Stages III and IV (Rodrigues et al, 2021).…”

“…In the United States, prevalence data from 2451 intensive care patients with hospital‐acquired pressure injuries revealed a large proportion was Deep tissue injuries (33.6%), with a further 4.1% and 1.4% of Stage III and IV injuries respectively (Cox et al, 2022). A large proportion (40.8%) of severe pressure injuries (Stages III and IV) was also reported in the French intensive care prevalence study (Jacq et al, 2021), although this may have included non‐intensive care‐acquired pressure injuries, and a small Brazilian study in which a third were Stages III and IV (Rodrigues et al, 2021). In contrast, in the previous state‐wide study (Coyer et al, 2017), the proportion of severe hospital‐acquired pressure injury in intensive care patients was much lower (10.2%, n = 5/49), of which most were Suspected deep tissue injury.…”

“…Similarly, a Brazilian study of pressure injury in intensive care between the years 2010 and 2014 reported a mean pressure injury incidence of 10.8% (Ali et al, 2020) but pressure injury categories were not reported, and it is unclear whether Stage I injuries were included. In another Brazilian study, a notably higher incidence of 20.0% was reported in a small sample ( n = 40) (Rodrigues et al, 2021). Nine injuries were reported of which three were Stage I.…”

Fila De Espera Como Oportunidade Para Educação Em Saúde Sobre Autismo: Relato De Experiência

“…Nesse sentido, a enfermagem em seu campo de atuação deve ter como objetivo um atendimento com qualidade, buscando reduzir os possíveis riscos de prejuízo na integridade da pele que pode resultar em LPP (RODRIGUES et al, 2021).…”