The influence of anaemia on pressure ulcer healing in elderly patients

Tuz, Mariusz Adam; Mitchell, Aby

doi:10.12968/bjon.2021.30.15.s32

Cited by 6 publications

(5 citation statements)

References 81 publications

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“…This disruption of the normal barrier function of the skin increases the likelihood of developing facial pressure ulcers. 33 Other factors also affect pressure ulcer formation: (1) loss of collagen and elastin fibres in older adults leading to thinning of the dermis and reduction in subcutaneous fat, thus reducing tissue defences 34 ; (2) malnutrition or anaemia leading to inadequate nutrient supply to the skin or insufficient oxygen in the blood, which increases interstitial fluid and reduces skin elasticity, thus affecting tissue repair 35 ; (3) the high complexity and severity of the disease and the coexistence of various diseases such as diabetes, stroke and cancer may prolong hospitalisation, thereby increasing the chances of pressure ulcers occurring 36 ; and (4) the use of steroid medications may lead to the accumulation of water and sodium in the body, resulting in swelling, thinning of the skin and a decreased ability for bruises and wounds to heal. 37 The causes of pressure ulcers are complex; therefore, reducing facial pressure ulcers caused by NIPPV use is a challenge for clinicians.…”

Section: Discussionmentioning

confidence: 99%

Effect of hydrocolloid dressing on pressure ulcer in patients with non‐invasive positive pressure ventilation: A meta‐analysis

Luo,

Luo

et al. 2023

International Wound Journal

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This study systematically evaluated the effect of hydrocolloid dressings on facial pressure ulcers in patients receiving non‐invasive positive pressure ventilation (NIPPV). The Embase, PubMed, Cochrane Library, CNKI, VIP, Chinese Biomedical Literature Database and Wanfang databases were searched for randomised controlled trials on the use of hydrocolloid dressings in patients receiving NIPPV published from the inception of each database to August 2023. The literature was independently screened, data were extracted by two authors based on the inclusion and exclusion criteria, and the quality of the included literature was assessed. The meta‐analysis was performed using Stata 17.0. Thirteen studies including 1248 patients were included, with 639 patients in the intervention group and 609 patients in the control group. Meta‐analysis showed that the hydrocolloid dressing significantly reduced the incidence of facial pressure ulcers in patients with NIPPV (odds ratio = 0.16, 95% confidence intervals: 0.11–0.24, p < 0.001). Hydrocolloid dressings are effective in reducing the incidence of facial pressure ulcers in patients receiving NIPPV. However, because of the small number of included studies, this conclusion needs to be confirmed with larger samples and high‐quality clinical studies.

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Section: Discussionmentioning

confidence: 99%

Effect of hydrocolloid dressing on pressure ulcer in patients with non‐invasive positive pressure ventilation: A meta‐analysis

Luo,

Luo

et al. 2023

International Wound Journal

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“…Decreased hemoglobin levels and anemia are strongly associated with the development of PI [44]. When the hemoglobin level in the body is too low, the oxygen-carrying capacity of red PLOS ONE blood cells decreases, and the tissue becomes hypoxic.…”

Section: Disease Datamentioning

confidence: 99%

Risk factors for medical device-related pressure injury in ICU patients: A systematic review and meta-analysis

Gou,

Zhang,

2023

PLoS ONE

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Background Medical device-related pressure injury (MDRPI) in intensive care unit (ICU) patients is a serious issue. We aimed to evaluate the risk factors for MDRPI associated with ICU patients through systematic review and meta-analysis, and provide insights into the clinical prevention of MDRPI. Methods We searched PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), WanFang Database, and China BioMedical Literature Database (CBM) (from inception to January 2023) for studies that identified risk factors of MDRPI in ICU patients. In order to avoid the omission of relevant literature, we performed a secondary search of the above database on February 15, 2023. Meta-analysis was performed using Revman 5.3. Results Fifteen studies involving 4850 participants were selected to analyze risk factors for MDRPI in ICU patients. While conducting a meta-analysis, we used sensitivity analysis to ensure the reliability of the results for cases with significant heterogeneity among studies. When the source of heterogeneity cannot be determined, we only described the risk factor. The risk factors for MDRPI in ICU patients were elder age (OR = 1.06, 95% CI: 1.03–1.10), diabetes mellitus (OR = 3.20, 95% CI: 1.96–5.21), edema (OR = 3.62, 95% CI: 2.31–5.67), lower Braden scale score (OR = 1.22, 95%CI: 1.11–1.33), higher SOFA score (OR = 4.21, 95%CI: 2.38–7.47), higher APACHE II score (OR = 1.38, 95%CI: 1.15–1.64), longer usage time of medical devices (OR = 1.11, 95%CI: 1.05–1.19), use of vasoconstrictors (OR = 6.07, 95%CI: 3.15–11.69), surgery (OR = 4.36, 95% CI: 2.07–9.15), prone position (OR = 24.71, 95% CI: 7.34–83.15), and prone position ventilation (OR = 17.51, 95% CI: 5.86–52.36). Furthermore, we found that ICU patients who used subglottic suction catheters had a higher risk of MDRPI, whereas ICU patients with higher hemoglobin and serum albumin levels had a lower risk of MDRPI. Conclusion This study reported the risk factors for MDRPI in ICU patients. A comprehensive analysis of these risk factors will help to prevent and optimize interventions, thereby minimizing the occurrence of MDRPI.

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“…An iron deficiency may also affect the oxygen‐carrying capacity of red blood cells and, layered with poor perfusion that often accompanies critical illness, may limit oxygen supply to tissues. This combined alteration in tissue perfusion and iron deficiency may lead to a disruption in skin integrity and increase the risk for PI development 14,59 . Selenium is functional against oxidative damage and supports skin integrity; deficiency can increase the risk of skin injury.…”

Section: Nutrition To Support Skin Integritymentioning

confidence: 99%

“…This combined alteration in tissue perfusion and iron deficiency may lead to a disruption in skin integrity and increase the risk for PI development. 14,59 Selenium is functional against oxidative damage and supports skin integrity; deficiency can increase the risk of skin injury. Additionally, low selenium levels have been associated with multiorgan system failure, which may also have a role in skin failure in the critically ill child.…”

Section: Micronutrientsmentioning

confidence: 99%

Nutrition association with skin integrity and pressure injury in critically ill pediatric patients

Irving,

Berry,

Morgan

et al. 2023

Nut in Clin Prac

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BackgroundCurrent research highlights the positive impact of nutrition therapy, particularly enteral nutrition, in critical illness. However, little attention is given to the impact of nutrition on skin integrity during critical illness. Skin integrity is at risk in critically ill children owing to necessary clinical therapies and challenges of providing nutrition therapy.MethodsWe conducted a narrative literature review with three main thematic concepts to drive our literature search: the association of nutrition therapy with (1) skin integrity; (2) injury, wounds, and wound healing; and (3) differences of skin color. Using pertinent search and subject terms, PubMed, CINAHL, EMBASE, and SCOPUS databases were searched, yielding 316 articles. After removal of duplicates, articles were reviewed based on inclusion and exclusion criteria defined by the authors; only eight articles met the defined criteria to inform this review.ResultsLarge and important gaps exist in the current literature regarding an association between nutrition therapy, skin injury, and wound healing. Little to no attention was found for associations with skin color. The resulting narrative review addresses these topics and subtopics with additional references included that are independent of the original search strategy.ConclusionsA dearth of evidence exists describing associations between nutrition and disruption of skin integrity in pediatric critical illness. Children with dark skin are at increased risk, as manifestation and identification of disruption to skin integrity may not be recognized. Research is needed to describe these associations and the impact of nutrition on skin integrity, including differences of skin color.

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The influence of anaemia on pressure ulcer healing in elderly patients

Cited by 6 publications

References 81 publications

Effect of hydrocolloid dressing on pressure ulcer in patients with non‐invasive positive pressure ventilation: A meta‐analysis

Effect of hydrocolloid dressing on pressure ulcer in patients with non‐invasive positive pressure ventilation: A meta‐analysis

Risk factors for medical device-related pressure injury in ICU patients: A systematic review and meta-analysis

Nutrition association with skin integrity and pressure injury in critically ill pediatric patients

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