EP107 MORTALITY AND PRESSURE INJURY IN SUBJECTS WITH COVID-19-RELATED ARDS UNDERGOING PRONATION. A PROSPECTIVE STUDY...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy
Aim: To evaluate the impact of pronation on mortality and pressure injury occurrence in subjects with COVID-19-related ARDS. Method: Prospective descriptive study with consultation of medical records of people admitted during March 2020 to April 2022 for COVID-19-related ARDS in the dedicated Intens...
| Publicado en: | Journal of Wound Management Vol. 24; no. 2; pp. 90 - 91 |
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| Autores principales: | , , , , , |
| Formato: | abstract proceedings research Journal Article |
| Publicado: |
Cambridge Publishing
Jul2023
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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=164968822&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164968822 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27885771 MZEQ jtl: Journal of Wound Management issn: 27885771 maglogo: N pubinfo: dt: Jul2023 vid: 24 iid: 2 pid: 66266 pub: Cambridge Publishing artinfo: ui: 164968822 164968822 164968822 164968822 ppf: 90 ppct: 1 formats: fmt: @attributes: type: P tig: atl: EP107 MORTALITY AND PRESSURE INJURY IN SUBJECTS WITH COVID-19-RELATED ARDS UNDERGOING PRONATION. A PROSPECTIVE STUDY...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy aug: au: Marini, Alessia Re, Luca Giuseppe Bassola, Barbara D'Elia, Massimiliano Fontana, Isabella Lusignani, Maura affil: ASST Grande Ospedale Metropolitano Niguarda, Anestesia e Rianimazione, Milano, Italy sug: subj: COVID-19 Complications Respiratory Distress Syndrome, Acute Risk Factors Pressure Ulcer Epidemiology Pronation Respiratory Distress Syndrome, Acute Mortality Congresses and Conferences Italy Italy ab: Aim: To evaluate the impact of pronation on mortality and pressure injury occurrence in subjects with COVID-19-related ARDS. Method: Prospective descriptive study with consultation of medical records of people admitted during March 2020 to April 2022 for COVID-19-related ARDS in the dedicated Intensive Care Units (ICU) of a hospital in North Milan. Results / Discussion: 228 (57.1%) of the 399 medical records analysed were of pronated subjects. The latter had more deaths (54.8% vs. 23.4%) and pressure injuries (11.4% vs. 4.1%) than the non-pronated; however, they were older, had spent more time in the ICU, had a higher SOFA score and were more likely to suffer severe ARDS (78.1% vs. 51.4%). For the pronated and non-pronated, comorbidities and SOFA score were positively associated with a higher probability of death. 162 subjects had at least one pressure injury occurring in the ICU (40.6%). There were 282 pressure injuries with an average of 1.7 new injuries per subject. The average stage of new pressure injuries was 2.3. The amount of ICU days has a highly significant association in the occurrence of pressure injury with a negative direction: as the number of ICU days decreases, the clinical severity increases. A pronated subject compared to a non-pronated one had more than twice as likely to have at least one new pressure injury. Conclusion: Despite the considerable difficulties faced in the management of the pandemic tsunami, the implementation of pronation cycles as salvage therapy in individuals with COVID-19-related severe ARDS made it possible to contain mortality within reasonable limits in the face of an otherwise acceptable increase in pressure injuries. pubtype: Academic Journal doctype: abstract proceedings research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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