在SARS-CoV-2重症监护病房入院的患者中,前额褥疮继发性压疮的发生率

IF 1.1 Q3 NURSING
E. Pérez-Juan RN , M. Maqueda-Palau RN , C. Feliu-Roig RN , J.M. Gómez-Arroyo RN , D. Sáez-Romero RN , A. Ortiz-Monjo RN
{"title":"在SARS-CoV-2重症监护病房入院的患者中,前额褥疮继发性压疮的发生率","authors":"E. Pérez-Juan RN ,&nbsp;M. Maqueda-Palau RN ,&nbsp;C. Feliu-Roig RN ,&nbsp;J.M. Gómez-Arroyo RN ,&nbsp;D. Sáez-Romero RN ,&nbsp;A. Ortiz-Monjo RN","doi":"10.1016/j.enfi.2022.12.001","DOIUrl":null,"url":null,"abstract":"<div><p>The appearance of pressure ulcers (PU) is one of the frequent complications of prone position (PP), due to prolonged pressure and shear forces.</p></div><div><h3>Objectives</h3><p>To compare the incidence of pressure ulcers secondary to prone position and describe their location among four Intensive Care Units (ICU) of public hospitals.</p></div><div><h3>Methods</h3><p>Multicenter descriptive and retrospective observational study. The population consisted of patients admitted to the ICU between February 2020 and May 2021, diagnosed with Covid-19 who required prone decubitus. The variables studied were sociodemographic, days of admission to the ICU, total hours on PP, PU prevention, location, stage, frequency of postural changes, nutrition and protein intake. Data collection was carried out through the clinical history of the different computerized databases of each hospital. Descriptive analysis and association between variables were performed using SPSS vs.20.0.</p></div><div><h3>Results</h3><p>A total of 574 patients were admitted for Covid-19, 43.03% were pronated. 69.6% were men, median age was 66 (IQR 55-74) and BMI 30.7 (RIC 27-34.2). Median ICU stay was 28 days (IQR 17-44.2), median hours on PD per patient 48<!--> <!-->h (IQR 24-96). The incidence of PU occurrence was 56.3%, 76.2% of patients presented a PU, the most frequent location was the forehead (74.9%). There were significant differences between hospitals in terms of PU incidence (p<!--> <!-->=<!--> <!-->0.002), location (p<!--> <!-->&lt;<!--> <!-->0.001) and median duration of hours per PD episode (p<!--> <!-->=<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p>The incidence of pressure ulcers due to the prone position was very high. There is great variability in the incidence of pressure ulcers between hospitals, location and average duration of hours per episode of prone position.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 4","pages":"Pages 176-185"},"PeriodicalIF":1.1000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Incidencia de úlceras por presión secundarias al decúbito prono en pacientes ingresados en unidades de cuidados intensivos por SARS-CoV-2\",\"authors\":\"E. Pérez-Juan RN ,&nbsp;M. Maqueda-Palau RN ,&nbsp;C. Feliu-Roig RN ,&nbsp;J.M. Gómez-Arroyo RN ,&nbsp;D. Sáez-Romero RN ,&nbsp;A. Ortiz-Monjo RN\",\"doi\":\"10.1016/j.enfi.2022.12.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>The appearance of pressure ulcers (PU) is one of the frequent complications of prone position (PP), due to prolonged pressure and shear forces.</p></div><div><h3>Objectives</h3><p>To compare the incidence of pressure ulcers secondary to prone position and describe their location among four Intensive Care Units (ICU) of public hospitals.</p></div><div><h3>Methods</h3><p>Multicenter descriptive and retrospective observational study. The population consisted of patients admitted to the ICU between February 2020 and May 2021, diagnosed with Covid-19 who required prone decubitus. The variables studied were sociodemographic, days of admission to the ICU, total hours on PP, PU prevention, location, stage, frequency of postural changes, nutrition and protein intake. Data collection was carried out through the clinical history of the different computerized databases of each hospital. Descriptive analysis and association between variables were performed using SPSS vs.20.0.</p></div><div><h3>Results</h3><p>A total of 574 patients were admitted for Covid-19, 43.03% were pronated. 69.6% were men, median age was 66 (IQR 55-74) and BMI 30.7 (RIC 27-34.2). Median ICU stay was 28 days (IQR 17-44.2), median hours on PD per patient 48<!--> <!-->h (IQR 24-96). The incidence of PU occurrence was 56.3%, 76.2% of patients presented a PU, the most frequent location was the forehead (74.9%). There were significant differences between hospitals in terms of PU incidence (p<!--> <!-->=<!--> <!-->0.002), location (p<!--> <!-->&lt;<!--> <!-->0.001) and median duration of hours per PD episode (p<!--> <!-->=<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p>The incidence of pressure ulcers due to the prone position was very high. There is great variability in the incidence of pressure ulcers between hospitals, location and average duration of hours per episode of prone position.</p></div>\",\"PeriodicalId\":43993,\"journal\":{\"name\":\"Enfermeria Intensiva\",\"volume\":\"34 4\",\"pages\":\"Pages 176-185\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Enfermeria Intensiva\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1130239923000196\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Enfermeria Intensiva","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1130239923000196","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

摘要

由于压力和剪切力的延长,压疮(PU)的出现是俯卧位(PP)的常见并发症之一。目的比较四所公立医院重症监护室(ICU)中俯卧位继发压疮的发生率并描述其位置。方法多中心描述性和回顾性观察研究。该人群包括2020年2月至2021年5月入住ICU的患者,他们被诊断为新冠肺炎,需要俯卧卧。研究的变量包括社会人口统计学、入住ICU的天数、PP总时数、PU预防、位置、阶段、姿势变化频率、营养和蛋白质摄入。数据收集是通过每个医院不同的计算机数据库的临床病史进行的。使用SPSS与2.0进行描述性分析和变量之间的关联。结果共有574名新冠肺炎患者入院,43.03%的患者病情恶化。69.6%为男性,中位年龄为66岁(IQR 55-74),BMI为30.7(RIC 27-34.2)。中位ICU住院时间为28天(IQR 17-44.2),每位患者PD的中位小时数为48小时(IQR 24-96)。PU的发生率为56.3%,76.2%的患者出现PU,最常见的部位是前额(74.9%)。不同医院在PU发生率(p=0.002)、部位(p<;0.001)和每次PD发作的中位持续时间(p=0.001)方面存在显著差异。结论俯卧位引起的压疮发生率很高。不同医院、不同地点和俯卧位每次发作的平均持续时间的压疮发生率存在很大差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidencia de úlceras por presión secundarias al decúbito prono en pacientes ingresados en unidades de cuidados intensivos por SARS-CoV-2

The appearance of pressure ulcers (PU) is one of the frequent complications of prone position (PP), due to prolonged pressure and shear forces.

Objectives

To compare the incidence of pressure ulcers secondary to prone position and describe their location among four Intensive Care Units (ICU) of public hospitals.

Methods

Multicenter descriptive and retrospective observational study. The population consisted of patients admitted to the ICU between February 2020 and May 2021, diagnosed with Covid-19 who required prone decubitus. The variables studied were sociodemographic, days of admission to the ICU, total hours on PP, PU prevention, location, stage, frequency of postural changes, nutrition and protein intake. Data collection was carried out through the clinical history of the different computerized databases of each hospital. Descriptive analysis and association between variables were performed using SPSS vs.20.0.

Results

A total of 574 patients were admitted for Covid-19, 43.03% were pronated. 69.6% were men, median age was 66 (IQR 55-74) and BMI 30.7 (RIC 27-34.2). Median ICU stay was 28 days (IQR 17-44.2), median hours on PD per patient 48 h (IQR 24-96). The incidence of PU occurrence was 56.3%, 76.2% of patients presented a PU, the most frequent location was the forehead (74.9%). There were significant differences between hospitals in terms of PU incidence (p = 0.002), location (p < 0.001) and median duration of hours per PD episode (p = 0.001).

Conclusions

The incidence of pressure ulcers due to the prone position was very high. There is great variability in the incidence of pressure ulcers between hospitals, location and average duration of hours per episode of prone position.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
2.50
自引率
23.10%
发文量
48
期刊介绍: Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信