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What are the risk factors for pressure injuries in intensive care? An observational retrospective study in an Italian intensive care
Objective: the present study aims to identify the risk factors for the development of pressure ulcers in an Italian intensive care unit.
Materials and Methods: a retrospective observational study was carried out through the analysis of computerized medical records of patients hospitalized in an Italian multipurpose intensive care unit (ICU) in 2019. All patients admitted to the ICU in 2019 had no pressure ulcers at the time of admission and stayed in the hospital for at least 72 hours. Patients who developed ulcers during the first 72 hours of their stay and pediatric patients were excluded.
Results: of the 256 patients analyzed, 53 (20.7%) developed at least one pressure ulcer during hospitalization in the ICU. The lesions developed on the eighth day on average.
Conclusion: the univariate analysis revealed that age, (p = 0.025) length of stay (p = 0.001), mechanical ventilation (p = 0.035), serum albumin (p = 0.006), and the Simplified Acute Physiology Score (SAPS II) (p = 0.023) were the most influential risk factors for the development of pressure ulcers in our intensive care unit.
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