Incidence of pressure ulcers in an intensive care unit of a public hospital / Incidência de úlceras por pressão em uma unidade de terapia intensiva de um hospital público

Objetive:to identify risk factors for death in patients who have suffered non-infectious adverse events. Method:a retrospective cohort study with patients who had non-infectious Adverse Events (AE) in an Intensive Care Unit. The Kaplan Meier method was used to estimate the conditional probability of death (log-rank test 95%) and the risk factors associated with death through the Cox regression. Results:patients over 50 years old presented a risk 1.57 times higher for death; individuals affected by infection/sepsis presented almost 3 times the risk. Patients with a Simplified Acute Physiology Score III (SAPS3) greater than 60 points had four times higher risk for death, while those with a Charlson scale greater than 1 point had approximately two times higher risk. The variable number of adverse events was shown as a protection factor reducing the risk of death by up to 78%.Conclusion:patients who had suffered an adverse event and who were more than 50 years of age, with infection/sepsis, greater severity, i.e., SAPS 3>30 and Charlson>1, presented higher risk of death. However, the greater number of AEs did not contributed to the increased risk of death.

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Risk factors for death in patients with non-infectious adverse events

Gadelha

Paixão²,

Prado

et al. 2018

Rev. Latino-Am. Enfermagem

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Factors associated with the incidence of pressure ulcer during hospital stay

Matozinhos

Velásquez-Meléndez

Tiensoli

et al. 2017

Rev. esc. enferm. USP

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Objective:Estimating the incidence rate of pressure ulcers and verifying factors associated with this occurrence in a cohort of hospitalized patients. Method: This is a cohort study in which the considered outcome was the time until pressure ulcer occurrence. Estimated effect of the variables on the cumulative incidence ratio of the outcome was performed using the Cox proportional hazards model. Variable selection occurred via the Logrank hypothesis test. Results: The sample consisted of 442 adults, with 25 incidents of pressure ulcers. Patients with high scores on the Braden scale presented a higher risk of pressure ulcer incidence when compared to those classified into the low score category. Conclusion: These results reinforce the importance of using the Braden Scale to assist in identifying patients more likely to develop pressure ulcers.

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Incidence of pressure ulcers in an intensive care unit of a public hospital / Incidência de úlceras por pressão em uma unidade de terapia intensiva de um hospital público

Cited by 2 publications

References 4 publications

Risk factors for death in patients with non-infectious adverse events

Risk factors for death in patients with non-infectious adverse events

Factors associated with the incidence of pressure ulcer during hospital stay

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