Nosocomial Pressure Ulcer Rates in Critical Care

Wolverton, Cheryl; Hobbs, Lisa A; Beeson, Terrie; Benjamin, Marianne; Campbell, Karen E.; Forbes, Charlie; Huff, N L; Kieninger, Michelle; Luebbehusen, Michael; Myers, Mary Anne; White, Susan

doi:10.1097/00001786-200501000-00010

Cited by 46 publications

(34 citation statements)

References 4 publications

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“…It is, however, necessary that health professionals at all levels and in all situations become actively involved in order to change the current reality of health care services (7,12,13) . Undergraduate as well continuing nursing education programs should focus on how to use these scales, as well as their association with the identification of patients at risk for the development of PU, and Programs for Better Quality should focus on patient safety, following the example of countries where the PU rate has fallen (11,(17)(18) .…”

Section: Final Considerationsmentioning

confidence: 99%

“…Strategies have been described in the literature and implemented by researchers and health professionals, with the aim of establishing care standards focused on PU prevention and encouraging the improvement of health care quality (10)(11) . Among those strategies, the Braden scale is highlighted as a tool that predicts patient risk and helps in the development of protocols for several types of patients and their specificities.…”

Section: Introductionmentioning

confidence: 99%

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Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units

Fernandes¹,

Caliri

2008

Rev. Latino-Am. Enfermagem

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Section: Final Considerationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units

Fernandes¹,

Caliri

2008

Rev. Latino-Am. Enfermagem

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“…These devices are typically used as interventions for critically ill individuals or those who have multiple comorbidities. Consequently, their tissues may exhibit a reduced intrinsic tolerance to withstand prolonged pressures and shear forces acting at the device–skin interface, creating a susceptibility to pressure ulcers (PUs) 1. Indeed, PUs are defined by the National and European Pressure Ulcer Advisory Panel (2014)2 as “a localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear”.…”

Section: Introductionmentioning

confidence: 99%

Investigating the effects of strap tension during non-invasive ventilation mask application: a combined biomechanical and biomarker approach

Worsley¹,

Prudden²,

Gower³

et al. 2016

MDER

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Non-invasive ventilation is commonly used for respiratory support. However, in some cases, mask application can cause pressure ulcers to specific features of the face, resulting in pain and reduced quality of life for the individual. This study investigated the effects of mask strap tension on the biomechanical and biomarker responses at the skin interface. Healthy participants (n = 13) were recruited and assigned two different masks in a random order, which were fitted with three strap conditions representing increments of 5 mm to increase tension. Masks were worn for 10 minutes at each tension followed by a 10-minute refractory period. Assessment at the device–skin interface included measurements of pressures at the nose and cheeks, temperature and humidity, a selection of inflammatory cytokine concentrations collected from sebum and scores of comfort. The results indicated significantly higher interface pressures at the bridge of the nose compared to the cheeks for both masks (p < 0.05), with nasal interface pressures significantly increasing with elevated strap tension (p < 0.05). One inflammatory cytokine, IL-1α, increased following mask application at the highest tension, with median increases from baselines ranging from 21 to 33%. The other cytokines revealed a less consistent trend with strap tension. The participants reported statistically greater discomfort during elevated strap tension. Temperature and humidity values under the mask were elevated from ambient conditions, although no differences were observed between mask type or strap tension. The bony prominence on the bridge of the nose represented a vulnerable area of skin during respiratory mask application. This study has shown that mask strap tension has a significant effect on the pressure exerted on the nose. This can result in discomfort and an inflammatory response at the skin surface. Further studies are required to investigate respiratory mask application for appropriate individuals with comorbidities.

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“…Strategies have been described and implemented by researchers and health professionals, in order to establish standardized behavior and improve the quality of health care (5)(6) . 319 www.eerp.usp.br/rlae Freitas ERFS.…”

Section: Introductionmentioning

confidence: 99%

Profile and severity of the patients of intensive care units: prospective application of the APACHE II index

Freitas

2010

Rev. Latino-Am. Enfermagem

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This study aimed to understand the profile and severity of patients in physiotherapy treatment after their admission to the intensive care unit (ICU) by applying the APACHE II index. One hundred and forty six subjects, with a mean age of 60.5 ± 19.2 years, were evaluated. The APACHE II index was applied in the first 24 hours to evaluate the severity and mortality risk score. Patients were monitored until hospital discharge or death. The mean APACHE II score was 20±7.3 with an estimated risk of death of 32.4% and observed mortality of 58.2%. The mean hospital stay was 27.8±25.2 days. The patients in physiotherapy at the institution studied were predominantly male, elderly, from the emergency service for treatment (non-surgical), and had clear severity, suggested by the APACHE II score and the observed mortality.Descriptors: APACHE; Mortality; Intensive Care Units. Perfil y gravedad de los pacientes de las unidades de terapia intensiva: aplicación prospectiva del puntaje APACHE IIEste estudio tuvo como objetivo conocer el perfil y la gravedad de pacientes asistidos por la fisioterapia, después de su ingreso en las unidades de terapia intensiva (UTI), a través de la aplicación del puntaje APACHE II. Se evaluaron 146 individuos con promedio de edad de 60,5±19,2 años. El puntaje APACHE II fue aplicado en las primeras 24h para evaluar la gravedad y dar puntuación al riesgo de mortalidad. Los pacientes fueron acompañados hasta el momento del alta hospitalaria o de la muerte. El puntaje APACHE II promedio fue de 20±7,3 con riesgo estimado de muerte de 32,4% y mortalidad observada de 58,2%. El promedio de permanencia hospitalaria fue de 27,8±25,2 días.En los pacientes asistidos por la fisioterapia de la institución investigada, el predominio fue del sexo masculino, ancianos, provenientes de la atención rápida para tratamiento clínico (no quirúrgico) y que presentan nítida gravedad, sugerida por el puntaje APACHE II y por la mortalidad observada.

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Nosocomial Pressure Ulcer Rates in Critical Care

Cited by 46 publications

References 4 publications

Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units

Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units

Investigating the effects of strap tension during non-invasive ventilation mask application: a combined biomechanical and biomarker approach

Profile and severity of the patients of intensive care units: prospective application of the APACHE II index

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