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- Title
Reduction in the Incidence Density of Pressure Injuries in Intensive Care Units after Advance Preventive Protocols.
- Authors
Lien, Ru-Yu; Wang, Chien-Ying; Hung, Shih-Hsin; Lu, Shu-Fen; Yang, Wen-Ju; Chin, Shu-I; Chiang, Dung-Hung; Lin, Hui-Chen; Cheng, Chun-Gu; Cheng, Chun-An
- Abstract
(1) Background: Patients who are critically ill or undergo major surgery are admitted to intensive care units (ICUs). Prolonged immobilization is the most likely cause of pressure injuries (PrIs) in the ICU. Previous studies of Western populations found that effective protocols could reduce the incidence of PrIs, and the efficacy of systemic targeted intervention protocols in preventing PrIs in the Chinese population needs to be surveyed. (2) Methods: We reviewed cases of PrIs in the ICUs of Taipei Veterans General Hospital from 2014 to 2019. The ICU nurses at the hospital began to implement targeted interventions in January 2017. The incidence density of PrIs was calculated by dividing the number of PrIs by person days of hospitalizations in the pre-bundle (2014–2016) and post-bundle (2017–2019) stages. Poisson regression was performed to compare the trend of incidence densities. (3) Results: The incidence density of PrIs was 9.37/1000 person days during the pre-bundle stage and 1.85/1000 person days during the post-bundle stage (p < 0.001). The relative risk (RR) was 0.197 (95% confidence interval: 0.149–0.26). The incidence densities of iatrogenic PrIs and non-iatrogenic PrIs decreased as the RRs decreased. (4) Conclusions: Targeted interventions could significantly reduce the incidence of PrIs. Healthcare providers must follow the bundle care protocol for PrI prevention to improve the quality of healthcare and promote patient health.
- Subjects
TAIWAN; INTENSIVE care units; VETERANS' hospitals; RELATIVE medical risk; RESEARCH; NURSING; INTENSIVE care nursing; CONFIDENCE intervals; PRESSURE ulcers; CRITICALLY ill; RETROSPECTIVE studies; CASE-control method; REGRESSION analysis; DISEASE incidence; APACHE (Disease classification system); PATIENTS; MEDICAL protocols; PRE-tests &; post-tests; GLASGOW Coma Scale; DESCRIPTIVE statistics; DATA analysis software; NURSING interventions; POISSON distribution; BEDSORE risk factors
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 15, p2116
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11152116