Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical Procedures
Objective:To determine the risk factors and prevalence associated with intraoperative pressure injury (IPI) in surgical procedures lasting more than two hours, and to draw attention of surgical nurses to the prevention of IPI.Methods:This cross-descriptive study included 170 patients in whom major s...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2021-03-01
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| Series: | Bezmiâlem Science |
| Subjects: | |
| Online Access: |
http://bezmialemscience.org/archives/archive-detail/article-preview/prevalence-of-pressure-njuries-and-risk-factors-in/43882
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| _version_ | 1797923986863030272 |
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| author | Cemile AKAN Yazile YAZICI SAYIN |
| author_facet | Cemile AKAN Yazile YAZICI SAYIN |
| author_sort | Cemile AKAN |
| collection | DOAJ |
| description | Objective:To determine the risk factors and prevalence associated with intraoperative pressure injury (IPI) in surgical procedures lasting more than two hours, and to draw attention of surgical nurses to the prevention of IPI.Methods:This cross-descriptive study included 170 patients in whom major surgical procedures were planned in a private foundation university hospital’s orthopedics and general surgery departments between February 2017 and May 2018. The study was approved by the ethics committee and informed written permission was obtained from the institutions and volunteers. Data were collected by using Braden Risk Assessment Tool (BRAT) and literature based patient diagnosis form.Results:The mean age of the participants was 47.72±22.20 years, 55.9% were female and 44.1% were male. Of the participants, 81.8% underwent surgery in the supine position, with a mean surgery duration of 246.707±145.3 minutes. Of the patients 24.1% developed stage I IPI. Forty-one (24.2%) patients with pressure injury had a lower BRAT score (18.434±6.621) than 129 (75.8%) patients without pressure injury (20.243±3.954), (p=0.035). According to multivariate analysis, both preoperative additional nutritional requirement and low albumin level increased the risk of IPI by 2.4 fold (p=0.038; 0.043, respectively). Each one hour of prolongation in duration of surgery increased the risk of IPI by 1.007 times (p=0.002).Conclusion:The risk of development of IPI is high in major surgical procedures. In determining the risk of IPI, the patient’s nutritional deficiency, low albumin level, length of duration of surgery and BRAT score are important. |
| first_indexed | 2024-04-10T14:54:39Z |
| format | Article |
| id | doaj.art-97ac79df020f4c539856829e388ed801 |
| institution | Directory Open Access Journal |
| issn | 2148-2373 2148-2373 |
| language | English |
| last_indexed | 2024-04-10T14:54:39Z |
| publishDate | 2021-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj.art-97ac79df020f4c539856829e388ed8012023-02-15T16:07:26ZengGalenos Publishing HouseBezmiâlem Science2148-23732148-23732021-03-0191758310.14235/bas.galenos.2020.382013049054Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical ProceduresCemile AKAN0Yazile YAZICI SAYIN1 Bezmialem Vakıf University Hospital, Nursing Services Directorate, Turkey Bezmialem Vakıf University Faculty of Health Sciences, Nursing Department, İstanbul, Turkey Objective:To determine the risk factors and prevalence associated with intraoperative pressure injury (IPI) in surgical procedures lasting more than two hours, and to draw attention of surgical nurses to the prevention of IPI.Methods:This cross-descriptive study included 170 patients in whom major surgical procedures were planned in a private foundation university hospital’s orthopedics and general surgery departments between February 2017 and May 2018. The study was approved by the ethics committee and informed written permission was obtained from the institutions and volunteers. Data were collected by using Braden Risk Assessment Tool (BRAT) and literature based patient diagnosis form.Results:The mean age of the participants was 47.72±22.20 years, 55.9% were female and 44.1% were male. Of the participants, 81.8% underwent surgery in the supine position, with a mean surgery duration of 246.707±145.3 minutes. Of the patients 24.1% developed stage I IPI. Forty-one (24.2%) patients with pressure injury had a lower BRAT score (18.434±6.621) than 129 (75.8%) patients without pressure injury (20.243±3.954), (p=0.035). According to multivariate analysis, both preoperative additional nutritional requirement and low albumin level increased the risk of IPI by 2.4 fold (p=0.038; 0.043, respectively). Each one hour of prolongation in duration of surgery increased the risk of IPI by 1.007 times (p=0.002).Conclusion:The risk of development of IPI is high in major surgical procedures. In determining the risk of IPI, the patient’s nutritional deficiency, low albumin level, length of duration of surgery and BRAT score are important. http://bezmialemscience.org/archives/archive-detail/article-preview/prevalence-of-pressure-njuries-and-risk-factors-in/43882 intraoperative periodpressure injuryrisk factorprevalence of pressure injury |
| spellingShingle | Cemile AKAN Yazile YAZICI SAYIN Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical Procedures Bezmiâlem Science intraoperative period pressure injury risk factor prevalence of pressure injury |
| title | Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical Procedures |
| title_full | Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical Procedures |
| title_fullStr | Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical Procedures |
| title_full_unstemmed | Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical Procedures |
| title_short | Prevalence of Pressure Injuries and Risk Factors in Long-Term Surgical Procedures |
| title_sort | prevalence of pressure injuries and risk factors in long term surgical procedures |
| topic | intraoperative period pressure injury risk factor prevalence of pressure injury |
| url |
http://bezmialemscience.org/archives/archive-detail/article-preview/prevalence-of-pressure-njuries-and-risk-factors-in/43882
|
| work_keys_str_mv | AT cemileakan prevalenceofpressureinjuriesandriskfactorsinlongtermsurgicalprocedures AT yazileyazicisayin prevalenceofpressureinjuriesandriskfactorsinlongtermsurgicalprocedures |