Treatment-Related Risk Factors for Development of Skin Breakdown in Subjects With Acute Respiratory Failure Undergoing Noninvasive Ventilation or CPAP.
BACKGROUND: Noninvasive ventilation (NIV) has been recognized as an effective strategy in preventing endotracheal intubation in subjects with acute respiratory failure (ARF). Some interface- related complications have also been recognized, such as skin breakdown (SB). The aim of this study was to de...
| Publicado en: | Respiratory Care Vol. 59; no. 10; pp. 1530 - 1537 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Oct2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103899547&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103899547 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Oct2014 vid: 59 iid: 10 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 103899547 98596437 10.4187/respcare.02942 NLM24894664 103899547 ppf: 1530 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Treatment-Related Risk Factors for Development of Skin Breakdown in Subjects With Acute Respiratory Failure Undergoing Noninvasive Ventilation or CPAP. aug: au: Yamaguti, Wellington P. Moderno, Eliana V. Yamashita, Sandra Y. Gomes, Thelma G. M. C. Maida, Ana Lígia V. Kondo, Claudia S. de Salles, Isabel C. D. de Brito, Christina M. M. affil: Rehabilitation Service, Physiotherapy Department, Hospital Sírio-Libanês, São Paulo, Brazil sug: subj: Respiratory Failure Therapy Continuous Positive Airway Pressure Noninvasive Procedures Adverse Effects Respiration, Artificial Pressure Ulcer Risk Factors Pressure Ulcer Epidemiology Masks Utilization Human Record Review Logistic Regression Female Male Descriptive Statistics Cross Sectional Studies Brazil Chi Square Test Fisher's Exact Test T-Tests Mann-Whitney U Test Data Analysis Software Aged, 80 and Over Aged Middle Age Aged, 80 & over Aged: 65+ years Middle Aged: 45-64 years Female Male ab: BACKGROUND: Noninvasive ventilation (NIV) has been recognized as an effective strategy in preventing endotracheal intubation in subjects with acute respiratory failure (ARF). Some interface- related complications have also been recognized, such as skin breakdown (SB). The aim of this study was to determine the frequency of SB and identify potential treatment-related risk factors for its development in adults with ARF undergoing NIV or CPAP. METHODS: A cross-sectional study was conducted in a general hospital. Subjects were retrospectively enrolled in this study if they were > 18 y old and developed ARF caused by any condition in which NIV or CPAP was indicated for at least one application for a period longer than 2 h. The outcomes were the prevalence of SB and the evaluation of related risk factors. Data were extracted from the electronic medical records. A stepwise forward logistic regression model was used to identify independent risk factors for SB development. RESULTS: A total of 375 subjects (160 males) met the inclusion criteria and were enrolled in the study. Fifty-four subjects (14.4%) developed SB. The mean number of applications of NIV or CPAP carried out for > 2 h was higher in subjects with SB (7.1 ± 13.3 h) than in those without SB (4.4 ± 13.3 h) (P = .03). Subjects with SB also presented a higher total duration of NIV use (44.6 ± 118.5 h) compared with subjects without SB (21.8 ± 45.5 h) (P = .01). Subjects who developed SB presented a higher use of oronasal mask (92.6%) compared with the group that did not (21.5%) (P < .001). CONCLUSIONS: In patients with ARF undergoing NIV or CPAP, oronasal mask use for > 26 h was independently associated with development of SB. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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