Scopus
YÖKSİS Eşleşti
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Intensive Care Medicine · Şubat 2021
YÖKSİS Kayıtları
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Intensive Care Medicine · 2021 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ YEŞİM ŞERİFE BAYRAKTAR →
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Intensive Care Medicine · 2021 SCI-Expanded
PROFESÖR JALE BENGİ ÇELİK →
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Intensive Care Medicine · 2020 SCI-Expanded
PROFESÖR JALE BENGİ ÇELİK →
Prevalence, Associated Factors and Outcomes of Pressure Injuries in Adult Intensive Care Unit Patients: The DecubICUs Study
Intensive Care Medicine · 2020 SCI-Expanded
PROFESÖR JALE BENGİ ÇELİK →
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Intensive Care Medicine · 2020 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ YEŞİM ŞERİFE BAYRAKTAR →
Makale Bilgileri
DergiIntensive Care Medicine
Yayın TarihiŞubat 2021
Cilt / Sayfa47 · 160-169
Scopus ID2-s2.0-85092400537
Özet
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.
Yazarlar (99)
1
Sonia O. Labeau
ORCID: 0000-0003-3863-612X
2
Elsa Afonso
3
Julie Benbenishty
4
Bronagh Blackwood
5
Carole Boulanger
6
Stephen J. Brett
ORCID: 0000-0003-4545-8413
7
Silvia Calvino-Gunther
8
Wendy Chaboyer
9
Fiona Coyer
10
Mieke Deschepper
ORCID: 0000-0001-6797-3147
11
Guy François
12
Patrick M. Honoré
13
Radmilo Jankovic
ORCID: 0000-0003-0742-8686
14
Ashish K. Khanna
ORCID: 0000-0002-9083-891X
15
Mireia Llaurado-Serra
16
Frances Lin
17
Louise Rose
18
Francesca Rubulotta
19
Leif Saager
ORCID: 0000-0003-3416-4727
20
Ged Williams
21
Stijn I. Blot
ORCID: 0000-0003-2145-0345
22
Dritan Muzha
23
Antoni Margarit Ribas
24
Fernando Lipovesty
25
Cecilia Loudet
26
Philipp Eller
27
Nafseen Mostafa
28
Vanesa Mercado Telleria
29
Jasmina Smajic
30
Paula Cristina Nogueira
31
Khalid Mahmood Khan Nafees
32
Romuald Hentchoya
33
Javiera Soledad
34
Yenny Cardenas
35
Amylkar Garay Reyes
36
Alan Sustic
37
Meropi Mpouzika
38
Tamas Vymazal
39
Hanne Irene Jensen
40
Hernan Aguirre-Bermeo
41
Liivi Maddison
42
Maija Valta
43
Frank Bloos
44
Faustina Excel Adipa
45
Vasilios Koulouras
46
Judy Enamorado
47
Zsuzsann Ágoston
48
Hrönn Birgisdóttir
49
Amit Gupta
50
Mohan Gurjar
51
Bram Kilapong
52
Seyed Mohammadreza Hashemian
53
Ignacio Martin-Loeches
54
Andrea Cortegiani
55
Kelly Fletcher
56
Yoshiro Hayashi
57
Wangari Waweru-Siika
58
Khalid Abidi
59
Sang Min Lee
60
Burhan Hadri
61
Mihails Dolgusevs
62
Fayez François Abillama
63
Tomas Jovaisa
64
Cyril Thix
65
Muhammed Elhadi
66
Basri Mat Nor
67
Shanti Ratnam
68
Mohd Zulfakar Mazlan
69
Sundaresan Maiyalagan
70
Luis Sánchez-Hurtado
71
Adrian Belii
72
Mendsaikhan Naranpurev
73
Prabha Gautam
74
Dylan De Lange
75
Rachael Parke
76
Rose Ekama Ilesanmi
77
Mirjana Shosholcheva
78
Antonija Petosic
79
Ranveig Lind
80
Madiha Hashmi Ffarcsi
81
Javier Bogarin
82
Aaron Mark Hernandez
83
Malgorzata Mikaszewska-Sokolewicz
84
Bruno Sousa
85
Dana Tomescu
86
Dorel Sandesc
87
Theogene Twagirumugabe
88
Vitaly Gusarov
89
Maie Ebaid
90
Gari Slobodianiuk
91
Andrea Martonova
92
Rihard Knafelj
93
Mervyn Mer
94
Emilio Maseda
95
Bernardo Panka
96
Joerg C. Schefold
97
Eva Joelsson-Alm
98
Konlawij Trongtrakul
99
Lorna Merritt-Charles
Anahtar Kelimeler
Decubitus epidemiology
ICU
Morbidity
Mortality
Outcome
Pressure injury
Pressure ulcer
Risk factors
Kurumlar
Al Mafraq Hospital
Abu Dhabi United Arab Emirates
Centre Hospitalier Universitaire Brugmann, Brussels
Brussels Belgium
Centre Hospitalier Universitaire de Grenoble
Grenoble France
European Society of Intensive Care Medicine
Brussels Belgium
Griffith Health
Brisbane Australia
Hadassah University Medical Centre
Jerusalem Israel
Hogeschool Gent
Ghent Belgium
Imperial College London
London United Kingdom
King's College London
London United Kingdom
Menzies Health Institute Queensland
Southport Australia
NHS England
Wakefield United Kingdom
Outcomes Research Consortium
Cleveland United States
Queensland University of Technology
Brisbane Australia
Royal Devon and Exeter NHS Foundation Trust
Exeter United Kingdom
School of Medicine, Dentistry and Biomedical Sciences
Belfast United Kingdom
Sunnybrook Research Institute
Toronto Canada
Toronto East Health Network
Toronto Canada
Universitair Ziekenhuis Gent
Ghent Belgium
Universitat Internacional de Catalunya
Barcelona Spain
Universitätsmedizin Göttingen
Gottingen Germany
Universiteit Ghent, Faculteit Geneeskunde en Gezondheidswetenschappen
Ghent Belgium
University of Huddersfield
Huddersfield United Kingdom
University of Michigan, Ann Arbor
Ann Arbor United States
University of Niš
Nis Serbia
University of the Sunshine Coast
Sippy Downs Australia
University of Toronto Faculty of Medicine
Toronto Canada
Wake Forest University School of Medicine
Winston Salem United States
Metrikler
191
Atıf
99
Yazar
8
Anahtar Kelime