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- Title
Pressure ulcers related to prone positioning: a pandemic amidst a pandemic.
- Authors
Ramirez-Marin, Hassiel Aurelio; Contreras-Yañez, Irazu; Campos-Jimenez, Karin Ivette; Molina-Murrieta, Leticia; Huerta-Ramirez, Yeni; Domínguez-Cherit, Judith Guadalupe
- Abstract
Objective: To explore the epidemiology and risk factors associated with the development of pressure ulcers (PUs) in patients receiving prone positioning (PP) ventilatory therapy; to compare the inflammatory status of patients who develop PUs with those who do not; and to describe the experience and useful findings that have allowed us to improve the management of these patients to reduce the incidence of PUs. Method: An observational, descriptive and longitudinal study was conducted, where sociodemographic and laboratory data were collected from patients who were hospitalised and required PP ventilatory therapy in critical care areas (CCA) during the months of May–October 2020. Results: From the total number of patients who required PP during their CCA stay (n=240), 202 (84.2%) developed a PU. The four most frequent areas where a PU appeared were: the head and neck (n=115); the pinna (n=21); the torso (n=21); and the lower limbs (n=21). Patients who developed PU were more frequently males with higher initial levels of creatinine phosphokinase and ferritin. The incidence for each month of follow-up decreased from 8.3% to 5.8%. Conclusion: Regardless of the intervention, a multidisciplinary approach is required to optimise the prevention and treatment of these wounds. While PUs are often the result of other medical conditions or poor health status in general, the vast majority of PUs are avoidable.
- Subjects
MEXICO; RISK assessment; NECK; EXTERNAL ear; LEG; FERRITIN; LYING down position; SCIENTIFIC observation; SEX distribution; FISHER exact test; HEAD; RETROSPECTIVE studies; DESCRIPTIVE statistics; CHI-squared test; MANN Whitney U Test; LACTATE dehydrogenase; FIBRIN fibrinogen degradation products; LONGITUDINAL method; CREATINE kinase; KAPLAN-Meier estimator; ARTIFICIAL respiration; RESEARCH methodology; MEDICAL records; ACQUISITION of data; INFERENTIAL statistics; STATISTICS; SOCIODEMOGRAPHIC factors; TORSO; INFLAMMATION; CONFIDENCE intervals; LENGTH of stay in hospitals; DATA analysis software; PRESSURE ulcers; COVID-19 pandemic; DISEASE incidence; CRITICAL care medicine; PROPORTIONAL hazards models; COMORBIDITY; DISEASE risk factors
- Publication
Journal of Wound Care, 2024, Vol 33, Issue 6, p451
- ISSN
0969-0700
- Publication type
Article
- DOI
10.12968/jowc.2021.0105