Factors associated with facial pressure injury in patients receiving non‐invasive positive pressure ventilation mask: A retrospective case–control study

Abstract

Aims and ObjectivesThis study aimed to investigate factors associated with facial pressure injury (FPI) in patients receiving non‐invasive positive pressure ventilation (NIPPV) during hospitalisation in the intensive care unit (ICU) and to identify predictors of FPI.BackgroundNon‐invasive positive pressure ventilation is a method of treating patients with acute and chronic respiratory failure. However, FPI may occur due to unsuitable nasal‐oral NIPPV masks and discomfort in contact with the skin surface.DesignA retrospective case–control study.MethodsFrom January 2018 to October 2020, a total of 397 patients admitted to a national hospital in Taiwan were enrolled. Patients received NIPPV and routinely used under‐mask prophylactic dressings during hospitalisation. Patients were divided into the non‐FPI group (n = 357) and the FPI group (n = 40). Demographic, clinical characteristics, acute physiology and chronic health evaluation II scores, and Braden Scale scores were collected from medical records. Logistic regression analysis was performed to examine the contribution of each factor to the FPI, and odds ratios were reported. The STROBE checklist was used in this retrospective case–control study.ResultsThere were significant differences between the groups in age, serum albumin, C‐reactive protein, body mass index (BMI), disease severity, Braden Scale score, length of stay, duration of mechanical ventilation and use of corticosteroids. Logistic regression analysis revealed that the risk factor for FPI was the Braden Scale score [OR = 1.630 (1.176–2.260)], BMI [OR = 0.396 (0.210–1.784)] and corticosteroids [OR = 0.394 (0.159–1.811)], which were predictors of FPI in patients with NIPPV.ConclusionsFacial pressure injury may still occur in patients who routinely use prophylactic dressings under NIPPV masks. This study provides information on continuing education training for FPI to more accurately identify high‐risk and timely preventive measures to reduce FPI.Relevance to Clinical PracticeAddressing FPI‐related factors to prevent facial skin damage and reduce comorbidities in patients using NIPPV masks.

The long‐term impact of COVID‐19

“…Withcommitmenttosharing,learningfromandbuildingonour international experiences, perhaps we will be better prepared to Research and reviews about the longer-term impact of COVID-19 on patients-paediatric to geriatric, pulmonary to cardiac, ICU to nursing home, reveal post-acute sequelae (PASC), including persistent physical symptoms (Allgood et al, 2021;Cha &Baek,2021;Jainetal.,2023;Lambertetal.,2021;Rochwamati et al, 2022;Wu et al, 2022) and long-term psychological consequences (Bilginetal.,2021;DelCorraletal.,2022)includingposttraumatic stress (Fjone et al, 2023)-these topics and more are includedinthisissue.…”

Pressure Injury Through Non-Invasive Ventilation Interface: Cohort Study

“…The use of Non-Invasive Ventilation (NIV) has been a growing trend in recent decades in the treatment of acute respiratory failure, constituting a therapeutic option in which a mask is used to administer positive pressure ventilation. 1 One of the most serious complications resulting from the use of NIV is the development of Pressure Injuries (PI) on the face, 2 which are considered a public health problem and are a relevant indicator of the quality of nursing care provided. 3 Caring for a patient undergoing NIV in an Intensive Care Unit (ICU) while preserving the skin integrity of the face is an ongoing challenge for nurses.…”