Prospective analysis of skin findings in surgical critically Ill patients intensive care unit

Pektaş, Suzan Demir; Demir, Arzu Kahveci

doi:10.4103/ijd.ijd_605_16

Cited by 6 publications

(5 citation statements)

References 18 publications

(49 reference statements)

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“…Multiple classifications of the cutaneous findings in critical patients exist 8,[10][11][12][13] and are not mutually exclusive. This study proposes a simple classification that separates cutaneous findings into three types of lesions and highlights the complex relationship between skin disease and intensive care.…”

Section: Discussionmentioning

confidence: 99%

Dermatological manifestations in the intensive care unit of a third‐level hospital

Méndez‐Flores,

Mireles‐Alvarez,

Barrera‐Godinez

et al. 2024

JEADV Clinical Practice

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BackgroundDermatologic diseases are common in patients being treated in intensive care units (ICU). However, due to the seriousness of the patient's condition, skin diseases take a backseat, although these are sometimes the cause of the greatest deterioration. Very few studies focusing on these dermatoses have been undertaken.ObjectivesThis study aimed to determine the prevalence and spectrum of dermatological disorders in patients treated in a medical ICU of a tertiary care centre.MethodsThis was a descriptive study conducted over a period of 8 months. All the patients admitted to the medical ICU were examined for the presence of any pre‐existing or newly developed dermatological disorder. Dermatological disorders were initially classified into infective and noninfective. Patients with dermatological findings were classified into two groups: those who survived and those who died; they were compared with each other with respect to age and sex distribution, length of ICU stay and dermatological findings.ResultsOut of 776 cases admitted to the ICU during the study period, dermatological disorders were observed in 164 (21.13%) cases. Life‐threatening dermatological disorders were seen in 3.05% of cases. Twenty‐nine (17.68%) patients with dermatological findings died. Among these cases, infectious dermatological disorders were significantly less common, while no significant difference was observed for reactive dermatological disorders.ConclusionsDermatological disorders in ICU are common and have a wide spectrum. They often need treatment and may be indicative of underlying potentially fatal systemic illness. Besides, a subset of cutaneous lesions may develop in response to various medical interventions, immunosuppression and immobility. Knowledge of such dermatoses is thus essential, both for the intensivist and dermatologist.

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Section: Discussionmentioning

confidence: 99%

Dermatological manifestations in the intensive care unit of a third‐level hospital

Méndez‐Flores,

Mireles‐Alvarez,

Barrera‐Godinez

et al. 2024

JEADV Clinical Practice

View full text Add to dashboard Cite

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“…The strength of our study lies in the thorough screening of a large number of patients across three different ICUs over a short duration, as well as documenting similarities and differences between diverse age groups. We assessed a wide range of demographic and disease-related variables, which is a notable advantage respective to previous studies that evaluated only individual ICUs (either MICU (6,8,9,17)), PICU (1,13,15,18), or NICU (12,14,16,19,20)).…”

Section: Discussionmentioning

confidence: 99%

“…Critically-ill patients receiving care in intensive care units (ICU) often present complicated cases whose immobility, pharmacological treatments, sweating, and reduced perfusion compromise skin integrity (1,2). Skin, being the largest body organ, forms the primary interface between internal organs and the external environment, providing a physical and immunological barrier (3).…”

Section: Introductionmentioning

confidence: 99%

“…It is pertinent to study dermatological disorders (DDs) in ICU patients as their detection may influence management strategies, the patient's quality of life, duration of ventilation, length of hospitalization, patient outcomes, and the mortality rate (1,7). Agrawal et al found that dermatological manifestations in patients were associated with higher illness severity and increased mortality.…”

Section: Introductionmentioning

confidence: 99%

“…Various parameters, such as age, gender, duration of ICU stay, comorbidities, treatment strategies, and underlying systemic disorders, may predispose patients to cutaneous manifestations (1,9,10). Hence, it is essential to scrutinize the predictors of various DDs in ICU-admitted patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Dermatological Disorders Among Patients Admitted to the Intensive Care Units of a Tertiary Care Hospital in India

Jain,

Belgaumkar

2023

J Skin Stem Cell

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: Background: The management of critically-ill individuals in intensive care units (ICU) is complex. Immobility, pharmacological treatments, and reduced perfusion lead to compromised skin integrity, predisposing to complications like infections and allergies. The presence of dermatological disorders (DDs) may influence management strategies, the patient’s quality of life, duration of ventilation, length of hospitalization, and rate of mortality. Hence, it is critical to analyze the predictors of DDs among ICU inpatients. Objectives To determine the prevalence of DDs in ICUs, classify them, and analyze their associated parameters. Methods: Patients admitted to Medicine/Neonatal/Paediatric ICUs were enrolled in this hospital-based cross-sectional study conducted over two months at a tertiary care hospital. Patients with pre-existing DDs not leading to admission were excluded. The screening was initiated within 48 hours of admission, continued daily throughout the ICU stay, and terminated on discharge from the ICU, in the case of patient death or at the end of the data collection period. Requisite information was recorded using a predesigned proforma. Results: Out of 688 patients screened, 129 were found to have 136 skin lesions, with an overall prevalence of 18.9%; MICU had the highest prevalence (22.7%), followed by NICU (17.3%) and PICU (12%). Skin lesions were classified into seven major categories. A significant association was found between the type of dermatological disorder and age, the presence of comorbidity, and the route of admission (P-value < 0.05). Conclusions: This study identified modifiable predictors associated with DDs among ICU inpatients. Infectious disorders constituted the foremost category in children, and iatrogenic disorders were predominant in adults. More comprehensive prospective studies are needed to fully understand the impact of DDs on the prognosis and outcome of ICU patients.

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Influence of severity of illnesses on risk of death in intensive care unit patients with severity of pressure injuries as mediating variable

Chang

2023

International Wound Journal

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This study was to verify whether the severity of pressure injuries (PIs) in intensive care unit (ICU) patients plays a mediating role in the relationship between severity of their illnesses and risk of death. I examined adult patients admitted to the ICUs between 1 January 2014 and 31 August 2021. The average follow‐up period was 11.34 months. A total of 390 ICU patients suffered from PIs. The influences of the APACHE II score of the ICU patients on the mediating variable ‘unstageable & DTPIs vs. Stage 1&2 PIs’ and on risk of death were significant. After controlling the influence of APACHE II score on risk of death, the influences of mediating variables ‘Stage 3&4 PIs vs. Stage 1&2 PIs’ and ‘unstageable & DTPIs vs. Stage 1&2 PIs’ on risk of death were also significant. The regression coefficient of APACHE II score of the ICU patients declined after the severity of PIs was included. The Sobel test on the indirect effects also reached the level of significance. The severity of illnesses is a factor that is beyond my control, severe PIs should still be prevented to lower the risk of death.

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Prospective analysis of skin findings in surgical critically Ill patients intensive care unit

Cited by 6 publications

References 18 publications

Dermatological manifestations in the intensive care unit of a third‐level hospital

Dermatological manifestations in the intensive care unit of a third‐level hospital

Evaluation of Dermatological Disorders Among Patients Admitted to the Intensive Care Units of a Tertiary Care Hospital in India

Influence of severity of illnesses on risk of death in intensive care unit patients with severity of pressure injuries as mediating variable

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