Retrospective investigation of pressure injury in COVID-19 patients followed on invasive mechanical ventilator support.
In this study, we aimed to investigate pressure injury (PI) and its associated factors in COVID-19 patients receiving invasive mechanical ventilation (IMV). This was designed as a retrospective, descriptive and correlational study. In this study, there was no sample selection, and the data were coll...
| Publicado en: | Journal of Tissue Viability Vol. 33; no. 1; pp. 144 - 150 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Feb2024
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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=176010661&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176010661 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0965206X YZQ jtl: Journal of Tissue Viability issn: 0965206X maglogo: N pubinfo: dt: Feb2024 vid: 33 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 176010661 176010661 176010661 10.1016/j.jtv.2023.10.001 176010661 ppf: 144 ppct: 6 formats: tig: atl: Retrospective investigation of pressure injury in COVID-19 patients followed on invasive mechanical ventilator support. aug: au: Baran, Zilan Özden, Dilek affil: Faculty of Nursing, The Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkiye sug: subj: Pressure Ulcer COVID-19 Complications COVID-19 Epidemiology Respiration, Artificial Invasive Procedures Human Intensive Care Units Correlational Studies Descriptive Statistics Retrospective Design Data Analysis Software Length of Stay Albumins Blood Nutritional Assessment Glutamine Vasoconstrictor Agents Therapeutic Use APACHE (Acute Physiology and Chronic Health Evaluation) Braden Scale for Predicting Pressure Sore Risk Scales Severity of Illness Indices ab: In this study, we aimed to investigate pressure injury (PI) and its associated factors in COVID-19 patients receiving invasive mechanical ventilation (IMV). This was designed as a retrospective, descriptive and correlational study. In this study, there was no sample selection, and the data were collected by reviewing the files of 438 patients who had been followed up on IMV in the intensive care unit (ICU) with a diagnosis of COVID-19 between April 30, 2020, and April 30, 2022. The collected data were analyzed using descriptive statistics in the Statistical Package for the Social Sciences (SPSS) program. A total of 305 pressure injuries occurred in 36.3% of 438 patients receiving IMV. It was found that the length of IMV stay of the patients accelerated the occurrence of PI and that the length of stay in the intensive care unit, albumin and hemoglobin levels, Braden Pressure Sore Risk Assessment Score, APACHE-II value, nutritional status, glutamine supplementation, and vasopressor use were found to be significantly correlated with the incidence of PI (p < 0.05). Patients with COVID-19 who were followed up on IMV had a high incidence of PI, and prolonged ICU stays and intubations duration as well as low albumin and hemoglobin levels increased the occurrence of PI. Hence, it is recommended that the PI risk levels of COVID-19 patients followed up on IMV should be evaluated frequently and nursing interventions should be implemented according to the evaluations. • PI occurred in 36.3% of COVID-19 patients followed up with IMV support. • Prolonged ICU stays and intubations duration as well as low albumin and hemoglobin levels increased the occurrence of PI. • Occurrence of PI was 4.6 times higher in patients with a BMI <18.4, 3.1 times higher in enteral-fed patients compared to parenterally fed patients, and 2.5 times higher in patients receiving vasopressor support than those not receiving vasopressor support. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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