| Autor: |
Marini, Alessia, Re, Luca Giuseppe, Bassola, Barbara, D'Elia, Massimiliano, Fontana, Isabella, Lusignani, Maura |
| Předmět: |
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| Zdroj: |
Journal of Wound Management; Jul2023, Vol. 24 Issue 2, p90-90, 1p |
| Abstrakt: |
Aim: To evaluate the impact of pronation on mortality and pressure injury occurrence in subjects with COVID-19-related ARDS. Method: Prospective descriptive study with consultation of medical records of people admitted during March 2020 to April 2022 for COVID-19-related ARDS in the dedicated Intensive Care Units (ICU) of a hospital in North Milan. Results / Discussion: 228 (57.1%) of the 399 medical records analysed were of pronated subjects. The latter had more deaths (54.8% vs. 23.4%) and pressure injuries (11.4% vs. 4.1%) than the non-pronated; however, they were older, had spent more time in the ICU, had a higher SOFA score and were more likely to suffer severe ARDS (78.1% vs. 51.4%). For the pronated and non-pronated, comorbidities and SOFA score were positively associated with a higher probability of death. 162 subjects had at least one pressure injury occurring in the ICU (40.6%). There were 282 pressure injuries with an average of 1.7 new injuries per subject. The average stage of new pressure injuries was 2.3. The amount of ICU days has a highly significant association in the occurrence of pressure injury with a negative direction: as the number of ICU days decreases, the clinical severity increases. A pronated subject compared to a non-pronated one had more than twice as likely to have at least one new pressure injury. Conclusion: Despite the considerable difficulties faced in the management of the pandemic tsunami, the implementation of pronation cycles as salvage therapy in individuals with COVID-19-related severe ARDS made it possible to contain mortality within reasonable limits in the face of an otherwise acceptable increase in pressure injuries. [ABSTRACT FROM AUTHOR] |
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