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https://hdl.handle.net/20.500.14279/22399
Title: | Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study | Authors: | Labeau, Sonia O. Afonso, Elsa Benbenishty, Julie Sarah Blackwood, Bronagh Boulanger, Carole Brett, Stephen J. Calvino-Gunther, Silvia Chaboyer, Wendy Coyer, Fiona Deschepper, Mieke François, Guy Honore, Patrick M. Jankovic, Radmilo Khanna, Ashish K. Llaurado-Serra, Mireia Lin, Frances Rose, Louise Rubulotta, Francesca Saager, Leif Williams, Ged F. Blot, Stijn I. Muzha, Dritan Margarit Ribas, Antoni Lipovesty, Fernando Loudet, Cecilia Coyer, Fiona Eller, Philipp Mostafa, Nafseen Honoré, Patrick M. Telleria, Vanesa Mercado Smajic, Jasmina Nogueira, Paula Cristina Khalid Mahmood Khan, Nafees Hentchoya, Romuald Rose, Louise Soledad, Javiera Lin, Frances Cardenas, Yenny Reyes, Amylkar Garay Sustic, Alan Mpouzika, Meropi |
Major Field of Science: | Medical and Health Sciences | Field Category: | Health Sciences | Keywords: | Decubitus epidemiology;ICU;Morbidity;Mortality;Outcome;Pressure injury;Pressure ulcer;Risk factors | Issue Date: | Feb-2021 | Source: | Intensive Care Medicine, 2021, vol. 47, pp. 160–169 | Volume: | 47 | Start page: | 160 | End page: | 169 | Journal: | Intensive Care Medicine | Abstract: | Purpose Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score < 19, ICU stay > 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat. | URI: | https://hdl.handle.net/20.500.14279/22399 | ISSN: | 14321238 | DOI: | 10.1007/s00134-020-06234-9 | Rights: | This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. | Type: | Article | Affiliation : | Cyprus University of Technology HOGENT University of Applied Sciences and Arts Ghent University Cambridge University Hospitals NHS Foundation Trust Hadassah Hebrew University Medical Center Queen’s University Belfast Royal Devon and Exeter NHS Foundation Trust Imperial College London University Hospital of Grenoble-Alpes Griffith University University of the Sunshine Coast Queensland University of Technology University of Huddersfield Ghent University Hospital European Society of Intensive Care Medicine CHU Brugmann University Hospital University of Niš Wake Forest School of Medicine Universitat Internacional de Catalunya Outcomes Research Consortium King's College London Sunnybrook Research Institute University of Toronto Michael Garron Hospital Universitaetsmedizin Goettingen University of Michigan Al Mafraq Hospital |
Publication Type: | Peer Reviewed |
Appears in Collections: | Άρθρα/Articles |
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File | Description | Size | Format | |
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Labeau2021_Article_PrevalenceAssociatedFactorsAnd.pdf | Fulltext | 844.48 kB | Adobe PDF | View/Open |
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