Medical <scp>Device‐Related</scp> Pressure injuries in adult intensive care units

Çelik, Selda; Yılmaz, Feride Taşkın; Altas, Gulnaz

doi:10.1111/jocn.16516

Cited by 20 publications

(11 citation statements)

References 31 publications

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“…34,35 For both treatment groups, PIs developed most frequently due to antiembolic socks. Whereas some studies found that MDRPIs developed most frequently in ICU patients using endotracheal tubes, noninvasive mechanical ventilation masks, and oxygen masks, 33,[35][36][37] other research supports the present findings. 34,38,39 The authors hypothesize that nurses may prioritize the prevention of PIs related to other medical devices, leading to the high incidence of antiembolic socks-related PIs.…”

Section: Discussionsupporting

confidence: 80%

Everyday Prevention: The Impact of Daily Comprehensive Skin Assessments on Pressure Injury Healing in the General ICU

Yilmaz Akyaz,

Cevizci,

Sengul

2024

Adv Skin Wound Care

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OBJECTIVE To investigate the effect of daily versus weekly comprehensive skin assessments on wound healing status in patients with pressure injuries (PIs) treated in the general ICU. METHODS This quasi-experimental study was conducted at a foundation hospital from November 15, 2022, to March 15, 2023. The sample consisted of 193 patients with PIs who met the inclusion criteria. The Braden Scale, Nutritional Risk Scale 2002 (NRS-2002), and Pressure Ulcer Scale for Healing (PUSH) were used. The intervention group (n = 98) underwent comprehensive skin assessment every day, whereas the control group (n = 95) followed routine procedures. The study findings were reported according to TREND (Transparent Reporting of Evaluations with Non-randomized Designs) guidelines. RESULTS Patients were older adults, with a mean age of 70 ± 15.45 years in the intervention group and 71 ± 13.20 years in the control group. The mean NRS-2002 score was 3 ± 2.01 in the intervention group and 2 ± 1.38 in the control group. Medical device-related PI incidence was high in both groups (intervention: 36.8%, control: 24.5%). In the intervention (14.3%) and control (50%) groups, PIs developed mostly due to antiembolic stockings. Deep-tissue PIs were the most common (intervention: 56.8%, control: 62.2%). The last PUSH scores decreased in both groups. The difference between the PUSH scores of the intervention and control groups was statistically significant (P < .05). CONCLUSIONS The findings of this study demonstrate the critical role of daily comprehensive skin assessment in the healing process of PIs. Especially in ICUs, the study provides compelling evidence for the need to prioritize and implement regular skin assessments to prevent PIs and support the healing process.

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Section: Discussionsupporting

confidence: 80%

Everyday Prevention: The Impact of Daily Comprehensive Skin Assessments on Pressure Injury Healing in the General ICU

Yilmaz Akyaz,

Cevizci,

Sengul

2024

Adv Skin Wound Care

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“…A prospective cohort study by Koo et al 28 found that 19.8% of 253 adult patients treated in ICUs developed MDRPIs. 27,28 Similarly, Barakat-Johnson et al 29 observed that approximately one-third of patients included in their study developed MDRPIs, with more than half of those patients being treated in ICUs. 29 The high frequency of occurrence noted in the present study is concerning, and demonstrates the importance of promptly reviewing measures to prevent MDRPI development.…”

Section: Discussionmentioning

confidence: 87%

“…According to the literature, MDRPIs develop in between 3.1% and 40% of intensive care patients. 13,14,19,22,27,28 In an observational and prospective descriptive study, Celik et al 27 found that approximately one-third of patients treated in ICUs developed MDRPI within a year. A prospective cohort study by Koo et al 28 found that 19.8% of 253 adult patients treated in ICUs developed MDRPIs.…”

Section: Discussionmentioning

confidence: 99%

“…In an observational and prospective descriptive study, Celik et al 27 found that approximately one-third of patients treated in ICUs developed MDRPI within a year. A prospective cohort study by Koo et al 28 found that 19.8% of 253 adult patients treated in ICUs developed MDRPIs 27,28 . Similarly, Barakat-Johnson et al 29 observed that approximately one-third of patients included in their study developed MDRPIs, with more than half of those patients being treated in ICUs 29 .…”

Section: Discussionmentioning

confidence: 99%

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Determination of Incidence and Risk Factors of Medical Device-Related Pressure Injury in the ICU: A Descriptive Study

Dirgar,

Gider,

Tosun

2024

Adv Skin Wound Care

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OBJECTIVE To determine the incidence and risk factors of medical device-related pressure injury (MDRPI) in the ICU. METHODS In this descriptive study, the researchers collected data through systematic observation of patients (n = 58) in the ICU. The patients were evaluated within 24 hours of ICU admission and then followed up until they were discharged. A total of 482 patient-days were followed. The researchers used the MDRPI follow-up form, the patient descriptive form, the MDRPI follow-up form, and the Braden Scale for Predicting Pressure Sore Risk for data collection. RESULTS Overall, 39.7% of the 58 patients hospitalized in the ICU developed an MDRPI, and 5.2% of the MDRPIs were evaluated as stage 2. These injuries occurred in an average of 5 days after the patient was admitted to the ICU. Among the MDRPIs that developed, 31.9% were located in the nose, 21.3% in the mouth, and 14.9% on the cheeks. Intubation tubes were used in 7.3% of the patients, nasogastric tubes in 22.4% of the patients, and radial artery catheters in 10.5% of the patients. CONCLUSIONS The development of MDRPI is correlated with the type of medical device used. Providers should establish a planned care protocol based on the anatomic placement of the medical device and take necessary precautions to prevent MDRPI.

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“…The shape of the injury is often consistent with the shape of the medical devices. The prevalence of MDRPI in critically ill patients in the intensive care unit (ICU) is due to the frequent use of various medical devices, extensive drug therapy and patients' own characteristics such as skin edema 7‐10 . It is now one of the more serious adverse events in ICU patients 11,12 .…”

Section: Introductionmentioning

confidence: 99%

Model construction of factors influencing intensive care unit nurses' medical device‐related pressure injury knowledge, attitude, and practice

Sun

Chen

Fang

et al. 2023

International Wound Journal

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The ability of knowledge, attitude, and practice of intensive care unit (ICU) nurses to perform medical device‐related pressure injuries (MDRPIs) can affect the incidence of MDRPI in ICU patients. Therefore, in order to improve ICU nurses' understanding and nursing ability of MDRPIs, we investigated the non‐linear relationship (synergistic and superimposed relationships) between the factors influencing ICU nurses' ability of knowledge, attitude, and practice. A Clinical Nurses' Knowledge, Attitude, and Practice Questionnaire for the Prevention of MDRPI in Critically Ill Patients was administered to 322 ICU nurses from tertiary hospitals in China from January 1, 2022 to June 31, 2022. After the questionnaire was distributed, the data were collected and sorted out, and the corresponding statistical analysis and modelling software was used to analyse the data. IBM SPSS 25.0 software was used to conduct Single factor analysis and Logistic regression analysis on the data, so as to screen the statistically significant influencing factors. IBM SPSS Modeler18.0 software was used to construct a decision tree model of the factors influencing MDRPI knowledge, attitude, and practice of ICU nurses, and ROC curves were plotted to analyse the accuracy of the model. The results showed that the overall passing rate of ICU nurses' knowledge, attitude, and practice score was 72%. The statistically significant predictor variables ranked in importance were education background (0.35), training (0.31), years of working (0.24), and professional title (0.10). AUC = 0.718, model prediction performance is good. There is a synergistic and superimposed relationship between high education background, attended training, high years of working and high professional title. Nurses with the above factors have strong MDRPI knowledge, attitude, and practice ability. Therefore, nursing managers can develop a reasonable and effective scheduling system and MDRPI training program based on the study results. The ultimate goal is to improve the ability of ICU nurses to know and act on MDRPI and to reduce the incidence of MDRPI in ICU patients.

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Medical Device‐Related Pressure injuries in adult intensive care units

Cited by 20 publications

References 31 publications

Everyday Prevention: The Impact of Daily Comprehensive Skin Assessments on Pressure Injury Healing in the General ICU

Everyday Prevention: The Impact of Daily Comprehensive Skin Assessments on Pressure Injury Healing in the General ICU

Determination of Incidence and Risk Factors of Medical Device-Related Pressure Injury in the ICU: A Descriptive Study

Model construction of factors influencing intensive care unit nurses' medical device‐related pressure injury knowledge, attitude, and practice

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