Nursing records, prevention measures and incidence of pressure ulcers in an Intensive Care Unit

Rodríguez-Núñez, C.; Iglesias-Rodríguez, A.; Irigoien-Aguirre, J.; García-Corres, M.; Martín-Martínez, María Auxiliadora; Garrido-García, Rebeca

doi:10.1016/j.enfie.2018.06.002

Cited by 8 publications

(19 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fourteen papers were included in this review and included quasi‐experimental ( n = 8), RCTs ( n = 3), case series ( n = 2) and cross‐sectional ( n = 1) studies. Three studies were conducted in Australia (Barakat‐Johnson et al, 2019; Coyer et al, 2015; Darvall et al, 2018), USA (Anderson et al, 2015; Gray‐Siracusa & Schrier, 2011; Swafford et al, 2016) and Spain (Manzano et al, 2014; Otero et al, 2017; Rodríguez‐Núñez et al, 2019). Two studies were conducted in Brazil (Mendonça et al, 2018; Rogenski & Kurcgant, 2012), and one each in Saudi Arabia (Tayyib et al, 2015), the Netherlands (de Laat et al, 2007) and Turkey (Yilmazer & Bulut, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Not all studies provided detailed demographic particulars about the population being studied (Otero et al, 2017; Rodríguez‐Núñez et al, 2019; Rogenski & Kurcgant, 2012). However, the demographic characteristics and severity of illness of included patients were described in most studies, with the ages of participants in the studies ranging from 24 to 92 years.…”

Section: Resultsmentioning

confidence: 99%

“…Some studies excluded patients with a pre‐existing PI present on admission to the critical care unit (Anderson et al, 2015; Rodríguez‐Núñez et al, 2019; Tayyib et al, 2015) and one excluded patients who developed a PI within 24 hr of admission (Coyer et al, 2015). One study excluded patients who had a length of stay greater than 48 hr in the ICU environment (de Laat et al, 2007).…”

Section: Resultsmentioning

confidence: 99%

“…The incidence of PIs was reduced in 13 out of 14 studies. Twelve studies examined outcomes using all the EPUAP/NPIAP/PPPIA stages (I, II, III, IV, Unstageable, Deep tissue injury; Anderson et al, 2015; Barakat‐Johnson et al, 2019; Coyer et al, 2015; Darvall et al, 2018; Gray‐Siracusa & Schrier, 2011; Mendonça et al, 2018; Otero et al, 2017; Rodríguez‐Núñez et al, 2019; Rogenski & Kurcgant, 2012; Swafford et al, 2016; Tayyib et al, 2015; Yilmazer & Bulut, 2019). Two studies excluded stage I PIs (de Laat et al, 2007; Manzano et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Nursing interventions for pressure injury prevention among critically ill patients: A systematic review

Alshahrani

Sim

Middleton

2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aim To systemically synthesise the evidence on the most effective nursing interventions to prevent pressure injuries among critical care patients. Background Although pressure injury (PI) prevention is a focus of nursing care in critical care units, hospital‐acquired pressure injuries continue to occur in these settings. Design A systematic review of literature guided by the Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) and Synthesis without meta‐analysis (SWiM) guidelines. Methods Four electronic databases were searched for relevant studies. Included studies were screened and then critically appraised using the appropriate Joanna Briggs Institute appraisal tool. Data were analysed and reported using a narrative synthesis. Results The review included 14 studies. Randomised controlled trials, quasi‐experimental, case series and cross‐sectional studies were included. The review identified four broad categories of interventions that are the most effective for preventing pressure injuries: (a) PI prevention bundles, (b) repositioning and the use of surface support, (c) prevention of medical device‐related pressure injuries and (d) access to expertise. All the included studies reported a reduction in pressure injuries following the interventions; however, the strength of the evidence was rated from moderate to very low. Conclusions Nurses are well qualified to lead in the prevention of pressure injuries in critical care units. Every critically ill patient requires interventions to prevent pressure injuries, and the prevention of PIs should be considered a complex intervention. Nurses must plan and implement evidence‐based care to prevent all types of pressure injuries, including medical device‐related pressure injuries. Education and training programmes for nurses on PI prevention are important for prevention of pressure injuries. Relevance to clinical practice Nursing interventions should consist of evidence‐based ‘bundles’ and be adapted to patients’ needs. To prevent pressure injuries among critically ill patients, nurses must be competent and highly educated and ensure fundamental strategies are routinely implemented to improve mobility and offload pressure.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Nursing interventions for pressure injury prevention among critically ill patients: A systematic review

Alshahrani

Sim

Middleton

2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…At baseline and during the 30day observation period, only 30% of the residents received specific heel prevention. However, the heels are one of the most common locations for PU development . Therefore, it might be beneficial if a higher percentage of residents received specific heel PU prevention by offloading the heels, using a cushioned support (pillow or boots).…”

Section: Discussionmentioning

confidence: 99%

Pressure ulcer Cat. II‐IV incidence on the CuroCell S.A.M. PRO powered reactive air support surface in a high‐risk population: A multicentre cohort study in 12 Belgian nursing homes

Zwaenepoel

Hecke

Manderlier

et al. 2019

International Wound Journal

View full text Add to dashboard Cite

The primary objective was to study pressure ulcer (PU) category II-IV (including suspected deep tissue injury and unstageable PUs) cumulative incidence and PU incidence density, in a 30day observation period, associated with the use of the CuroCell S.A.M. PRO powered reactive air support surface in nursing home residents at risk for PU development. Secondary objectives were to study (a) PU category I cumulative incidence and PU incidence density and (b) user (caregivers and residents) experiences and perceptions of comfort associated with the use of the support surface under study. A multicentre cohort study was set up in 37 care units of 12 Belgian nursing homes. The sample consisted of 191 residents at risk of PU development (Braden score ≤ 17). The cumulative PU incidence was 4.7% (n = 9).

show abstract

The paradox of obesity in pressure ulcers of critically ill patients

Chen

Wang

Pan

et al. 2023

International Wound Journal

View full text Add to dashboard Cite

The relationship between body mass index and pressure ulcers in critically ill patients is controversial. We aimed to investigate the association between body mass index and pressure ulcers by analysing data from the Medical Information Mart for Intensive Care IV (version 2.0) database. Eligible data (21 835 cases) were extracted from the database (2008‐2019). The association between body mass index and pressure ulcers in critically ill patients was investigated by adjusting multivariate trend analysis, restricted cubic spline analysis, and segmented linear models. Subgroup analyses and sensitivity analyses were used to ensure the stability of the results. Trend analysis and restricted cubic spline analysis showed an approximate U‐shaped correlation between body mass index and the occurrence of pressure ulcers in critically ill patients, with the risk of pressure ulcers decreasing rapidly with increasing body mass index (8.6% decrease per unit) after adjusting for relevant factors; the trend reached its minimum at a body mass index of 27.5 kg/m2, followed by a slow increase in the risk of pressure ulcers with increasing body mass index (1.4% increase per unit). Among the subgroups, the highest overall risk of pressure ulcers and the risk of severe pressure ulcers were significantly higher in the underweight group than in the other subgroups, and the risk associated with the overweight group was the lowest. There is a U‐shaped association between body mass index and pressure ulcers in critically ill patients, and being underweight and obese both increase the risk of pressure ulcers. The risk is highest among underweight patients and lowest among overweight patients (but not patients of normal weight), necessitating targeted prevention strategies for critically ill patients with different body mass indexes.

show abstract

Nursing records, prevention measures and incidence of pressure ulcers in an Intensive Care Unit

Cited by 8 publications

References 31 publications

Nursing interventions for pressure injury prevention among critically ill patients: A systematic review

Nursing interventions for pressure injury prevention among critically ill patients: A systematic review

Pressure ulcer Cat. II‐IV incidence on the CuroCell S.A.M. PRO powered reactive air support surface in a high‐risk population: A multicentre cohort study in 12 Belgian nursing homes

The paradox of obesity in pressure ulcers of critically ill patients

Contact Info

Product

Resources

About