Medical-Device Related Pressure Injuries to Children in the Intensive Care Unit

Widiati, Eka; Nurhaeni, Nani; Gayatri, Dewi

doi:10.1080/24694193.2017.1386973

Cited by 26 publications

(45 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Orogastric tube, paediatric pulse oximeter and orotracheal cannula were the most used. These data are consistent with study involving 50 hospitalised paediatric and neonatal patients, identifying that the most used devices were SpO2 probe, orogastric tube and endotracheal tube (Widiati, Nurhaeni, & Gayatri, ).…”

Section: Discussionsupporting

confidence: 89%

Factors associated with skin and mucosal lesions caused by medical devices in newborns: Observational study

Faria

Ferreira

Felix

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aim and objective To identify the occurrence of skin and mucosal lesions and factors related to the use of medical devices in newborns admitted to a neonatal intensive care unit. Background The use of medical devices increases the risk of injury in newborns due to the immaturity and fragility of their skin and mucosa. Design Observational and longitudinal study. Methods The study included 85 newborns admitted to in a neonatal intensive care unit from a public teaching hospital. Data were collected from February–August 2018. For the evaluation, the Neonatal Skin Condition Score was used, as well as an instrument covering sociodemographic and clinical variables, medical devices in use and materials for skin protection. The study followed the recommendations STROBE. Simple frequency, measures of central tendency and variability, Pearson's correlation coefficient and multiple linear regression analysis were used for data analysis. Results Of the n = 85 newborns evaluated, n = 62 (72.9%) presented skin or mucosal lesions caused using medical devices, excoriations being the most observed n = 55 (64.7%), and n = 32 (37.6%) had 1–3 lesions. As the number of devices increased, so did the number of lesions. On the other hand, the age of the newborn and the number of lesions were inversely proportional. Conclusion Most participants, n = 62 (72.9%), had skin or mucosal lesions associated with medical devices. The number of medical devices used and the age of the newborn were predictors for this occurrence. Relevance to clinical practice The results show that it is fundamental that nurses know the factors that can interfere in the skin and mucosa conditions and, thus, promote the implementation of injury prevention measures in newborns, supporting safe and quality care.

show abstract

Section: Discussionsupporting

confidence: 89%

Factors associated with skin and mucosal lesions caused by medical devices in newborns: Observational study

Faria

Ferreira

Felix

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…In paediatrics, the following devices are particularly associated with DRPU. 103,104 : respiratory devices, casts and orthotics, intravenous arm boards, intravenous tubing, oximetry probes and cervical collars.…”

Section: Devicesmentioning

confidence: 99%

“…is is especially important in neonatal and pediatric patients admitted to critical care and during transport between units. 104 Devices applied to newborn and infants in an ICU may take up 25-30% of the body surface, underlining the importance of careful and consistent observation to prevent DRPU. Standard care based on expert consensus recommendations should be followed (Box 8).…”

Section: Key Aspects Of Drpu Preventionmentioning

confidence: 99%

Device-related pressure ulcers: SECURE prevention

et al. 2020

View full text Add to dashboard Cite

“…5 Widiawati et al (2017) identified medical devices that were linked with pressure injury in the PICU of X hospital in Jakarta, including the endotracheal tube (ETT) in 13% of incidents, the orogastric tube (OGT) in 12% of incidents, the nasogastric tube (NGT) in 11% of incidents, and the oxygen saturation probe in 6% of incidents. 6 It can be concluded that prolonged immobilization and the challenge of positioning medical devices are major causes of pressure injury in the PICU.…”

Section: Introductionmentioning

confidence: 99%

Testing of Braden Qd Scale for Predicting Pressure Ulcer Risk in The Pediatric Intensive Care Unit

2020

Self Cite

View full text Add to dashboard Cite

Children admitted to the Pediatric Intensive Care Unit (PICU) are at risk for pressure injury due to immobility and the challenge of positioning medical devices. However, a comprehensive instrument to assess pressure injury risk is still finite. This study aimed to test the validity and reliability of the Braden QD Scale. The design used was a Pearson correlation coefficients and Cronbach’s alpha (α). Fifty-one pediatric patients below age 18 who had been bedridden for at least 24 hours were engaged through a consecutive sampling method. The results showed assessments made by using the Braden QD Scale revealed that 88.2% of patients were at risk for a pressure injury. The validity test results of the Braden QD Scale ranged between 0.532 and 0.833. The reliability test results of the Braden QD Scale ranged between 0.756 and 0.834. The sensitivity value is 100%, specificity value is 40%. In general, the study finding suggests that the Braden QD Scale is a valid and reliable instrument for predicting pressure injury risk. Nurses may employ this tool to assess pressure injury risk in pediatric patients.

show abstract

Medical-Device Related Pressure Injuries to Children in the Intensive Care Unit

Cited by 26 publications

References 10 publications

Factors associated with skin and mucosal lesions caused by medical devices in newborns: Observational study

Factors associated with skin and mucosal lesions caused by medical devices in newborns: Observational study

Device-related pressure ulcers: SECURE prevention

Testing of Braden Qd Scale for Predicting Pressure Ulcer Risk in The Pediatric Intensive Care Unit

Contact Info

Product

Resources

About