M Lima Serrano1, M I González Méndez2, F M Carrasco Cebollero3, J S Lima Rodríguez1. 1. Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Sevilla, España. 2. Unidad de Gestión Clínica (UGC) de Cuidados Intensivos, Hospital Virgen del Rocío, Sevilla, España. Electronic address: mariai.gonzalez.sspa@hotmail.com. 3. Unidad de Cuidados Intensivos, Hospital San Juan de Dios, Bormujos, Sevilla, España.
Abstract
INTRODUCTION: Pressure ulcers represent a significant problem for patients, professionals and health systems. Their reported incidence and prevalence are significant worldwide. Their character iatrogenic states that its appearance is preventable and its incidence is an indicator of scientific and technical quality both in primary care and specialized care. The aim of this review was to identify risk factors associated with the occurrence of pressure ulcers in critically ill patients. METHODOLOGY: The PRISMA Declaration recommendations have been followed and adapted to studies identifying risk factors. A qualitative systematic review of primary studies has been performed and a search was conducted of the PubMed, The Cochrane Library, Scopus and Web of Science databases. Methodological limitations in observational studies have been considered. RESULTS: From 200 references, 17 fulfilled the eligibility criteria. These studies included 19,363 patients admitted to intensive care units. Six studies were classified as high quality and 11 were classified as moderate quality. Risk factors that emerged as predictive of pressure ulcers development more frequently included age, length of ICU stay, diabetes, time of MAP <60-70mmHg, mechanical ventilation, length of mechanical ventilation, intermittent haemodialysis or continuous veno-venous haemofiltration therapy, vasopressor support, sedation and turning. CONCLUSIONS: There is no single factors which can explain the occurrence of pressure ulcers. Rather, it is an interplay of factors that increase the probability of its development.
INTRODUCTION: Pressure ulcers represent a significant problem for patients, professionals and health systems. Their reported incidence and prevalence are significant worldwide. Their character iatrogenic states that its appearance is preventable and its incidence is an indicator of scientific and technical quality both in primary care and specialized care. The aim of this review was to identify risk factors associated with the occurrence of pressure ulcers in critically ill patients. METHODOLOGY: The PRISMA Declaration recommendations have been followed and adapted to studies identifying risk factors. A qualitative systematic review of primary studies has been performed and a search was conducted of the PubMed, The Cochrane Library, Scopus and Web of Science databases. Methodological limitations in observational studies have been considered. RESULTS: From 200 references, 17 fulfilled the eligibility criteria. These studies included 19,363 patients admitted to intensive care units. Six studies were classified as high quality and 11 were classified as moderate quality. Risk factors that emerged as predictive of pressure ulcers development more frequently included age, length of ICU stay, diabetes, time of MAP <60-70mmHg, mechanical ventilation, length of mechanical ventilation, intermittent haemodialysis or continuous veno-venous haemofiltration therapy, vasopressor support, sedation and turning. CONCLUSIONS: There is no single factors which can explain the occurrence of pressure ulcers. Rather, it is an interplay of factors that increase the probability of its development.
Authors: Jenny Alderden; Linda J Cowan; Jonathan B Dimas; Danli Chen; Yue Zhang; Mollie Cummins; Tracey L Yap Journal: Am J Crit Care Date: 2020-11-01 Impact factor: 2.228
Authors: Hyeon Jeong Lee; Min Young Han; Jung Hwa Hwang; Kang Ju Park; Kyung Min Shin; Eun Sil Kim; Hyea Jung Lee; Arum Lim; Eun Jin Han; Ju Yeon Park; Yeon Soo Jang Journal: Int Wound J Date: 2021-11-03 Impact factor: 3.099
Authors: Francine Sanchez Gulin; Mayra Goncalves Menegueti; Maria Auxiliadora-Martins; Thamiris Ricci de Araujo; Fernando Bellissimo-Rodrigues; Aline Nassiff; Anibal Basile-Filho; Ana Maria Laus Journal: J Clin Med Res Date: 2018-10-30
Authors: Olga L Cortés; Mauricio Herrera-Galindo; Juan Carlos Villar; Yudi A Rojas; María Del Pilar Paipa; Luzdary Salazar Journal: BMC Nurs Date: 2021-07-05