Incidence, Prevention and Treatment of Pressure Ulcers in Intensive Care Patients

Turgut, Namigar; Ak, Aysel; Ak, Erkan; Yakar, Nagihan; Yakar, Mehmet Nuri; Yilmaz, Birsen; Cora, Burçin; Mingir, Tarkan; Ali, İncila

doi:10.4274/tybdd.84755

Cited by 4 publications

(3 citation statements)

References 18 publications

(21 reference statements)

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“…Pressure ulcers also affect the quality of life in the ICU. The hospital stay is prolonged due to wound care, debridement, and graft procedures [18]. In the literature, the most common areas of pressure ulcers due to supine positions are sacral (50%), heel (15%), and trochanteric (10%).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of patients with negative PCR tests after COVID-19 pneumonia in intermediate-level intensive care unit

Ata

Yılmaz

Karaca

et al. 2023

The European Research Journal

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Objectives: The need for an intensive care unit has increased during the pandemic of coronavirus disease (COVID-19). For this reason, intermediate-level intensive care units (IICUs) were established in hospitals worldwide. This study aims to evaluate the data of patients that hospitalized in IICU. Methods: Patients under treatment for COVID-19 were followed up in IICU after the negative polymerized chain reaction test. A total of 52 patients were evaluated retrospectively between August 24, 2020 and March 1, 2021. The patients were divided into two groups according to discharge status from IICU (Group 1: exitus, Group 2: transferred to clinic, or discharged home). Demographic data, comorbidities, Acute Physiology and Chronic Health Evaluation II (APACHE II), Glasgow Coma Scale (GCS), treatments and procedures, and complications were recorded. Results: Seventeen (32.7%) of 52 patients who were followed up in IICU died. Thirty-five patients (67.3%) were transferred to the clinic or discharged home. The APACHE II scores at admission to IICU were higher in Group 1 (26.11 ± 5.86) than in Group 2 (23.43 ± 6.32) but not statistically significant. GCS was statistically significantly lower in Group 1 than in Group 2 (7.82 ± 2.42 and 10.25 ± 2.58, respectively, p = 0.002). Mechanical ventilation rate (82.3%) and the need for inotropic agents (76.5%) were higher in Group 1 (p = 0,034 and p < 0.001, respectively). Tracheostomy was applied to 5 of all patients, and percutaneous endoscopic gastrostomy was performed 4 of them. Conclusions: We think that IICU created during the pandemic provides effective treatment for patients needing intensive care. We think IICU is beneficial in providing quick patient discharge in tertiary intensive care units.

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Section: Discussionmentioning

confidence: 99%

Evaluation of patients with negative PCR tests after COVID-19 pneumonia in intermediate-level intensive care unit

Ata

Yılmaz

Karaca

et al. 2023

The European Research Journal

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“…Pressure sores are necrosis and ulcerations that occur as a result of impaired circulation in the subcutaneous tissues of the skin due to repetitive and prolonged pressures, especially in areas with bony protrusions 1 . It is more common in areas with bones just under the skin such as the ear, shoulder, elbow, sacral area, hip, knee, heel, compared to other body parts 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Advanced age, higher or lower body weight, immobility, diabetes, fecal incontinence, urinary incontinence and hypoalbuminemia can be listed as the main risk factors for pressure sores [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Pressure Sores in Intensive Care; What Situation Are We In

Ayyıldız¹,

Yelken²

2021

jocass

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Introduction: Pressure sores are a serious health problem that is common in the intensive care unit (ICU), increasing the length of hospital stay, cost and mortality rate, and should be prevented first. This study was conducted in order to determine the risk factors that may affect our pressure sore prevalence and development. Materials and Methods: The pressure sore data of the patients treated in the Anesthesia Intensive Care Unit for six months between June 1, 2019 and December 31, 2019 were examined. The demographic characteristics, hospitalization diagnoses, pressure sore risk factors, locations and stages of the patients with pressure sores were recorded. Results: The number of patients followed up during the six-month period was 275 and 52 of the patients had pressure sores (18.9%). Forty of the patients were 65 years and older, and advanced age was found to be a significant risk factor (p <0.01). Considering the patients who developed pressure sores in our intensive care follow-up, it was seen that the average pressure sore development day was 17.1st day. (3rd-44th day) Pressure sores were most common in the sacral region and stage two. Conclusion: While the most important risk factors for pressure ulcer development were emphasized as advanced age; in our study, in parallel with the literature, advanced age was the most common. Pressure sores rate and analysis, which is one of the mandatory parameters as an indicator of quality in intensive care, is one of the issues that should be dominated by every intensive care worker.

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Yoğun Bakım Kliniklerinde Yatan Hastalarda Hemoglobin ve Albümin Değerlerinin Basınç Yarası Gelişimine Etkisi

Efteli

2022

Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Pressure injury are accepted as an indicator of inadequate care all over the world. It also prolongs the length of hospital stay and increases the rates of mortality and morbidity. In our study, the effects of hemoglobin and albumen values on the development of pressure injury were investigated. Personal Information Form and EFGU Pressure Ulcer Risk Assessment Scale were used to collect the study data. The sample of the descriptive study consisted of 68 adults over the age of 18 who were hospitalized in intensive care clinics between November 2021 and March 2022. The mean age of the patients included in the study was 67.08±14.35 years. Of them, 42.6% were women, 17.6% were intubated, and 57.4% had the normal state of consciousness. The rate of pressure injury development in patients was 26.5%. In our study, it was determined that hemoglobin and albumin values in patients with pressure injury hospitalized in intensive care clinics were lower than those without pressure injury, and the difference was statistically significant.

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Incidence, Prevention and Treatment of Pressure Ulcers in Intensive Care Patients

Cited by 4 publications

References 18 publications

Evaluation of patients with negative PCR tests after COVID-19 pneumonia in intermediate-level intensive care unit

Evaluation of patients with negative PCR tests after COVID-19 pneumonia in intermediate-level intensive care unit

Evaluation of Pressure Sores in Intensive Care; What Situation Are We In

Yoğun Bakım Kliniklerinde Yatan Hastalarda Hemoglobin ve Albümin Değerlerinin Basınç Yarası Gelişimine Etkisi

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