Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit
Purpose A retrospective descriptive study was performed to develop strategies to manage or prevent pressure ulcers in patients with severe trauma being cared for in the trauma intensive care unit (TICU). Methods Study data was compiled from 315 patients with severe trauma (injury severity score ≥ 15...
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| Format: | Article |
| Language: | English |
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Korean Society of Acute Care Surgery
2023-07-01
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| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-2023-13-2-47.pdf |
| _version_ | 1827814922599268352 |
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| author | Seung-yeon Lim Young-min Jeong So-young Jeong |
| author_facet | Seung-yeon Lim Young-min Jeong So-young Jeong |
| author_sort | Seung-yeon Lim |
| collection | DOAJ |
| description | Purpose A retrospective descriptive study was performed to develop strategies to manage or prevent pressure ulcers in patients with severe trauma being cared for in the trauma intensive care unit (TICU). Methods Study data was compiled from 315 patients with severe trauma (injury severity score ≥ 15) who were admitted to a general hospital from January 1, 2020, to February 28, 2021 and were being cared for in the TICU. For patients with pressure ulcers, the characteristics and associated factors of pressure ulcers were examined. Results There were 42 severe trauma patients (13.3%) with pressure ulcers, of which, 50.0% of cases occurred at the site of the coccyx. In 50% of patients, Stage 2 pressure ulcers were observed. The mean onset day of pressure ulcers was 9.74 days after admission. The occurrence of diabetes, critical care triage score, length of stay in intensive care, death, shock, dialysis, ventilator application, endotracheal intubation, peripheral insertion central catheter insertion, A-line insertion, body protector application, sedatives, blood pressure boosters, nasal cannula, high-flow oxygenators, oxygen tip application, drainage insertion, nasogastric tube nutrition, and ventilator application period were investigated. Logistic regression analysis revealed that the influencing factors for the development of pressure ulcers were endotracheal intubation, length of stay in the TICU, and age, in that order. Conclusion By identifying the characteristics and risk factors associated with pressure ulcers in patients with severe trauma, strategies can be developed to better prevent or manage pressure ulcers in the future. |
| first_indexed | 2024-03-11T23:52:44Z |
| format | Article |
| id | doaj.art-06fd77c077c64daf94919d7b144bce98 |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-03-11T23:52:44Z |
| publishDate | 2023-07-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-06fd77c077c64daf94919d7b144bce982023-09-19T00:09:47ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822023-07-01132475710.17479/jacs.2023.13.2.47267Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care UnitSeung-yeon Lim0Young-min Jeong1So-young Jeong2 Trauma Intensive Care Unit, The Catholic University of Korea Uijeongbu St. Mary’s Hospital, Uijeongbu, Korea Outpatient Nursing Team Unit, The Catholic University of Korea Uijeongbu St. Mary’s Hospital, Seoul, Korea Trauma Intensive Care Unit, The Catholic University of Korea Uijeongbu St. Mary’s Hospital, Uijeongbu, KoreaPurpose A retrospective descriptive study was performed to develop strategies to manage or prevent pressure ulcers in patients with severe trauma being cared for in the trauma intensive care unit (TICU). Methods Study data was compiled from 315 patients with severe trauma (injury severity score ≥ 15) who were admitted to a general hospital from January 1, 2020, to February 28, 2021 and were being cared for in the TICU. For patients with pressure ulcers, the characteristics and associated factors of pressure ulcers were examined. Results There were 42 severe trauma patients (13.3%) with pressure ulcers, of which, 50.0% of cases occurred at the site of the coccyx. In 50% of patients, Stage 2 pressure ulcers were observed. The mean onset day of pressure ulcers was 9.74 days after admission. The occurrence of diabetes, critical care triage score, length of stay in intensive care, death, shock, dialysis, ventilator application, endotracheal intubation, peripheral insertion central catheter insertion, A-line insertion, body protector application, sedatives, blood pressure boosters, nasal cannula, high-flow oxygenators, oxygen tip application, drainage insertion, nasogastric tube nutrition, and ventilator application period were investigated. Logistic regression analysis revealed that the influencing factors for the development of pressure ulcers were endotracheal intubation, length of stay in the TICU, and age, in that order. Conclusion By identifying the characteristics and risk factors associated with pressure ulcers in patients with severe trauma, strategies can be developed to better prevent or manage pressure ulcers in the future.http://www.jacs.or.kr/upload/pdf/jacs-2023-13-2-47.pdfintensive care unitpressure ulcertrauma |
| spellingShingle | Seung-yeon Lim Young-min Jeong So-young Jeong Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit Journal of Acute Care Surgery intensive care unit pressure ulcer trauma |
| title | Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit |
| title_full | Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit |
| title_fullStr | Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit |
| title_full_unstemmed | Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit |
| title_short | Characteristics and Risk Factors for Pressure Ulcers in Severe Trauma Patients Admitted to the Trauma Intensive Care Unit |
| title_sort | characteristics and risk factors for pressure ulcers in severe trauma patients admitted to the trauma intensive care unit |
| topic | intensive care unit pressure ulcer trauma |
| url | http://www.jacs.or.kr/upload/pdf/jacs-2023-13-2-47.pdf |
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