Incidence of pressure injuries and risk factors in a paediatric surgical intensive care unit: a prospective cohort study.

Autor: Crespo JCL; Nurse, Instituto do Coração do Hospital das Clínicas da Universidade de São Paulo., Secoli SR; Professor, School of Nursing, School of Nursing, University of São Paolo., Campanili TCGF; Nurse supervisor, Instituto do Coração do Hospital das Clínicas da Universidade de São Paulo., Duarte ACC; Nurse, Hospital 9 de Julho, São Paolo., Ferretti-Rebustini REL; Professor, School of Nursing, University of São Paolo., Rodrigues ARB; Director of Nursing, Instituto do Coração do Hospital das Clínicas da Universidade de São Paulo., Palomo JDSH; Chief Nursing Officer, Instituto do Coração do Hospital das Clínicas da Universidade de São Paulo.
Jazyk: angličtina
Zdroj: British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2021 Nov 02; Vol. 30 (Sup20), pp. S28-S32.
DOI: 10.12968/bjon.2021.30.Sup20.S28
Abstrakt: Objectives: The aim of the study was to evaluate the incidence of, and risk factors for, the occurrence of pressure injuries (PIs) in a paediatric surgical intensive care unit (ICU).
Method: This is a prospective cohort study of 153 children in the postoperative period. Patients were assessed daily by physical examination and data were collected. All independent variables were included in a logistic regression.
Results: The mean age of the cohort was 2 years, and the incidence of PI was 15.7%. According to the Braden Q Scale, 58.2% of patients were at high risk of developing PI; 79.3% of PIs were related to immobility and 69.0% were at stage 1. Risk factors were ICU length of stay and the number of medical devices used.
Conclusion: The incidence of PI was high because patients were mostly at a considerable risk of developing a PI. PI was associated with several factors, especially length of ICU stay and number of devices, both of which are indirect indicators of the severity of patient condition and healthcare costs.
Databáze: MEDLINE
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