Pressure injury prevalence in Australian intensive care units: A secondary analysis

被引：15

作者：

Coyer, Fiona ^{[1
,2
,3
]}

Chaboyer, Wendy ^{[4
]}

Lin, Frances ^{[5
,6
,7
]}

Doubrovsky, Anna ^{[8
]}

Barakat-Johnson, Michelle ^{[9
,10
,11
,12
]}

Brown, Wendy ^{[13
]}

Lakshmanan, Ramanathan ^{[14
,15
,16
,17
]}

Leslie, Gavin ^{[18
,19
]}

Jones, Sarah L. ^{[20
]}

Pearse, India ^{[21
]}

Martin, Kerrie ^{[22
,23
]}

McInnes, Elizabeth ^{[24
,25
,26
]}

Powell, Madeleine ^{[27
]}

Mitchell, Marion L. ^{[28
,29
]}

Sosnowski, Kellie ^{[30
]}

Tallot, Mandy ^{[31
]}

Thompson, Amy ^{[32
]}

Thompson, Lorraine ^{[33
]}

Labeau, Sonia ^{[34
]}

Blot, Stijn ^{[35
,36
]}

机构：

[1] Queensland Univ Technol, Joint Appointment Sch Nursing, Brisbane, Qld 4001, Australia

[2] Royal Brisbane & Womens Hosp, Intens Care Serv, Herston, Qld, Australia

[3] Univ Huddersfield, Inst Skin Integr & Infect Prevent, Huddersfield HD1 3DH, England

[4] Griffith Univ, Natl Hlth & Med Res Council Ctr Res Excellence Wi, Menzies Hlth Inst Queensland, Nathan, Qld 4111, Australia

[5] Univ Sunshine Coast, Sch Nursing Midwifery & Paramed, Sunshine Coast, Qld, Australia

[6] Sunshine Coast Hlth Inst, Birtinya, Qld, Australia

[7] Griffith Univ, Sch Nursing & Midwifery, Menzies Hlth Inst Queensland, Nathan, Qld 4111, Australia

[8] Queensland Univ Technol, Brisbane, Qld 4001, Australia

[9] Sydney Local Hlth Dist, Skin Integr Lead, Sydney, NSW, Australia

[10] Sydney Local Hlth Dist, Hosp Acquired Complicat Operat Coordinator Pressu, Sydney, NSW, Australia

[11] Univ Sydney, Fac Med & Hlth, Sydney, NSW 2006, Australia

[12] Queensland Univ Technol, Sch Nursing, Fac Hlth, Brisbane, Qld 4001, Australia

[13] Redcliffe Hosp, Metro North Hosp Hlth Serv, Intens Care Unit, Redcliffe, Qld, Australia

[14] Fairfield Hosp, Fairfield, Vic, Australia

[15] Liverpool Hosp, Liverpool, Merseyside, England

[16] UNSW, Sydney, NSW UNS, Australia

[17] WSU, Penrith, NSW, Australia

[18] Curtin Univ, Curtin Nursing Sch, Perth, WA, Australia

[19] Univ South Australia, Sch Nursing Midwifery, Adelaide, SA, Australia

[20] St George Hosp, Intens Care Unit, Kogarah, NSW, Australia

[21] Prince Charles Hosp, Crit Care Res Grp, Chermside, Qld, Australia

[22] Tweed Hosp, Intens Care Unit, Tweed Heads, NSW, Australia

[23] NSW Hlth, Intens Care NSW, Agcy Clin Innovat, St Leonards, NSW, Australia

[24] St Vincents Hosp, Melbourne, Vic, Australia

[25] St Vincents Hosp Melbourne, Nursing Res Inst, St Vincents Hlth Network Sydney, Fitzroy, Vic, Australia

[26] Australian Catholic Univ, Sydney, NSW 2059, Australia

[27] Univ New South Wales, Sch Populat Hlth, Kensington, NSW, Australia

[28] Griffith Univ, Menzies Hlth Inst Queensland, Nathan, Qld 4111, Australia

[29] Princess Alexandra Hosp, Brisbane, Qld, Australia

[30] Logan Hosp, Intens Care Unit, Meadowbrook, Qld, Australia

[31] Gold Coast Univ Hosp, Intens Care Unit, Southport, Qld, Australia

[32] Nepean Blue Mountains Local Hlth Dist, Kingswood, NSW, Australia

[33] Sunshine Coast Univ Hosp, Practice Dev, Birtinya, Qld, Australia

[34] HOGENT Univ Appl Sci & Arts, Sch Healthcare, Nurse Educ Programme, Ghent, Belgium

[35] Univ Ghent, Dept Internal Med & Paediat, Ghent, Belgium

[36] Univ Queensland, Burns Trauma & Crit Care Res Ctr, Fac Med, Brisbane, Qld, Australia

来源：

AUSTRALIAN CRITICAL CARE | 2022年 / 35卷 / 06期

关键词：

Pressure injury; Pressure ulcer; Prevalence; Intensive care; ULCERS; STATE;

D O I：

10.1016/j.aucc.2021.10.009

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Pressure injuries (PIs) are an enduring problem for patients in the intensive care unit (ICU) because of their vulnerability and numerous risk factors. Method: This study reports Australian data as a subset of data from an international 1-day point prevalence study of ICU-acquired PI in adult patients. Patients aged 18 years or older and admitted to the ICU on the study day were included. The outcome measure was the identification of a PI by direct visual skin assessment on the study day. Data collected included demographic data and clinical risk factors, PI location and stage, and PI prevention strategies used. Descriptive statistics were used to describe PI characteristics, and odds ratios (ORs) were used to identify factors associated with the development of a PI. Results: Data were collected from 288 patients from 16 Australian ICUs. ICU-acquired PI prevalence was 9.7%, with 40 PIs identified on 28 patients. Most PIs were of stage 1 and stage 2 (26/40, 65.0%). Half of the ICU-acquired PIs were found on the head and face. The odds of developing an ICU-acquired PI increased significantly with renal replacement therapy ( OR: 4.25, 95% confidence interval [CI]: 1.49-12.11), impaired mobility (OR: 3.13, 95% CI: 1.08-9.12), fastest respiratory rate (OR: 1.05 [per breath per minute], 95% CI: 1.00-1.10), longer stay in the ICU (OR: 1.04 [per day], 95% CI: 1.01-1.06), and mechanical ventilation on admission (OR: 0.36, CI: 0.14-0.91). Conclusion: This study found that Australian ICU-acquired PI prevalence was 9.7% and these PIs were associated with many risk factors. Targeted PI prevention strategies should be incorporated into routine prevention approaches to reduce the burden of PIs in the Australian adult ICU patient population. (c) 2021 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

引用

页码：701 / 708

页数：8

共 32 条

[1] Risk factors for pressure injuries among critical care patients: A systematic review [J].