Balloons, Beds, and Breakdown: Effects of Low-Air Loss Therapy on the Development of Pressure Ulcers in Cardiovascular Surgical Patients with Intra-aortic Balloon Pump Support

Jesurum, Jill T.; Joseph, Kathleen A.; Davis, Janet M.; Suki, Rabih

doi:10.1016/s0899-5885(18)30308-3

Cited by 39 publications

(28 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding has been reported by other investigators, 22,30 although other research 28,33,34 has indicated a relationship between age and pressure ulcers. Stordeur et al 30 found that mean ages were 64 years (SD, 11.5) in patients who did not acquire a pressure ulcer and 67.1 years (SD, 10.7) in patients who did acquire an ulcer (P = .06).…”

Section: Multivariate Analysissupporting

confidence: 88%

Patient-specific and Surgical Characteristics in the Development of Pressure Ulcers

Tschannen

Bates

Talsma

et al. 2012

American Journal of Critical Care

125

View full text Add to dashboard Cite

Background Implementation of the ruling on the Inpatient Prospective Payment System by the Centers for Medicare and Medicaid has challenged nurses to focus on the prevention of pressure ulcers. Despite years of research, pressure ulcers are still one of the most common complications experienced by patients in health care facilities. Objective To examine the relationship between patients' characteristics (age, sex, body mass index, history of diabetes, and Braden Scale score at admission) and care characteristics (total operating room time, multiple surgeries, and vasopressor use) and the development of pressure ulcers. Methods In a cohort study, data from the electronic medical records of 3225 surgical patients admitted to a Midwest hospital, from November 2008 to August 2009 were analyzed statistically to determine predictors of pressure ulcers. Results A total of 12% of patients (n = 383) had at least 1 pressure ulcer develop during their hospitalization. According to logistic regression analysis, scores on the Braden Scale at admission (P < .001), low body mass index (P < .001), number of vasopressors (P = .03), multiple surgeries during the admission (P < .001), total surgery time (P < .001), and risk for mortality (P < .001) were significant predictors of pressure ulcers. Conclusion Scores on the Braden Scale at admission can be used to identify patients at increased risk for pressure ulcers. For other high-risk factors, such as low body mass index and long operative procedures, appropriate clinical interventions to manage these conditions can help prevent pressure ulcers.

show abstract

Section: Multivariate Analysissupporting

confidence: 88%

Patient-specific and Surgical Characteristics in the Development of Pressure Ulcers

Tschannen

Bates

Talsma

et al. 2012

American Journal of Critical Care

125

View full text Add to dashboard Cite

show abstract

“…Six of the seven studies reported that the proportion of subjects with a heel ulcer was lower if they were on a speciality surface compared with a standard hospital mattress (1,28,29,31,33,34). Only one study in which subjects were placed on an air mattress reported an increased incidence of heel ulcers compared with control (3). Three studies that compared the number of heel ulcers that developed on individuals who were placed on foam mattresses with those placed on standard hospital mattresses all reported lower heel ulcer incidence in those on the foam mattress (28,29,34).…”

Section: Resultsmentioning

confidence: 99%

“…Several of the full articles selected were located in more than one database (duplicates). From 105 unique full articles that were read, a total of 14 studies were included in the final analysis (1,3,11,24–34), all of which were prospective, controlled clinical trials in which a pressure ulcer prevention program was compared with either a control group or another pressure relief program or system and the number of heel ulcers in each intervention group could be determined.…”

Section: Resultsmentioning

confidence: 99%

“…The 14 included studies surveyed a total number of 1457 subjects, where 1006 subjects received a pressure ulcer prevention program, mattress or device and 451 were control subjects. Four studies compared heel ulcer incidence with air mattresses versus standard hospital mattresses (1,3,31,33). Three studies investigated the ability of foam mattresses to reduce the number of heel ulcers that occurred in acute and long‐term care settings compared with standard hospital mattresses (28,29,34).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The effect of pressure‐relieving surfaces on the prevention of heel ulcers in a variety of settings: a meta‐analysis

Nicosia

Gliatta

Woodbury

et al. 2007

International Wound Journal

View full text Add to dashboard Cite

This meta-analysis investigated the effectiveness of a pressure-relieving intervention on the incidence of heel pressure ulcers in a variety of settings. Literature searches of Cumulative Index to Nursing and Allied Health Literature, MEDLINE, PubMed, EMBASE and Cochrane databases were conducted for English-language articles that investigated the effect of pressure relief interventions with or without concurrent prevention programs on the number of heel ulcers occurring on adult humans in a controlled clinical design. Full articles were selected from citations based upon consensus between at least two independent reviewers. Methodological quality of each study was assessed using the Jadad and PEDro scales. A quantitative analysis was performed to determine and compare relative risk (RR) between pressure relief programs/devices that were classified according to similarity of interventions. Fourteen studies that involved a total of 1457 subjects were selected from a total of 105 full articles reviewed. Pressure-reducing/relieving surfaces were associated with a significantly lower incidence of heel ulcers compared with standard hospital mattresses (RR = 0.50, 95% CI = 0.26-0.93, P < 0.03). Foam mattresses also significantly reduced the risk of developing heel ulcers. There is evidence to support the use of certain air or foam mattresses/overlays in the prevention of heel pressure ulcers when compared with a standard hospital mattress. There is insufficient research available at this time to determine if heel-protective devices can prevent heel pressure ulcers. These results need to be interpreted with caution given the relatively low number and poor quality of research articles available to date.

show abstract

“…Jesurum et al’s 36 study included patients underwent open-heart surgery with IABP lying on low-air-bed. Variables were examined as risk factor for the development of PU.…”

Section: Discussionmentioning

confidence: 99%

Rare case-series of electrocautery burn following off-pump coronary artery bypass grafting

Sabzi¹,

Niazi²,

Ahmadi³

2014

J Inj Violence Res

View full text Add to dashboard Cite

Abstract:With an increasing number of off-pump coronary artery surgery procedures in high-risk patients with coagulopathy, including renal failure, hepatic failure and anticoagulant drug-using patients, the frequency of related complications such as repeated exploration for bleeding is also increasing. The associated co-morbidity and repeated use of electrocautery in postoperative bleeding leaves patients susceptible to electrocautery ulcers. In this case series, rare cases of cautery burn with unique causative mechanisms are described.

show abstract

Balloons, Beds, and Breakdown: Effects of Low-Air Loss Therapy on the Development of Pressure Ulcers in Cardiovascular Surgical Patients with Intra-aortic Balloon Pump Support

Cited by 39 publications

References 25 publications

Patient-specific and Surgical Characteristics in the Development of Pressure Ulcers

Patient-specific and Surgical Characteristics in the Development of Pressure Ulcers

The effect of pressure‐relieving surfaces on the prevention of heel ulcers in a variety of settings: a meta‐analysis

Rare case-series of electrocautery burn following off-pump coronary artery bypass grafting

Contact Info

Product

Resources

About