Sarah C Shearer1, Keon M Parsa1, Annemarie Newark2, Tejasvi Peesay2, Amanda R Walsh1, Stephen Fernandez3, William Z Gao1, Matthew L Pierce4. 1. Department of Otolaryngology/Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, U.S.A. 2. Department of Otolaryngology/Head and Neck Surgery, Georgetown University School of Medicine, Washington, District of Columbia, U.S.A. 3. Department of Biostatistics and Biomedical Informatics, MedStar Health Research Institute, Hyattsville, Maryland, U.S.A. 4. Department of Otolaryngology/Head and Neck Surgery, MedStar Washington Hospital Center, Washington, District of Columbia, U.S.A.
Abstract
OBJECTIVE/HYPOTHESIS: This study aimed to determine the incidence of facial pressure injuries associated with prone positioning for COVID-19 patients as well as to characterize the location of injuries and treatments provided. METHODS: This was a retrospective chart review of 263 COVID-19 positive patients requiring intubation in the intensive care units at MedStar Georgetown University Hospital and MedStar Washington Hospital Center between March 1st and July 26th, 2020. Information regarding proning status, duration of proning, presence, or absence of facial pressure injuries and interventions were collected. Paired two-tailed t-test was used to evaluate differences between proned patients who developed pressure injuries with those who did not. RESULTS: Overall, 143 COVID-19 positive patients required proning while intubated with the average duration of proning being 5.15 days. Of those proned, 68 (47.6%) developed a facial pressure injury. The most common site involved was the cheek with a total of 57 (84%) followed by ears (50%). The average duration of proning for patients who developed a pressure injury was significantly longer when compared to those who did not develop pressure injuries (6.79 days vs. 3.64 days, P < .001). CONCLUSIONS: Facial pressure injuries occur with high incidence in patients with COVID-19 who undergo prone positioning. Longer duration of proning appears to confer greater risk for developing these pressure injuries. Hence, improved preventative measures and early interventions are needed. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E2139-E2142, 2021.
OBJECTIVE/HYPOTHESIS: This study aimed to determine the incidence of facial pressure injuries associated with prone positioning for COVID-19patients as well as to characterize the location of injuries and treatments provided. METHODS: This was a retrospective chart review of 263 COVID-19 positive patients requiring intubation in the intensive care units at MedStar Georgetown University Hospital and MedStar Washington Hospital Center between March 1st and July 26th, 2020. Information regarding proning status, duration of proning, presence, or absence of facial pressure injuries and interventions were collected. Paired two-tailed t-test was used to evaluate differences between proned patients who developed pressure injuries with those who did not. RESULTS: Overall, 143 COVID-19 positive patients required proning while intubated with the average duration of proning being 5.15 days. Of those proned, 68 (47.6%) developed a facial pressure injury. The most common site involved was the cheek with a total of 57 (84%) followed by ears (50%). The average duration of proning for patients who developed a pressure injury was significantly longer when compared to those who did not develop pressure injuries (6.79 days vs. 3.64 days, P < .001). CONCLUSIONS:Facial pressure injuries occur with high incidence in patients with COVID-19 who undergo prone positioning. Longer duration of proning appears to confer greater risk for developing these pressure injuries. Hence, improved preventative measures and early interventions are needed. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E2139-E2142, 2021.
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Authors: Vickie R Driver; Kara S Couch; Kristen A Eckert; Gary Gibbons; Lorena Henderson; John Lantis; Eric Lullove; Paul Michael; Richard F Neville; Lee C Ruotsi; Robert J Snyder; Fadi Saab; Marissa J Carter Journal: Wound Repair Regen Date: 2021-10-29 Impact factor: 3.401
Authors: Giulia Orilisi; Marco Mascitti; Lucrezia Togni; Riccardo Monterubbianesi; Vincenzo Tosco; Flavia Vitiello; Andrea Santarelli; Angelo Putignano; Giovanna Orsini Journal: Int J Environ Res Public Health Date: 2021-11-27 Impact factor: 3.390