Incidence of hospital acquired pressure injury in critically ill patients with COVID-19 in prone position admitted to the intensive care unit

Medicine · 8 authors, 3 centres

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TL;DR

This retrospective cohort study analyzed 84 patients with COVID-19 admitted to a tertiary university hospital's ICU from May to September 2020.

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This retrospective cohort study analyzed 84 patients with COVID-19 admitted to a tertiary university hospital's ICU from May to September 2020. The sacral region was the most common location. A multivariate logistic regression model indicated that a lower Braden Scale score and a longer ICU length of stay were independently associated with a higher risk of developing HAPI.

STUDY TYPE

cohort

SPECIALTY

critical care

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10158435

Incidence of hospital acquired pressure injury in critically ill patients with COVID-19 in prone position admitted to the intensive care unit

Medicine

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ABSTRACT

Abstract Critical patients have conditions that may favor the occurrence of hospital-acquired pressure injury (HAPI). The objective of this study was to identify the incidence and factors associated with the occurrence of HAPI in patients with coronavirus disease 2019 admitted to the intensive care unit (ICU) who used the prone position. Retrospective cohort study carried out in an ICU of a tertiary university hospital. Two hundred four patients with positive real-time polymerase chain reactions were evaluated, of which 84 were placed in the prone position. All patients were sedated and submitted to invasive mechanical ventilation. Of the prone patients, 52 (62%) developed some type of HAPI during hospitalization. The main place of occurrence of HAPI was the sacral region, followed by the gluteus and thorax. Of the patients who developed HAPI, 26 (50%) had this event in places possibly associated with the prone position. The factors associated with the occurrence of HAPI in patients prone to coronavirus disease 2019 were the Braden Scale and the length of stay in the ICU. The incidence of HAPI in prone patients was extremely high (62%), which denotes the need to implement protocols in order to prevent the occurrence of these events. Keywords: COVID-19, critical care, hospital-acquired pressure injury, prone position

CITATION EXPORT

Lucas Sato, Letícia Olandin Heck, Karina de Fátima Bimbatti et al.. Incidence of hospital acquired pressure injury in critically ill patients with COVID-19 in prone position admitted to the intensive care unit. Medicine. (2023). https://doi.org/10.1097/MD.0000000000033615

AUTHORS

8 · 3 CENTRES

Lucas Sato, Letícia Olandin Heck, Karina de Fátima Bimbatti, Bruno Cesar Petroski-Moraes, Christiane Becari, Anibal Basile-Filho, Maria Auxiliadora-Martins, Mayra Gonçalves Menegueti

a Division of Intensive Care Medicine, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
b Ribeirão Preto Nurse School, University of São Paulo, Ribeirão Preto, Brazil
c Division of Vascular and Endovascular Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.