Predictors of superficial and severe hospital-acquired pressure injuries: A cross-sectional study using the International Pressure Ulcer Prevalence™ survey

Kayser, Susan A.; VanGilder, Catherine; Lachenbruch, Charlie

doi:10.1016/j.ijnurstu.2018.09.003

Cited by 93 publications

(126 citation statements)

References 31 publications

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“…Methods and early results from IPUP surveys have been previously published. 7 , 12 – 16 However, IPUP data on MDR PIs have not been published since 2008 12 and were therefore the focus of this study. Analyses were performed on the preexisting database and limited to adult patients/residents (>18 years old) who were hospitalized or resided in US or Canadian facilities.…”

Section: Methodsmentioning

confidence: 99%

“…A further analysis of these data demonstrated that while facility-acquired Stage 1 or 2 (or superficial) PIs have decreased in prevalence from 3.7% (2011) to 2.9% in 2015, 13 full-thickness PIs (Stages 3 and 4, deep-tissue PI [DTPI], and unstageable) have remained constant, about 0.9% to 1.2% (2011 to 2016). 16 …”

Section: Introductionmentioning

confidence: 99%

“…There is limited information about MDR PIs. 11 , 16 – 26 In 2009, VanGilder et al 12 reported data from the 2009 IPUP survey of 86,932 US acute care patients who had 17,911 PIs; of those PIs, 9.1% (n = 1631) were device related. This study also found that 785 of the MDR PIs (48%) were facility acquired.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey

Kayser

VanGilder

Ayello

et al. 2018

Adv Skin Wound Care

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138

100

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OBJECTIVE:To examine the prevalence and characteristics of medical device–related pressure injuries (MDR PIs) in a large, generalizable database.METHODS:This study is a retrospective analysis of the 2016 International Pressure Ulcer Prevalence data. Data were limited to US and Canadian facilities. Facilities included acute care, long-term care, rehabilitation, long-term acute care hospitals, and hospice. Analysis included 102,865 adult patients; 99,876 had complete data and were the focus of the analysis and are reported in the results below.RESULTS:The overall PI prevalence was 7.2% (n = 7189), and the facility-acquired prevalence was 3.1% (n = 3113). The prevalence of MDR PIs was 0.60% (n = 601), which included both mucosal and nonmucosal MDR PIs. In this study, 75% of MDR PIs were facility acquired, whereas non-MDR PIs were most commonly present on admission. Facility-acquired MDR PIs formed 3 days faster than facility-acquired non-MDR PIs (12 vs 15 days; P < .05). By stage, most MDR PIs were superficial (58% were Stage 1 or 2), 15% were deep-tissue PIs, and 22% were full-thickness PIs (Stage 3 or 4 or unstageable). The most common anatomic locations for MDR PIs were the ears (29%) and the feet (12%). The most common devices associated with MDR PIs were nasal oxygen tubes, 26%; other, 19%; cast/splints, 12%; and continuous positive airway pressure/bilevel positive airway pressure masks, 9%.CONCLUSIONS:Because MDR PIs form faster than non-MDR PIs, timely proactive assessment and prevention measures are critical. Most MDR PIs occurred at the face and head region, and the ears specifically. The most common devices linked with MDR PIs were oxygen tubing and masks, making assessment and prevention efforts critical for patients who require those devices.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey

Kayser

VanGilder

Ayello

et al. 2018

Adv Skin Wound Care

Self Cite

138

100

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“…Currently, 65% of PUs are of nosocomial origin, primarily affecting people over 65 years of age, with limitations especially in the functional patterns: nutritional-metabolic, elimination, activity-exercise and cognitive-perceptual, and presenting risk factors that contribute to the development of PUs as advanced age, excess pressure and impaired skin sensitivity [8][9][10][11][12]. Therefore, the reduction and prevention of cases are one of the main concerns in health organizations.…”

Section: Introductionmentioning

confidence: 99%

Incidence of hospital-acquired pressure ulcers in patients with "minimal risk" according to the "Norton-MI" scale

Díaz-Caro

Gómez-Heras

2020

PLoS ONE

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Introduction Pressure ulcers (PUs) nowadays are a major health problem in society, associated with increased morbidity and increased health care costs. The incidence of HAPU is an indicator of health care quality. Objective To describe the profile of patients with minimal risk on the Norton-MI scale who developed PUs during hospitalization, and to identify the incidence of hospital-acquired pressure ulcers (HAPU). Methods Retrospective cohort study conducted between 2014 and 2017. Study population Patients over 18 years of age classified as "minimum risk" according to Norton-MI, admitted to acute hospital units of the Severo Ochoa University Hospital-Madrid-Spain. Patients were classified as patients with hospital-acquired pressure ulcers (PWHAPU) if they developed one or more new PU during their hospitalization. Variables Sociodemographic variables, hospitalization units, Morton-MI score and characteristics of the risk factors of HAPU were studied. Results The risk of PU was evaluated in 5530 patients, being 1260 patients classified as "minimum risk", with a median of 16 points in the Norton-MI scale. The average age was 76 years old and 52.5% were women. Principal causes of admission: traumatological pathologies

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“…In view of the epidemiological context of PIs, preventive measures to limit the spread of infections associated with injuries, the increase in hospital stay, financial costs, morbidity and mortality in health institutions generate quality indicators and reinforce the need to avoid adverse events ensuring patient safety (6)(7)(8)(9) . The nurse has scientific and technological knowledge for an accurate assessment of wounds, being able to critically point out the risks and adverse events resulting from the failure to maintain the patient's skin integrity (6,(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

Application of the educational method of realistic simulation in the treatment of pressure injuries

Baracho

Chaves

Lucas

2020

Rev. Latino-Am. Enfermagem

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Objective: to evaluate the use of realistic simulation as a strategy to promote teaching about pressure injuries. Method: This is a quasi-experimental study. A modified and translated version of the Pieper Pressure Ulcer knowledge test was applied. Kappa statistical analysis was used to assess the professionals’ knowledge in the realistic simulation using the SPSS software. A p-value <0.05 was considered significant. Results: Seventy-seven nursing professionals participated in the realistic simulation, the majority (72.7%) being nursing technicians. Regarding the knowledge of primary and secondary coverage techniques, the Kappa index went from 0.56 (p=0.002) in the pre-test to 0.87 (p=0.001) in the post-test. As for the sterile dressing technique, there was a variation from 0.55 (p=0.002) in the pre-test to 0.91 (p=0.001) in the post-test. Regarding the cleaning of pressure injuries, there was a variation from 0.81 (CI: 0.62-0.84) in the pre-test to 0.91 (0.85-0.97) in the post-test. The knowledge about the use of a sterile spatula to distribute the dressing in the wound increased from an agreement index from regular to good. Conclusion: The introduction of the realistic simulation in the clinical practice has created quality assessment indicators for the prevention and treatment of pressure injuries.

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Predictors of superficial and severe hospital-acquired pressure injuries: A cross-sectional study using the International Pressure Ulcer Prevalence™ survey

Cited by 93 publications

References 31 publications

Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey

Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey

Incidence of hospital-acquired pressure ulcers in patients with "minimal risk" according to the "Norton-MI" scale

Application of the educational method of realistic simulation in the treatment of pressure injuries

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