Medical device-related pressure injuries in critical patients: prevalence and associated factors
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100508 |
Resumo: | ABSTRACT Objective: To determine the prevalence of medical device-related pressure injuries in critical patients and analyze the associated factors. Method: Epidemiological, cross-sectional study. Sociodemographic, clinical and medical device data were collected. Inspection of the skin/mucous membranes was performed to identify and classify the injuries. Analysis using descriptive statistics, Poisson regression and the Spearman correlation coefficient. Results: Ninety-three patients were evaluated and 58 developed injuries, with a prevalence of 62.4%. Injuries by the orotracheal tube (50%), nasogastric tube (44.1%) and urinary catheter (28.6%) were the most prevalent, and the most affected regions were, respectively, the auricular (79.5%), nasal ala (86.7%) and urethral meatus (76.9%). Factors associated with injuries were severe edema (p = 0.005), low Braden (p<0.001) and Glasgow (p = 0.008) scores, length of stay in intensive care (p<0.001) and hospitalization diagnosis classified as other causes (p<0.001). The use of more than one device (p<0.001) and a longer time of use (p<0.001) were correlated. Conclusion: The high prevalence of injuries and the associated factors indicate the need for preventive measures and risk monitoring. |
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Medical device-related pressure injuries in critical patients: prevalence and associated factorsPressure UlcerEquipment and SuppliesCritical Care NursingRisk FactorsPrevalenceABSTRACT Objective: To determine the prevalence of medical device-related pressure injuries in critical patients and analyze the associated factors. Method: Epidemiological, cross-sectional study. Sociodemographic, clinical and medical device data were collected. Inspection of the skin/mucous membranes was performed to identify and classify the injuries. Analysis using descriptive statistics, Poisson regression and the Spearman correlation coefficient. Results: Ninety-three patients were evaluated and 58 developed injuries, with a prevalence of 62.4%. Injuries by the orotracheal tube (50%), nasogastric tube (44.1%) and urinary catheter (28.6%) were the most prevalent, and the most affected regions were, respectively, the auricular (79.5%), nasal ala (86.7%) and urethral meatus (76.9%). Factors associated with injuries were severe edema (p = 0.005), low Braden (p<0.001) and Glasgow (p = 0.008) scores, length of stay in intensive care (p<0.001) and hospitalization diagnosis classified as other causes (p<0.001). The use of more than one device (p<0.001) and a longer time of use (p<0.001) were correlated. Conclusion: The high prevalence of injuries and the associated factors indicate the need for preventive measures and risk monitoring.Universidade de São Paulo, Escola de Enfermagem2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100508Revista da Escola de Enfermagem da USP v.55 2021reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1980-220x-reeusp-2020-0397info:eu-repo/semantics/openAccessGaletto,Sabrina Guterres da Silvado Nascimento,Eliane Regina PereiraHermida,Patrícia Madalena VieiraBusanello,Josefinede Malfussi,Luciana Bihain HagemannLazzari,Daniele Delacanaleng2021-08-20T00:00:00Zoai:scielo:S0080-62342021000100508Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2021-08-20T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Medical device-related pressure injuries in critical patients: prevalence and associated factors |
title |
Medical device-related pressure injuries in critical patients: prevalence and associated factors |
spellingShingle |
Medical device-related pressure injuries in critical patients: prevalence and associated factors Galetto,Sabrina Guterres da Silva Pressure Ulcer Equipment and Supplies Critical Care Nursing Risk Factors Prevalence |
title_short |
Medical device-related pressure injuries in critical patients: prevalence and associated factors |
title_full |
Medical device-related pressure injuries in critical patients: prevalence and associated factors |
title_fullStr |
Medical device-related pressure injuries in critical patients: prevalence and associated factors |
title_full_unstemmed |
Medical device-related pressure injuries in critical patients: prevalence and associated factors |
title_sort |
Medical device-related pressure injuries in critical patients: prevalence and associated factors |
author |
Galetto,Sabrina Guterres da Silva |
author_facet |
Galetto,Sabrina Guterres da Silva do Nascimento,Eliane Regina Pereira Hermida,Patrícia Madalena Vieira Busanello,Josefine de Malfussi,Luciana Bihain Hagemann Lazzari,Daniele Delacanal |
author_role |
author |
author2 |
do Nascimento,Eliane Regina Pereira Hermida,Patrícia Madalena Vieira Busanello,Josefine de Malfussi,Luciana Bihain Hagemann Lazzari,Daniele Delacanal |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Galetto,Sabrina Guterres da Silva do Nascimento,Eliane Regina Pereira Hermida,Patrícia Madalena Vieira Busanello,Josefine de Malfussi,Luciana Bihain Hagemann Lazzari,Daniele Delacanal |
dc.subject.por.fl_str_mv |
Pressure Ulcer Equipment and Supplies Critical Care Nursing Risk Factors Prevalence |
topic |
Pressure Ulcer Equipment and Supplies Critical Care Nursing Risk Factors Prevalence |
description |
ABSTRACT Objective: To determine the prevalence of medical device-related pressure injuries in critical patients and analyze the associated factors. Method: Epidemiological, cross-sectional study. Sociodemographic, clinical and medical device data were collected. Inspection of the skin/mucous membranes was performed to identify and classify the injuries. Analysis using descriptive statistics, Poisson regression and the Spearman correlation coefficient. Results: Ninety-three patients were evaluated and 58 developed injuries, with a prevalence of 62.4%. Injuries by the orotracheal tube (50%), nasogastric tube (44.1%) and urinary catheter (28.6%) were the most prevalent, and the most affected regions were, respectively, the auricular (79.5%), nasal ala (86.7%) and urethral meatus (76.9%). Factors associated with injuries were severe edema (p = 0.005), low Braden (p<0.001) and Glasgow (p = 0.008) scores, length of stay in intensive care (p<0.001) and hospitalization diagnosis classified as other causes (p<0.001). The use of more than one device (p<0.001) and a longer time of use (p<0.001) were correlated. Conclusion: The high prevalence of injuries and the associated factors indicate the need for preventive measures and risk monitoring. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100508 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100508 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-220x-reeusp-2020-0397 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.55 2021 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936541417242624 |