Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients

Abstract

ObjectivesHospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable.DesignThis study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the UK.SettingThis service evaluation was part of a larger, international, single-day point prevalence study of PIs in adult ICU patients. Training was provided to healthcare givers using an electronic platform to ensure standardised recognition and staging of PIs across all sites.ParticipantsThe characteristics of the ICUs were recorded before the survey; deidentified patient data were collected using a case report form and uploaded onto a secure online platform.Primary and secondary outcome measuresFactors associated with ICU-acquired PIs in the UK were analysed descriptively and using mixed multiple logistic regression analysis.ResultsData from 1312 adult patients admitted to 94 UK ICUs were collected. The proportion of individuals with at least one PI was 16% (211 out of 1312 patients), of whom 8.8% (n=115/1312) acquired one or more PIs in the ICU and 7.3% (n=96/1312) prior to ICU admission. The total number of PIs was 311, of which 148 (47.6%) were acquired in the ICU. The location of majority of these PIs was the sacral area, followed by the heels. Braden score and prior length of ICU stay were associated with PI development.ConclusionsThe prevalence and the stage of severity of PIs were generally low in adult critically ill patients admitted to participating UK ICUs during the study period. However, PIs are a problem in an important minority of patients. Lower Braden score and longer length of ICU stay were associated with the development of injuries; most ICUs assess risk using tools which do not account for this.Trial registration numberNCT03270345.

Pressure injury prevalence in critical care settings: An observational pre‐post intervention study

“…Extended ICU LOS has been associated with heightened PI risk (Jacq et al., 2021 ; Lin et al., 2022 ), development of PIs (Kayser et al., 2019 ), and medical‐device related facial PIs (Lin & Chang, 2023 ). A UK study of 1312 patients independently linked ICU LOS with unit‐acquired PIs (Rubulotta et al., 2022 ). Notably, patients with ICU LOS exceeding 12 days exhibited a 7.5‐fold increased risk of ICU‐acquired PIs compared to those with stays ≤3 days (Labeau et al., 2021 ).…”