Prevention of pressure injuries in critically ill children: A preliminary evaluation

Bargos-Munárriz, Marta; Bermúdez-Pérez, Montserrat; Martínez-Alonso, Ana María; García-Molina, Pablo; Orts-Cortés, María Isabel

doi:10.1016/j.jtv.2020.08.005

Cited by 12 publications

(22 citation statements)

References 18 publications

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“…1,7 Furthermore, it is a challenging problem in clinical nursing of the children with pressure injuries, because their skin has obvious anatomical and physiological differences compared with adults, such as decreased stratum corneum, immature dermal circulation and diminished dermo-epidermal cohesion and so on. 8 Therefore, we should be cautious about extrapolating the clinical features of children's pressure injuries from the data of adult. 1 Brain tumour operations of children usually have complicated operations, longer operation time, amount of haemorrhage and a special operative position, hence the incidence of IAPIs was significantly higher than that of other operations in our hospital.…”

Section: Introductionmentioning

confidence: 99%

Risk factors and the nomogram model for intraoperatively acquired pressure injuries in children with brain tumours: A retrospective study

Qin

Tang

Zeng

et al. 2023

International Wound Journal

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This study aimed to investigate the clinical features and incidence of Intraoperatively Acquired Pressure Injuries (IAPIs) of brain tumours in children, to screen the risk factors and to establish a nomogram model for making prevention strategies against the development of IAPIs. Clinical data of 628 children undergoing brain tumour surgery from August 2019 to August 2021 were extracted from the adverse events and the electronic medical systems. They were randomly divided into a training cohort(n = 471) and a validation cohort(n = 157). The univariate and multivariate analysis was performed to identify the risk factors in training cohort; R software was used to construct a nomogram model; the area under the receiver operator characteristic curve (AUC) and calibration plots were used to judge the predictive performance of the nomogram model; decision curve analysis (DCA) was used to assess the clinical usefulness of the nomogram model. Age, haemorrhage, use of vasopressor, temperature, operation time and operation position were considered as significant risk factors, and enrolled to construct a nomogram model. The results of AUC showed satisfactory discrimination of the nomogram; the calibration plots indicated favourable consistency between the prediction of the nomogram and actual observations in both the training and validation cohorts; DCA showed better net benefit and threshold probability of the nomogram model. The nomogram model illustrates significant predictive ability, which can provide scientific and individual guidance for preventing development of IAPIs.

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Section: Introductionmentioning

confidence: 99%

Risk factors and the nomogram model for intraoperatively acquired pressure injuries in children with brain tumours: A retrospective study

Qin

Tang

Zeng

et al. 2023

International Wound Journal

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“…[1][2][3][4][5] When applying these medical devices in the pediatric ICU (PICU), children are at high risk of skin breakdown. 6,7 The main factors in this risk are the characteristics inherent to neonatal skin. 8,9 Further, immobility, physiologic instability, age, and development can have a negative effect on patient skin.…”

Section: Introductionmentioning

confidence: 99%

“…Medical devices used to benefit neonatal patients in the ICU can cause problems such as pressure injuries (PIs) and infection 1-5 . When applying these medical devices in the pediatric ICU (PICU), children are at high risk of skin breakdown 6,7 . The main factors in this risk are the characteristics inherent to neonatal skin 8,9 .…”

Section: Introductionmentioning

confidence: 99%

Replacing Monitoring Electrodes on Infant Skin Every 12 Versus 24 Hours

Demirci,

Uğur,

Öntürk

2023

Adv Skin Wound Care

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OBJECTIVE To examine the effect of varying the frequency of monitoring electrode replacement on skin moisture and condition of infants hospitalized in the pediatric ICU. METHODS The population of the study consisted of 1- to 12-month-old infants receiving treatment in the pediatric ICU. The control group of the study (n = 33) included infants whose monitoring electrodes were replaced every 24 hours during monitoring, and the experimental group (n = 33) included infants whose monitoring electrodes were replaced every 12 and 24 hours during monitoring. Before assessment, the skin moisture of the monitoring areas was measured and evaluated with the Skin Condition Assessment Scale. RESULTS When the difference in skin moisture was compared for all measurement areas of the infants before monitoring and at the 24-hour mark, an increase in moisture was seen in both groups, and the difference in the experimental group was greater than that in the control group. Increased moisture is a risk factor for medical device-related pressure injuries. When comparing between-group differences in skin condition, the researchers noted a greater increase in skin condition score in the experimental group. An increased score indicates that the infant's skin condition is worsening. CONCLUSIONS Replacing the monitoring electrodes every 24 hours positively affected skin moisture and condition, whereas replacing them every 12 hours negatively affected skin moisture and condition.

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“…Considerations regarding the care and treatment of wounds in the pediatric population are very different from those seen in adult patients. Because of skin immaturity and body size, children under age 2 are considered especially vulnerable to developing PIs 3–5 . Children under 5 years are more prone than adults to developing occiput PIs because of their proportionally larger and heavier heads 3 .…”

mentioning

confidence: 99%

“…Because of skin immaturity and body size, children under age 2 are considered especially vulnerable to developing PIs. [3][4][5] Children under 5 years are more prone than adults to developing occiput PIs because of their proportionally larger and heavier heads. 3 Infant skin properties even differ depending on gestational age, such as increased water loss among infants born at 32 weeks gestation or younger 3 -a complexity not generally considered for adult patient care.…”

mentioning

confidence: 99%

Under Pressure: Shedding Light on the Issue of Pediatric Pressure Injury Treatment

Bay

Grush

Buchanan

et al. 2023

Adv Skin Wound Care

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Prevention of pressure injuries in critically ill children: A preliminary evaluation

Cited by 12 publications

References 18 publications

Risk factors and the nomogram model for intraoperatively acquired pressure injuries in children with brain tumours: A retrospective study

Risk factors and the nomogram model for intraoperatively acquired pressure injuries in children with brain tumours: A retrospective study

Replacing Monitoring Electrodes on Infant Skin Every 12 Versus 24 Hours

Under Pressure: Shedding Light on the Issue of Pediatric Pressure Injury Treatment

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