Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients

Nassaji, Mohammad; Askari, Zahra; Ghorbani, Raheb

doi:10.1111/ijn.12141

Cited by 37 publications

(47 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pressure ulcers are often associated with comorbidities that disrupt tissue perfusion, including diabetes, hypertension, and non‐specific cardiac issues . Similarly, in our study, we found anaemia, hypertension, and respiratory disease to be significant.…”

Section: Discussionsupporting

confidence: 80%

“…Most of the studies agreed that pressure ulcers occurred commonly in older patients, but only Wright et al found decreasing age to be associated with HAPU; however, Wright's study had a much smaller sample size (N = 88), and hence, it may be under‐powered to detect statistical significance. There were also studies that did not find older age to be significantly associated with HAPU, but their study population's mean age was between 48 and 58 years.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

Aloweni

Ang

Fook‐Chong

et al. 2018

International Wound Journal

View full text Add to dashboard Cite

Surgical patients are prone to developing hospital‐acquired pressure ulcers (HAPU). Therefore, a better prediction tool is needed to predict risk using preoperative data. This study aimed to determine, from previously published HAPU risk factors, which factors are significant among our surgical population and to develop a prediction tool that identifies pressure ulcer risk before the operation. A literature review was first performed to elicit all the published HAPU risk factors before conducting a retrospective case‐control study using medical records. The known HAPU risks were compared between patients with HAPU and without HAPU who underwent operations during the same period (July 2015‐December 2016). A total of 80 HAPU cases and 189 controls were analysed. Multivariate logistic regression analyses identified eight significant risk factors: age ≥ 75 years, female gender, American Society of Anaesthesiologists ≥ 3, body mass index < 23, preoperative Braden score ≤ 14, anaemia, respiratory disease, and hypertension. The model had bootstrap‐corrected c‐statistic 0.78 indicating good discrimination. A cut‐off score of ≥6 is strongly predictive, with a positive predictive value of 73.2% (confidence interval [CI]: 59.7%‐84.2%) and a negative predictive value of 80.7% (CI: 74.3%‐86.1%). SPURS contributes to the preoperative identification of pressure ulcer risk that could help nurses implement preventive measures earlier.

show abstract

Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

Aloweni

Ang

Fook‐Chong

et al. 2018

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…In the last decade, international studies in ICU have shown PU incidence coefficients of PU between 3.2% and 39.0% (13)(14)(15)(16)(17) . In post-op cardiac surgery patients (18) , an incidence of 16.4% was found.…”

Section: Discussionmentioning

confidence: 99%

“…National studies show a great variation either in PU incidence coefficients found in critical patients (10.0% to 62.5%) (11)(12) or in the evaluation periods (1 to 15 months) (11,12) . International studies show PU incidence in ICU between 3.2% and 39.0% (13)(14)(15)(16)(17) . Considering that critical patients are highly vulnerable to the development of skin injuries and that these injuries involve specific risk factors, depending on the underlying disease and associated conditions, this study was conducted to identify and analyze the incidence coefficients of PU and the risk factors for PU development in cardiopulmonary intensive care unit patients.…”

Section: Introductionmentioning

confidence: 99%

Incidência de úlceras por pressão em pacientes de Unidade de Terapia Intensiva Cardiopneumológica

Campanili

Santos

Strazzieri-Pulido

et al. 2015

Rev. esc. enferm. USP

View full text Add to dashboard Cite

RESUMO Objetivo Identificar e analisar os coeficientes de incidência de úlceras por pressão (UP) e os fatores de risco para o seu desenvolvimento em pacientes críticos com doenças cardiopneumológicas. Método Estudo de coorte, prospectivo realizado na Unidade de Terapia Intensiva (UTI) Cardiopneumológica de um hospital de grande porte na cidade de São Paulo, durante os meses de novembro de 2013 a fevereiro de 2014. Participaram do estudo 370 pacientes maiores de 18 anos, que não apresentavam UP na admissão e que estavam na UTI há menos de 24 horas. Os dados foram analisados por meio de análises univariadas e multivariada (Classification And Regression Tree - CART). Resultados Os coeficientes de incidência de UP foram: 11,0% para o total, distribuindo-se em 8,0% entre os homens e 3,0% para as mulheres (p=0,018); 10,0% na raça branca e 6,5% em pessoas com idade igual e superior a 60 anos. Os principais fatores de risco encontrados foram tempo de permanência na UTI igual ou superior a 9,5 dias, idade igual ou superior a 42,5 anos e raça branca. Conclusão O estudo contribui para os conhecimentos relacionados à epidemiologia das UP em pacientes críticos com doenças cardiopneumológicas, favorecendo o planejamento de cuidados preventivos específicos para essa clientela.

show abstract

“…Over the last decade, studies involving critical patients have pointed to PI incidence ranging from 3.3% to 39% [3, 4]. A literature review of European studies spanning from 2000 to 2005 identified that the PI incidence varied from 3.8% to 12.4% [5].…”

Section: Introductionmentioning

confidence: 99%

APACHE II Death Risk and Length of Stay in the ICU Are Associated With Pressure Injury in Critically Ill Patients

et al. 2018

View full text Add to dashboard Cite

BackgroundThe aim of this study was to identify factors associated with pressure injury (PI) occurrence in critically ill patients. This was a retrospective cohort study conducted at a mixed intensive care unit (ICU).MethodsUnivariate analysis and logistic regression were used to identify which variables are associated with PI.ResultsTwenty-one (15%) of 142 patients developed PI. The median and the range of the variables in the groups without and with PI were as follows: Braden scale risk score, 13 (8 - 20) and 10 (8 - 14) points, respectively; Acute Physiology and Chronic Health Evaluation II (APACHE II) death risk, 39% (2 - 97%) and 75% (26 - 96%), respectively; and length of stay in the ICU, 4 (2 - 36) and 16 (5 - 29) days, respectively. The socio-demographic variables included in the logistic regression were age (P = 0.09), Braden scale risk score (P = 0.0003), APACHE II death risk (P < 0.0001), length of stay in the ICU (P < 0.0001) and reason for ICU admission (P = 0.09). Only APACHE II death risk and length of stay in the ICU presented significant differences; the odds ratios were 1.05 and 1.25, respectively, and the 95% confidence intervals were 1.01 - 1.09 and 1.12 - 1.39, respectively.ConclusionAPACHE II death risk and length of stay in the ICU are probably associated with PI occurrence in the study population.

show abstract

Cigarette smoking and risk of pressure ulcer in adult intensive care unit patients

Cited by 37 publications

References 37 publications

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

Incidência de úlceras por pressão em pacientes de Unidade de Terapia Intensiva Cardiopneumológica

APACHE II Death Risk and Length of Stay in the ICU Are Associated With Pressure Injury in Critically Ill Patients

Contact Info

Product

Resources

About