Prevention of pressure ulcers in patients undergoing subacute rehabilitation after severe brain injury: An observational study

Sachs, Marianne Brostrup; Wolffbrandt, Mia Moth; Poulsen, Ingrid

doi:10.1111/jocn.14266

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…Other authors suggested that PUs are iatrogenic damages and should be viewed as a negative quality care indicator [53,54]. In neurorehabilitation units, clinicians usually deal with patients with restricted mobility or impaired pain sensitivity which may predispose to PUs [55,56]. Proper management of PUs requires a multidisciplinary approach involving nurses, doctors, physiotherapists, occupational therapists, and other relevant healthcare professionals such as plastic surgeons [57].…”

Section: Discussionmentioning

confidence: 99%

Pressure Ulcers—A Longstanding Problem: A 7-Year Neurorehabilitation Unit Experience of Management, Care, and Clinical Outcomes

Alito,

Portaro,

Leonardi

et al. 2023

Diagnostics

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Background: Neurological disease patients present an increased risk of developing pressure ulcers. The primary aim of this study is to evaluate the incidence and prevalence of pressure ulcers and their impact on length of stay and functional recovery. Methods: A retrospective study was conducted in a neurorehabilitation unit over a seven-year period. Data collected include demographic data, length of stay, functional evaluation, risk of pressure ulcers development, nutritional status, and skin. Pressure ulcers were classified according to the European Pressure Ulcer Advisory Panel System. Results: Data from 816 patients were analyzed. On admission, the authors found 236 pressure ulcers in 131 patients (about 16%), divided into stage I (25%), stage II (50%), and stage III–IV (25%). The most common sites were the heel (36%) and sacrum (29%). Among the risk factors for the development of pressure ulcers, malnutrition played a significant role, with approximately 76% of patients with pressure ulcers having mild to moderate malnutrition. Conclusion: The presence of pressure ulcers seems to have a negative impact on the functional recovery of patients, as shown by the outcome scales and the average length of stay: 51 days versus 36 days (p < 0.01).

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Section: Discussionmentioning

confidence: 99%

Pressure Ulcers—A Longstanding Problem: A 7-Year Neurorehabilitation Unit Experience of Management, Care, and Clinical Outcomes

Alito,

Portaro,

Leonardi

et al. 2023

Diagnostics

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“…Among sABI patients, PU onset can affect recovery from brain injury [14,15]. PUs are associated not only with higher morbidity and mortality but also with many secondary negative consequences such as discomfort and pain [14].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Nutritional Risk, Clinical and Demographic Characteristics, and Pressure Ulcers in Patients with Severe Acquired Brain Injuries Attending a Rehabilitative Program

Gheri,

Scalfi,

Biffi

et al. 2023

Nutrients

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Preliminary evidence in the literature suggests a high prevalence of malnutrition (undernutrition) in patients with severe acquired brain injuries (sABI), with an expected negative impact on clinical outcomes and pressure ulcers (PUs) in particular. In a retrospective cohort study on patients discharged from intensive care units (ICU) and admitted to an intensive rehabilitation unit (IRU), the risk of malnutrition was systematically assessed, in addition to standard clinical procedures (including PUs evaluation), using two different tools: the Malnutrition Universal Screening Tool (MUST) and the Controlling Nutritional Status (CONUT) tool. Eighty-eight patients were included in the analysis. A high proportion (79.5%) of patients with sABI suffered from PUs, being older and more frequently men, with a longer ICU stay between the event and admission to IRU, and a greater MUST score. At discharge, when compared to patients whose PUs had healed, those with persisting PUs were more often men and had the worst cognitive performance at admission. As for nutritional risk, the baseline CONUT score was identified as an independent negative predictor of PUs at discharge by the logistic regression model. In conclusion, the assessment of nutritional risk using simple standard tools may be useful in the clinical evaluation of sABI patients with PUs.

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Pressure ulcers: the core, care and cure approach

Sumarno

2019

Br J Community Nurs

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Pressure ulcer/injury remains a significant health problem in the community, requiring comprehensive care. Nurses are involved in the management and prevention of pressure injury. However, to date, studies focusing on applying nursing theory to pressure ulcer care have been limited. In the present study, the three dimensions of Lydia Hall's 1964 theory—core, care and cure—are extensively discussed and linked with the practice of pressure injury management. It is hoped that this review will help community nurses understand the application of this nursing theory to the prevention and management of pressure injury.

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Prevention of pressure ulcers in patients undergoing subacute rehabilitation after severe brain injury: An observational study

Cited by 4 publications

References 22 publications

Pressure Ulcers—A Longstanding Problem: A 7-Year Neurorehabilitation Unit Experience of Management, Care, and Clinical Outcomes

Pressure Ulcers—A Longstanding Problem: A 7-Year Neurorehabilitation Unit Experience of Management, Care, and Clinical Outcomes

Relationship between Nutritional Risk, Clinical and Demographic Characteristics, and Pressure Ulcers in Patients with Severe Acquired Brain Injuries Attending a Rehabilitative Program

Pressure ulcers: the core, care and cure approach

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