https://doi.org/10.4081/scenario.2024.584
Quali sono i fattori di rischio per le lesioni da pressione in terapia intensiva? Uno studio retrospettivo osservazionale in una terapia intensiva italiana.
Ricevuto: 21 febbraio 2024
Accettato: 21 giugno 2024
Pubblicato: 27 giugno 2024
Accettato: 21 giugno 2024
Abstract Views: 980
PDF (English): 141
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Autori
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.
National pressure ulcer advisory panel (NPIAP). Prevention and treatment of pressure ulcers: clinical practice guideline. 2019.
Padula WV, Pronovost PJ, Makic MBF, et al. Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis. BMJ Quality Safety 2018;28:132–41.
Tirgari B, Mirshekari L, Forouzi MA. Pressure injury prevention. Adv Skin Wound Care 2018;31:1–8.
Razmus I. Factors associated with pediatric hospital-acquired pressure injuries. J Wound Ostomy Cont 2018;45:107–16.
Jaul E. Assessment and management of pressure ulcers in the elderly. Drug Aging 2010;27:311–25.
Jomar RT, Jesus RP de, Jesus MP de, at al. Incidence of pressure injury in an oncological intensive care unit. Revista Brasileira de Enfermagem 2019;72:1490–5.
Yap TL, Kennerly SM, Ly K. Pressure injury prevention: outcomes and challenges to use of resident monitoring technology in a nursing home. J Wound Ostomy Cont 2019;46:207–13.
Wåhlin I, Ek A, Lindgren M, et al. Development and validation of an icu‐specific pressure injury risk assessment scale. Scand J Caring Sci 2020;14;35.
González-Ruiz JM, Núñez-Méndez P, Balugo-Huertas S, et al. Estudio de validez de la escala de valoración actual del riesgo de desarrollar úlceras por presión en cuidados intensivos (EVARUCI). Enfermería Intensiva 2008;19:123–31.
Deschepper M, Labeau SO, Waegeman W, Blot SI. Heterogeneity hampers the identification of general pressure injury risk factors in intensive care populations: A predictive modelling analysis. Intens Crit Care Nur 2021;68;103117.
Kayser SA, VanGilder CA, Lachenbruch C. Predictors of superficial and severe hospital-acquired pressure injuries: a cross-sectional study using the international pressure ulcer prevalence survey. Int J Nurs Stud 2019;89:46–52.
Pachá HHP, Faria JIL, Oliveira KA de, Beccaria LM. Pressure ulcer in intensive care units: a case-control study. Revista Brasileira Enfermagem 2018;71:3027–34.
Tayyib N, Coyer F, Lewis P. Saudi Arabian adult intensive care unit pressure ulcer incidence and risk factors: a prospective cohort study. Int Wound J 2015;13:912–9.
Amini M, Mansouri F, Vafaee K, et al. Factors affecting the incidence and prevalence of pressure ulcers in COVID‐19 patients admitted with a Braden scale below 14 in the intensive care unit: retrospective cohort study. Int Wound J 2022;19:2039–54
Cox J. Pressure injury risk factors in adult critical care patients: a review of the literature. Ostomy Wound Manag 2017;63:30–43
Lucchini A, Elli S, Bianchi F, et al. Incidenza e fattori di rischio associate allo sviluppo di lesioni da pressione in una terapia intensiva generale italiana [Incidence and risk factors associated with the development of pressure ulcers in an Italian general intensive care unit]. Assist Inferm Ric 2018;37:181-8.
McEvoy N, Patton D, Avsar P, et al. Effects of vasopressor agents on the development of pressure ulcers in critically ill patients: a systematic review. J Wound Care 2022;31:266–77.
Serpa LF, Ortiz MM, Lima AC, et al. Incidence of hospital‐acquired pressure injury: A cohort study of adults admitted to public and private hospitals in Sao Paulo, Brazil. Wound Repair Regen 2020;29:79–86.
Kim P, Aribindi VK, Shui AM, et al. Risk factors for hospital-acquired pressure injury in adult critical care patients. Am J Crit Care 2022;31:42–50.
Hyun S, Li X, Vermillion B, et al. Body mass index and pressure ulcers: improved predictability of pressure ulcers in intensive care patients. Am J Crit Care 2014;23:494–501.
Sayan HE, Girgin NK, Asan A. Prevalence of pressure ulcers in hospitalized adult patients in Bursa, Turkey: a multicentre, point prevalence study. J Eval Clin Pract 2020;26:1669–76.
Erbay Dallı Ö, Ceylan İ, Kelebek Girgin N. Incidence, characteristics and risk factors of medical device-related pressure injuries: An observational cohort study. Intensive Crit Care Nurs 2022;69:103180.
Martin-Loeches I, Rose L, Afonso E, et al. Epidemiology and outcome of pressure injuries in critically ill patients with chronic obstructive pulmonary disease: A propensity score adjusted analysis. Int J Nurs Stud 2022;129:104222.
Cox J, Schallom M, Jung C. Identifying risk factors for pressure injury in adult critical care patients. Am J Crit Care 2020;29:204–13.
El-Marsi J, Zein-El-Dine S, Zein B, et al. Predictors of pressure injuries in a critical care unit in Lebanon. J Wound Ostomy Cont 2018;45:131–6.
Higgins J, Casey S, Taylor E, et al. Comparing the Braden and Jackson/Cubbin pressure injury risk scales in trauma-surgery ICU patients. Crit Care Nurse 2020;40:52–61.
Smit I, Harrison L, Letzkus L, Quatrara B. What factors are associated with the development of pressure ulcers in a medical intensive care unit? Dimens Crit Care Nurs 2016;35:37–41.
Labeau SO, Afonso E, Benbenishty J, et al. Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the decubitus study. Intens Care Med 2020;47:160–9.
Nowicki JL, Mullany D, Spooner A, et al. Are pressure injuries related to skin failure in critically ill patients? Aust Crit Care 2018;31:257–63.
Coyer F, Chaboyer W, Lin F, et al. Pressure injury prevalence in Australian intensive care units: a secondary analysis. Aust Crit Care 2022;35:701-8.
Kirkland-Kyhn H, Teleten O, Wilson M. A retrospective, descriptive, comparative study to identify patient variables that contribute to the development of deep tissue injury among patients in intensive care units. Ostomy Wound Manag 2017;63:42–7.
González-Méndez MI, Lima-Serrano M, Martín-Castaño C, et al. Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit. J Clin Nurs 2017;27:1028–37.
Lin FF, Liu Y, Wu Z, et al. Pressure injury prevalence and risk factors in Chinese adult intensive care units: a multi‐centre prospective point prevalence study. Int Wound J 2022;19:493-506.
Ji Seon Shine, Soo Jin Kim, Ji Hyun Lee, Yu M. Factors predicting the interface pressure related to pressure injury in intensive care unit patients. J Korean Acad Nurs 2017;47:794–4.
Ülker Efteli E, Yapucu Günes Ü. A prospective, descriptive study of risk factors related to pressure ulcer development among patients in intensive care units. Ostomy Wound Manag 2013;59:22–7.
Come citare
Pazzini, A., Biselli, B., Vannini, C., Fabbri, E., Falabella, F., Santandrea, M. G., Marziliano, M., Gagliardi, N., Di Giandomenico, S., Scotto di Minico, S., & 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
Copyright (c) 2024 Gli Autori
Questo lavoro è fornito con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.
Aniarti ha scelto di applicare la Licenza Creative Commons Attribuzione Non Commerciale 4.0 Internazionale (CC BY-NC 4.0) a tutti i manoscritti da pubblicare.