What are the risk factors for pressure injuries in intensive care? An observational retrospective study in an Italian intensive care

Obiettivo: lo scopo del presente studio è identificare i fattori di rischio per lo sviluppo di ulcere da pressione in un'unità di terapia intensiva italiana.

Materiali e Metodi: è stato condotto uno studio osservazionale retrospettivo attraverso l'analisi delle cartelle cliniche informatizzate dei pazienti ricoverati in un'unità di terapia intensiva (ICU) polifunzionale italiana nel 2019. Tutti i pazienti ricoverati in terapia intensiva nel 2019 non presentavano ulcere da pressione al momento del ricovero e sono rimasti in ospedale per almeno 72 ore. Sono stati esclusi i pazienti che hanno sviluppato ulcere durante le prime 72 ore di degenza e i pazienti pediatrici.

Risultati: dei 256 pazienti analizzati, 53 (20,7%) hanno sviluppato almeno un'ulcera da pressione durante il ricovero in terapia intensiva. Le lesioni si sono sviluppate in media all'ottavo giorno.

Conclusioni: l'analisi univariata ha rivelato che l'età, (p = 0,025) la durata della degenza (p = 0,001), la ventilazione meccanica (p = 0,035), l'albumina sierica (p = 0,006) e il Simplified Acute Physiology Score (SAPS II) (p = 0,023) erano i fattori di rischio più influenti per lo sviluppo di ulcere da pressione nella nostra unità di terapia intensiva.

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Pazzini, A., Biselli, B., Vannini, C., Fabbri, E., Falabella, F., Santandrea, M. G., … Di Biasi, V. (2024). Quali sono i fattori di rischio per le lesioni da pressione in terapia intensiva? Uno studio retrospettivo osservazionale in una terapia intensiva italiana. Scenario® - Il Nursing Nella Sopravvivenza, 41(2). https://doi.org/10.4081/scenario.2024.584

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Quali sono i fattori di rischio per le lesioni da pressione in terapia intensiva? Uno studio retrospettivo osservazionale in una terapia intensiva italiana.

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