Incidence and risk factors of pressure injuries in critically ill patients with COVID-19

ABSTRACT Objective: to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs. Method: a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clini...

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Main Authors: Aline de Oliveira Ramalho, Rodrigo Augusto Gonçalves Fonseca, Eliane Mazócoli, Alessandra Marin, Paula Cristina Nogueira
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2023-12-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000200171&lng=en&tlng=en
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author Aline de Oliveira Ramalho
Rodrigo Augusto Gonçalves Fonseca
Eliane Mazócoli
Alessandra Marin
Paula Cristina Nogueira
author_facet Aline de Oliveira Ramalho
Rodrigo Augusto Gonçalves Fonseca
Eliane Mazócoli
Alessandra Marin
Paula Cristina Nogueira
author_sort Aline de Oliveira Ramalho
collection DOAJ
description ABSTRACT Objective: to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs. Method: a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database. Data were analyzed using descriptive and inferential statistics. Logistic regression was performed to analyze risk factors for PI. Results: PI incidence was 30.2% (n=202), with the majority located in the sacral region (52.9%) and in stage 1 (39%). Risk factors were age (p<0.001), Diabetes Mellitus (p=0.005), length of stay (p<0.001), immunosuppression (p=0.034), nutritional risk (p=0.015) and mechanical ventilation (p<0.001). Conclusion: PI incidence in critically ill patients with COVID-19 was high.
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spelling doaj.art-a1d3a645faa64a2a9bfe9b9bc5ba23142023-12-05T07:38:49ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462023-12-0176suppl 110.1590/0034-7167-2022-0553Incidence and risk factors of pressure injuries in critically ill patients with COVID-19Aline de Oliveira Ramalhohttps://orcid.org/0000-0001-6065-5488Rodrigo Augusto Gonçalves Fonsecahttps://orcid.org/0000-0001-6805-9031Eliane Mazócolihttps://orcid.org/0000-0003-4610-6348Alessandra Marinhttps://orcid.org/0000-0001-9988-7307Paula Cristina Nogueirahttps://orcid.org/0000-0001-5200-1281ABSTRACT Objective: to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs. Method: a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database. Data were analyzed using descriptive and inferential statistics. Logistic regression was performed to analyze risk factors for PI. Results: PI incidence was 30.2% (n=202), with the majority located in the sacral region (52.9%) and in stage 1 (39%). Risk factors were age (p<0.001), Diabetes Mellitus (p=0.005), length of stay (p<0.001), immunosuppression (p=0.034), nutritional risk (p=0.015) and mechanical ventilation (p<0.001). Conclusion: PI incidence in critically ill patients with COVID-19 was high.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000200171&lng=en&tlng=enIntensive Care UnitsCOVID-19IncidencePressure UlcerNursing Care
spellingShingle Aline de Oliveira Ramalho
Rodrigo Augusto Gonçalves Fonseca
Eliane Mazócoli
Alessandra Marin
Paula Cristina Nogueira
Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
Revista Brasileira de Enfermagem
Intensive Care Units
COVID-19
Incidence
Pressure Ulcer
Nursing Care
title Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
title_full Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
title_fullStr Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
title_full_unstemmed Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
title_short Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
title_sort incidence and risk factors of pressure injuries in critically ill patients with covid 19
topic Intensive Care Units
COVID-19
Incidence
Pressure Ulcer
Nursing Care
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000200171&lng=en&tlng=en
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