Incidence, characteristics and risk factors of medical device-related pressure injuries: An observational cohort study

Erbay, Öznur; Ceylan, İlkay; Girgin, Nermin Kelebek

doi:10.1016/j.iccn.2021.103180

Cited by 37 publications

(51 citation statements)

References 34 publications

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“…In this study, the ratio of development of MDRPI in a public hospital in Turkey was examined, and it was observed that MDRPI developed in approximately one in every four patients (27.2%) treated in the ICU. In other studies conducted in Turkey, the prevalence of MDRPI was assessed to be 40%–48.8% (Dalli et al, 2022; Hanonu & Karadag, 2016), and it was observed that this rate differed in other countries. For example, the prevalence of MDRPI was 47% in Northeastern, Southeastern, and Midwestern United States (Arnold‐Long et al, 2017); 32.4% in Saudi Arabia (Amirah et al, 2017); 20.1% in the Netherlands (Ham et al, 2017); 9.7% in Australia (Ackland et al, 2007); 3.1% in Australia and USA (Coyer et al, 2014); 2.2% in the United Kingdom (Walker, 2012); 1.9% in the USA (Black et al, 2010); and 0.6% in the USA and Canada (Kayser et al, 2018).…”

Section: Discussionmentioning

confidence: 96%

“…Having examined the literature, there are limited studies on the risks and rate of development of MDRPIs in Turkey (Dalli et al, 2022; Hanonu & Karadag, 2016). This study is important in terms of reflecting the example of a public hospital located in the most geographically crowded region of Turkey and in terms of being conducted on a large sample group.…”

Section: Introductionmentioning

confidence: 99%

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Medical Device‐Related Pressure injuries in adult intensive care units

Çelik

Yılmaz

Altas

2022

Journal of Clinical Nursing

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Aim and Objective: This study was conducted to examine the development, characteristics, and risk factors of medical device-related pressure injury (MDRPI) in intensive care units (ICU). Background:The number of individuals admitted to ICU increased in the last years all over the world. In parallel with this need, the frequency of the use of life-support and therapeutic medical devices in the ICU also increases. This situation may lead to the development of MDRPI in the ICU and an increase in its prevalence. Method:The study, which was conducted observationally, prospectively and descriptively, included 302 patients who were hospitalised in an ICU within a year. The study was reported according to the STROBE Declaration. Results:It was observed that MDRPI developed in 27.2% of the patients. It was found that MDRPI developed the most in the nose (26.8%) and mouth (15.9%) regions of the patients. It was determined that MDRPI was diagnosed in 28% of the patients within 3-5 days. It was determined that mostly orthopaedic devices (plaster, cervical collar, splint) (62.5%), fasteners (57.1%), non-invasive ventilation/oxygen masks (51.2%) caused the development of MDRPI. It was found that the number of medical devices used was higher, and the number of hospitalisation days in the ICU was also higher, and these factors explained 28.3% of the total variance in the development of MDRPI. Conclusion:It was determined that MDRPI developed in approximately one of four patients in the ICU and that the numbers of medical devices and hospitalisation days were important determinant risk factors. Relevance to Clinical Practice:The high rate of development of MDRPI is worrying in terms of nursing care quality. It is recommended that nurses recognise risk factors in order to prevent the development of MDRPI, evaluate the suitability, necessity, and safety of the devices to be used is located.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Medical Device‐Related Pressure injuries in adult intensive care units

Çelik

Yılmaz

Altas

2022

Journal of Clinical Nursing

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“…At present, due to the different sample sizes and the fact that there are few large‐scale epidemiological investigations on facial pressure injury related to adult non‐invasive ventilation equipment at home and abroad, most of them are limited to a single city or country, reporting the current situation of facial pressure injury in a single institution. In addition to this, the estimated prevalence of facial pressure injury related to adult non‐invasive ventilation equipment ranges from 3.9% 15 to 100% 16 . Therefore, the prevalence of facial pressure injuries related to adult non‐invasive ventilation equipment has been reported differently in different studies.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to this, the estimated prevalence of facial pressure injury related to adult non‐invasive ventilation equipment ranges from 3.9% 15 to 100%. 16 Therefore, the prevalence of facial pressure injuries related to adult non‐invasive ventilation equipment has been reported differently in different studies. This has made it difficult to understand the epidemiology of facial pressure injures associated with non‐invasive ventilation equipment.…”

Section: Introductionmentioning

confidence: 99%

The prevalence and risk factors of facial pressure injuries related to adult non‐invasive ventilation equipment: A systematic review and meta‐analysis

Wei

Pei

Yang

et al. 2022

International Wound Journal

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To systematically assess the prevalence of facial pressure injuries related to adult non-invasive ventilation equipment, and risk factors of facial pressure injuries. PubMed, Cochrane Library, Web of Science, Embase, China Knowledge Resource Integrated Database, Wanfang Database, Chinese Biomedical Database and Weipu Database were comprehensively searched for observational studies investigating the prevalence and risk factors of facial pressure injuries related to adult non-invasive ventilation equipment from inception to May 16th, 2022. Filter articles based on inclusion and exclusion criteria. The quality of the included studies was evaluated independently by two investigators. Meta-analysis was conducted using Stata 16.0 software package. In total, 2835 articles were screened and data from 12 studies were used in meta-analysis. The prevalence of facial pressure injuries related to adult non-invasive ventilation equipment was 25% (95% confidence interval, CI:15% to 37%, I 2 = 97.34%, P < 0.0001). After controlling for confounding variables, the following risk factors of facial pressure injuries: use equipment form, with diabetes, fever, cumulative time of using equipment, facial skin oedema and Glasgow score. Understanding the risk factors of facial pressure injuries can provide the healthcare personnel with the theoretical basis for the management and treatment of the patients.

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“…catheter displacement or slippage: the moment of placement as a reference, excluding medical adjustment of catheter position, the change in the scale of the gastric tube out of the nostril < 5cm is called displacement, and the change in the scale of the gastric tube out of the nostril > 10cm is called detachment [7]; The rate of rolled edge of nasal patch and the frequency of replacement: the upper edge of nasal patch with xed gastric tube was rolled, and the total length of detachment from the skin was ≥ 5mm, which was considered as rolled edge [8] and the average number of days to replace the nasal patch was recorded Medical device related pressure injury of the nose (MDRPI) [9] and pre-injury status: the pressure injury caused by the diagnosed or treated medical device and the shape of the injury location is consistent with the shape of the medical device type; Medical adhesive related skin injury (MARSI) [10]: observe whether the local skin from the beginning of the indwelling nasal cannula to the end of the placement of the cannula appears to last erythema and/or other skin abnormalities such as blistering, erosion or skin avulsion for 30 min or more; Patient comfort evaluation: after the end of catheterization, the kolcaba comfort status scale (GCQ) was used to evaluate the comfort level of patients [11],with 4 dimensions and 28 items, including 5 items of physical dimension, 10 items of psycho-spiritual dimension, 7 items of environmental dimension and 6 items of socio-cultural dimension 6 items. The minimum score is 30 and the maximum score is 120, with higher scores indicating greater comfort, with a total score of < 60 being low comfort, 60-90 being moderate comfort, and > 90 being high comfort.…”

Section: Assessment Of Related Indexesmentioning

confidence: 99%

Design of personalized nasal catheter fixation device based on laser engraving technology and evaluation of its application effect

Wang

et al. 2023

Preprint

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Background: A historical controlled study method to compare the effectiveness of laser engraved personalized nasal cannula fixation devices with conventional cut nasal patches for fixing nasogastric tubes after esophageal cancer surgery. Methods: One hundred and twenty-four patients with indwelling nasal catheters for esophageal cancer surgery in a tertiary care hospital in Lanzhou were selected as study subjects and divided into control and observation groups according to the historical control study method, with 62 patients in each group. The control group used conventionally cut nasal patches to fix the nasal ducts, and the observation group used laser-engraved personalized nasal patches to fix the nasal ducts. The rate of catheter displacement or slippage under the fixation device, the number of rolled edges and replacement of nasal patches, nasal medical device related pressure injury and pre-injury condition, medical adhesive related skin injury, and patient comfort condition were observed in both groups. Results: The rate of nasal catheter displacement in the observation group was lower than that in the control group (P < 0.05). The number of rolled edges and replacement of nasal patches in the observation group were lower than those in the control group (P < 0.05). The incidence of nasal mucosal indentation, nasal pain, and medical adhesive-related skin lesions in the observation group was lower than that in the control group (P < 0.05). The physiological level of comfort of patients in the observation group was better than that in the control group (P < 0.05). Conclusion: Laser engraved personalized nasal cannula fixation devices have better clinical value than conventional cut nasal patches. It can reduce the incidence of clinical nasal catheter displacement, the frequency of rolled edges and replacement of nasal patches, reduce the incidence of nasal medical device related pressure injuries and medical adhesive related skin injuries, and increase patient comfort.

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Incidence, characteristics and risk factors of medical device-related pressure injuries: An observational cohort study

Cited by 37 publications

References 34 publications

Medical Device‐Related Pressure injuries in adult intensive care units

Medical Device‐Related Pressure injuries in adult intensive care units

The prevalence and risk factors of facial pressure injuries related to adult non‐invasive ventilation equipment: A systematic review and meta‐analysis

Design of personalized nasal catheter fixation device based on laser engraving technology and evaluation of its application effect

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