Pressure injury in critically ill patients: prevalence and associated factors

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Abstract

Objective: To identify the point prevalence of pressure injuries (PI) and medical device-related pressure injuries (MDRPIs), the associated demographic and clinical factors, and to describe them in terms of classification, site, and number. Method: A cross-sectional study conducted in the Intensive Care Unit (ICU) of two public cardiology hospitals. Demographic and clinical data, along with information on PI, were collected from 123 patients aged 18 years old or older admitted to the ICU, through physical examination and medical records. Descriptive, univariate and multivariate analyses were used, as well as calculation of point prevalence. Results: The point prevalence of PIs was 46.34% (51/123 patients) and that of MDRPIs was 8.94% (11/123 patients). The most frequent anatomical site of PI was the sacral region (38.02%), classified as stage 2 (18.30%). Ears (7.03%) and stage 2 (78.57%) were the most frequent in MDRPI. Multivariate analysis indicated that patients using moisturizing creams, with a Braden score <17.5 and systolic blood pressure <134 mmHg were associated with the development of PI. Conclusion: The study contributed to the knowledge of the epidemiological profile of patients with PI admitted to a cardiac ICU, assisting the nursing team in planning and implementing preventive care.

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2025-01-21

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Pantaleão de Souza TM, Nogueira PC, Conceição de Gouveia Santos VL, Gonçalves Faustino Campanili TC, da Costa Silva Santos RS, da Silva Oliveira EL. Pressure injury in critically ill patients: prevalence and associated factors. ESTIMA [Internet]. 2025 Jan. 21 [cited 2025 Jan. 22];22. Available from: https://www.revistaestima.com.br/estima/article/view/1519

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Vol. 22: JAN - DEZ (2024)

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Copyright (c) 2024 Taís Milena Pantaleão de Souza, Paula Cristina Nogueira, Vera Lucia Conceição de Gouveia Santos, Ticiane Carolina Gonçalves Faustino Campanili, Rayanne Suélly da Costa Silva Santos, Evellyn Lima da Silva Oliveira

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