Pressure ulcer stage <scp>IV</scp> caused by cervical collar in patients with multiple trauma in intensive care unit

Tafti, A A Khoda Karam; Sajadi, Sanaz; Rafiei, Hossein

doi:10.1111/iwj.12158

Cited by 11 publications

(12 citation statements)

References 8 publications

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“…1,2 Other factors such as nutritional deficiencies, loss of consciousness, severity of illness, taking certain medications, urinary incontinence and/or bowel incontinence, sweating and excessive moisture in the skin, edema, and inappropriate use of medical devices also increase the risk of pressure injury development. [1][2][3][4] Studies on these types of ulcers in Iran indicate the high prevalence and incidence.…”

Section: Introductionmentioning

confidence: 99%

Effect of Aloe vera Gel, Calendula officinalis Ointment and Simple Prophylactic Sacral Dressings for Pressure Injury Development

Baghdadi¹,

Rafiei²,

Rashvand³

et al. 2020

CWCMR

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Background and Purpose: Prophylactic dressings play a significant role in the prevention of pressure injury. However, no herbal products have been used in this regard, so far. Therefore, the present study was designed with the aim of comparing the effect of Aloe vera gel, Calendula officinalis ointment and simple sacral prophylactic dressings on pressure injury development in patients admitted to intensive care unit. Materials and Methods: The sample of this clinical trial study consisted of 90 critically ill patients. Randomization was performed by head nurse in intensive care unit. Patients in group "A" received Aloe vera gel prophylactic dressing twice a day; patients in group "B" received Calendula officinalis ointment prophylactic dressing twice a day; and patients in group "C" received simple prophylactic dressing twice a day. The development of pressure injury was compared between these three groups after the intervention. Results: Demographic variables were similar in all three groups (p> 0.05). The results showed that 3 patients (10%) who received the simple dressing, 2 patients (6.6%) who received the Calendula officinalis ointment dressing were wounded, while the development of pressure injury in patients who received the Aloe vera gel dressing was zero. The results of chi-square test showed that the frequency distribution of the pressure injury development in the two groups receiving Aloe vera gel and simple dressing was different. This difference was statistically significant (p < 0.05). However, there was no significant difference between the Aloe vera gel and Calendula officinalis ointment groups as well as the Calendula officinalis ointment group and the simple dressing. Conclusion: The results of the present study demonstrated that using Aloe vera gel and Calendula officinalis ointment prophylactic dressing twice a day can be effective in prevention of pressure injury in patients admitted to intensive care unit.

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Section: Introductionmentioning

confidence: 99%

Effect of Aloe vera Gel, Calendula officinalis Ointment and Simple Prophylactic Sacral Dressings for Pressure Injury Development

Baghdadi¹,

Rafiei²,

Rashvand³

et al. 2020

CWCMR

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“…6 However, other factors, including immobility, nutritional deficiencies, old age, the frequent use of medical equipment. 7 , urinary and/or bowel incontinence, loss of consciousness, sedation, and some underlying diseases increase the chance of patients developing pressure injuries. [8][9][10][11][12][13] Pressure injuries can occur in different parts of the body, especially over the bony areas.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Using Olive Oil and Fish Oil Prophylactic Dressings on Heel Pressure Injury Development in Critically Ill Patients

Karimi¹,

Mousavizadeh²,

Rafiei³

et al. 2020

CCID

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“…As noted earlier, studies related to the MDRPUs are limited throughout the world, and this limitation is much more considerable in developing countries such as Iran. Our searches in Iran regarding MDRPU are limited to a few case reports, and there is virtually no comprehensive information on MDRPU in Iran . Therefore, due to the lack of international studies and lack of studies in Iran, the present study was conducted to investigate the incidence and risk factors for MDRPU.…”

Section: Introductionmentioning

confidence: 99%

“…Our searches in Iran regarding MDRPU are limited to a few case reports, and there is virtually no comprehensive information on MDRPU in Iran. [11][12][13][14] Therefore, due to the lack of international studies and lack of studies in Iran, the present study was conducted to investigate the incidence and risk factors for MDRPU.…”

Section: Introductionmentioning

confidence: 99%

Incidence and risk factors for medical device‐related pressure ulcers: The first report in this regard in Iran

Rashvand

Shamekhi

Rafiei

et al. 2019

International Wound Journal

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Few studies, especially among developing countries such as Iran, have been conducted on the incidence and risk factors for medical device‐related pressure ulcers (MDRPUs). Given the importance of this issue and the lack of previous studies, the present study aimed to investigate the incidence and risk factors for MDRPUs in Iran. The present descriptive‐analytical study was conducted at three hospitals in Qazvin, Iran, from June 1, 2019, to September 1, 2019. Data collection took approximately 3 months from July to September 2019. Sampling was carried out through a convenience sampling method, and the samples consisted of 404 patients. For data collection, a checklist for demographic variables, a checklist for patient‐connected medical devices, Braden Scale, Glasgow Coma Scale, National Pressure Ulcer Advisory Panel Pressure Grading Scale, and Nutrition Risk Screening 2002 were used. Of the 404 patients studied, 20.54% (n = 83) developed some degree of MDRPUs. From those, 61 (70.11%) were in stage I, 17 (19.5%) were in stage II, and 9 (10.34%) were in stage III. Among the nine medical devices that caused pressure ulcers, the most commonly reported ones were nasal oxygen tubes (31 cases), oxygen face masks (23 cases), and endotracheal tubes (17 cases). The mean score of Braden Scale (P = .004), the mean score of NRS 2002 (P = .037), older age (P = .007), male gender (P = .002), the average length of stay in hospitals (P = .001), and having pressure ulcers in body (P = .025) significantly increased the possibility of occurring MDRPUs. In the present study, the incidence of MDRPUs was high. Taking the necessary measures into consideration in order to prevent the MDRPUs is essential in Iranian hospitals. Further studies in this regard are strongly recommended.

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Pressure ulcer stage IV caused by cervical collar in patients with multiple trauma in intensive care unit

Cited by 11 publications

References 8 publications

<p>Effect of <em>Aloe vera</em> Gel, <em>Calendula officinalis</em> Ointment and Simple Prophylactic Sacral Dressings for Pressure Injury Development</p>

<p>Effect of <em>Aloe vera</em> Gel, <em>Calendula officinalis</em> Ointment and Simple Prophylactic Sacral Dressings for Pressure Injury Development</p>

<p>The Effect of Using Olive Oil and Fish Oil Prophylactic Dressings on Heel Pressure Injury Development in Critically Ill Patients</p>

Incidence and risk factors for medical device‐related pressure ulcers: The first report in this regard in Iran

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