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- Title
Pressure Injuries at Intensive Care Unit Admission as a Prognostic Indicator of Patient Outcomes.
- Authors
McGee, William T.; Nathanson, Brian H.; Lederman, Elizabeth; Higgins, Thomas L.
- Abstract
Background Pressure injuries, also known as pressure ulcers, are a serious complication of immobility. Patients should be thoroughly examined for pressure injuries when admitted to the intensive care unit to optimize treatment. Whether community-acquired pressure injuries correlate with poor hospital outcomes among critically ill patients is understudied. Objectives To determine whether pressure injuries present upon admission to the intensive care unit can serve as a predictive marker for longer hospitalization and increased mortality. Methods This study retrospectively analyzed admissions of adult patients to a 24-bed medical-surgical intensive care unit in a large level I trauma center in the northeast United States from 2010 to 2012. The association of pressure injuries with mortality and length of stay was assessed, using multivariable logistic regression and generalized linear models, adjusted for age, comorbidities, Acute Physiology and Chronic Health Evaluation III score, and other patient characteristics. Results Among 2723 patients, 180 (6.6%) had a pressure injury at admission. Patients with a pressure injury had longer mean unadjusted stay (15.6 vs 10.5 days; P <.001) and higher in-hospital mortality rate (32.2% vs 18.3%; P <.001) than did patients without a pressure injury at admission. After multivariable adjustment, pressure injuries were associated with a mean increase in length of stay of 3.1 days (95% CI 1.5-4.7; P <.001). Pressure injuries were not associated with mortality after adjusting for the Acute Physiology and Chronic Health Evaluation III score, but they may serve as a marker for increased risk of mortality if an Acute Physiology and Chronic Health Evaluation III score is unavailable. Conclusion Pressure injuries present at admission to the intensive care unit are an objective, easy-to-identify finding associated with longer stays. Pressure injuries might have a modest association with higher risk of mortality.
- Subjects
UNITED States; APACHE (Disease classification system); ARTIFICIAL respiration; PRESSURE ulcers; CONFIDENCE intervals; HOSPITAL care; LENGTH of stay in hospitals; HOSPITAL admission &; discharge; INTENSIVE care units; EVALUATION of medical care; PATIENTS; TRAUMA centers; LOGISTIC regression analysis; RETROSPECTIVE studies; RECEIVER operating characteristic curves; HOSPITAL mortality; ODDS ratio
- Publication
Critical Care Nurse, 2019, Vol 39, Issue 3, p44
- ISSN
0279-5442
- Publication type
Article
- DOI
10.4037/ccn2019530