A prospective window into medical device-related pressure ulcers in intensive care

Coyer, Fiona M., Stotts, Nancy A., & Blackman, Virginia Schmied (2013) A prospective window into medical device-related pressure ulcers in intensive care. International Wound Journal.

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Abstract

Objective: To determine the prevalence, severity, location, etiology, treatment, and healing of medical device-related pressure ulcers in intensive care patients for up to 7 days.

Design: Prospective repeated measures study. Setting and participants: Patients in 6 intensive care units of 2 major medical centers, one each in Australia and the United States, were screened 1 day per month for 6 months. Those with device-related ulcers were followed daily up to 7 days.

Outcome measures: Device-related ulcer prevalence, pain, infection, treatment, healing.

Results: 15/483 patients had device-related ulcers and 9/15 with 11 ulcers were followed beyond screening. Their mean age was 60.5 years, most were men, over-weight, and at increased pressure ulcer risk. Endotracheal and nasogastric tubes were the cause of most device-related ulcers. Repositioning was the most frequent treatment. 4/11 ulcers healed within the 7 day observation period.

Conclusion: Device-related ulcer prevalence was 3.1%, similar to that reported in the limited literature available, indicating an ongoing problem. Systematic assessment and repositioning of devices are the mainstays of care. We recommend continued prevalence determination and that nurses remain vigilant to prevent device-related ulcers, especially in patients with nasogastric and endotracheal tubes.

Impact and interest:

5 citations in Scopus
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4 citations in Web of Science®

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ID Code: 58281
Item Type: Journal Article
Refereed: Yes
Additional Information: Early View (Online Version of Record published before inclusion in an issue)
Keywords: Critical care;Cross-sectional study;Intensive care;Medical device-related pressure ulcer;Pressure ulcer;Prevalence;Prospective repeated measures
DOI: 10.1111/iwj.12026
ISSN: 1742-4801
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 The Authors. International Wound Journal © 2013 Blackwell Publishing Ltd and Medicalhelplines.com Inc
Deposited On: 14 Mar 2013 22:10
Last Modified: 05 Apr 2013 02:14

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