Effects of Hemodynamic Factors and Oxygenation on the Incidence of Pressure Ulcers in the ICU
| Autor: | Golshan Ghasemzadeh, Mostafa Soodmand, Iraj Aghaei, Enayatollah Homaie Rad, Ehsan Kazemnejad Lili, Mohammad Taghi Moghadamnia |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Cross-sectional study health care facilities manpower and services Hemodynamics Dermatology Iran Risk Assessment 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans In patient Prospective Studies Prospective cohort study Aged Advanced and Specialized Nursing Pressure Ulcer business.industry Incidence (epidemiology) Incidence 030208 emergency & critical care medicine Oxygenation Middle Aged Respiration Artificial Intensive Care Units Cross-Sectional Studies Emergency medicine Female business |
| Zdroj: | Advances in skinwound care. 32(8) |
| ISSN: | 1538-8654 |
| Popis: | To investigate the roles of hemodynamic factors and oxygenation on the incidence of pressure ulcers in patients in the ICU on mechanical ventilation.This prospective analytical cross-sectional study was performed in several ICUs for a period of 8 months in Iran. Researchers checked patients for pressure ulcers on a daily basis. They collected demographic, hemodynamic, and oxygenation data until a pressure ulcer occurred, the patient's artificial airway was removed, the patient died, or the patient was discharged.From August 2017 to February 2018, a total of 2,581 patients were admitted to the study ICUs; of these, 133 patients were eligible for the study. The results indicated that 41.4% (n = 55) of the patients ended up with pressure ulcers. Investigation of the variables using a Cox regression model showed that, among other variables considered in this study, age, mean arterial pressure, and positive end-expiratory pressure in the mechanical ventilator can contribute to the risk of pressure ulcers.Providers should pay attention to changes in hemodynamic parameters, especially mean arterial pressure; carefully determine the most appropriate positive end-expiratory pressure for patients connected to mechanical ventilation; and take special care of susceptible groups such as older adults and hospitalized patients to decrease the incidence of pressure ulcers. |
| Databáze: | OpenAIRE |
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