Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients
Objectives Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable.Design This study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the...
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/11/e057010.full |
| _version_ | 1811189705005334528 |
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| author | Daniel Horner Paul Hayden Catherine Smith Egidija Bielskute Monica Popescu Bronagh Blackwood Tamas Szakmany Una Gunter Matthew Jackson Joanne White David Shaw Stephen Brett Neil Smith Sarah Buckley Tomas Jovaisa Jason Cupitt Karen Burns Francesca Rubulotta Justin Woods Mark Pulletz Jonathan Paddle Tomasz Torlinski Helen Williams Julie Camsooksai Lynne Williams Karen Williams Nicola McCann David Higgins Ian Kerslake Ascanio Tridente Natalie Fox Ahmed Zaki Rachel Baumber JOHN ADAMS Suzanne Bench Rhian Bull Michele Clark Beverley Thomas John Prowle Carole Boulanger Anne Williams Helen Baker Sarah Bean Stephanie Harris Charlotte Young Agnieszka Kubisz-Pudelko Amy Collins Christian Frey Ingeborg D Welters Jenny Lord Marcela Vizcaychipi Nigel White Reni Jacob Ritoo Kapoor Vongayi Ogbeide Jayne Craig Rajnish Saha Rosaleen Baruah Santhana Kannan Sophie Liu Mieke Deschepper Sonia O Labeau Stijn Blot Aberdeen Royal Infirmary Faye Morren Nicola Vaughan-Jones Carmel Georgiev Rosina Shayamano Peter Creber Ana Vochin Catherine O’Brien Paul Caddell Samantha Hagan Mandy Hughes James Sherwin Amber Markham Richard Lebon Julius Cranshaw Victoria Marriott Wendy Milner Casiano Barrera Groba Joao Azoia Petra Polgarova Shaly George Ceri Lynch Nathalie Fox Karen Cranmer Thomas Llewellym Kelly Matthews Louise Maltby Karen Boulton Rachel Jarman Karen Baxter Ashok Sundai Raj Arif Moghal Suzanne Barrowcliffe Vaarisan Ganeshalingam Poe Poe Ei Jennifer Hughes Madhu Balasubramanian Armorel Salberg Dagmar Holmquist Claire Derbyshire Elizabeth Stones Jane Ademokun Maria Schofield Legorburo Samantha North Carole Brett Helen Jaundoo Simon Whiteley Clare Howcroft Liz Wilby Peter Delve Jane McMullen Leah Flores Mae Templeton Heather Byers Andrea McDonnell Bernd Oliver Rose Rosie Reece-Anthony Luis Mendes Grace Lacaden Eleanor Santiago Carlos Castro Delgado Sarah Farnell-Ward Elaine Thorpe Justine Somerville Donna Cummings Helen Derrick Sarah Brumwell Claire Randell Emma Aves Gillian Berry Paul Pulak Nikki Sarkar Kerry Wright Vitor Gomes Jo Jones Ruth Palfrey Abby Lewis Antony Eneas Louise Barr Emma Parkin Phil Broadhurst Christopher Palfreeman Nicola Allison Penny Parsons Victoria Houghton Sarah Jane Turner Nicola Horrigan Karen Habgood Charalice Ramiro Michelle Kotze Jowena Ibao Treiza Trueman-Dawkins Ben Attwood |
| author_facet | Daniel Horner Paul Hayden Catherine Smith Egidija Bielskute Monica Popescu Bronagh Blackwood Tamas Szakmany Una Gunter Matthew Jackson Joanne White David Shaw Stephen Brett Neil Smith Sarah Buckley Tomas Jovaisa Jason Cupitt Karen Burns Francesca Rubulotta Justin Woods Mark Pulletz Jonathan Paddle Tomasz Torlinski Helen Williams Julie Camsooksai Lynne Williams Karen Williams Nicola McCann David Higgins Ian Kerslake Ascanio Tridente Natalie Fox Ahmed Zaki Rachel Baumber JOHN ADAMS Suzanne Bench Rhian Bull Michele Clark Beverley Thomas John Prowle Carole Boulanger Anne Williams Helen Baker Sarah Bean Stephanie Harris Charlotte Young Agnieszka Kubisz-Pudelko Amy Collins Christian Frey Ingeborg D Welters Jenny Lord Marcela Vizcaychipi Nigel White Reni Jacob Ritoo Kapoor Vongayi Ogbeide Jayne Craig Rajnish Saha Rosaleen Baruah Santhana Kannan Sophie Liu Mieke Deschepper Sonia O Labeau Stijn Blot Aberdeen Royal Infirmary Faye Morren Nicola Vaughan-Jones Carmel Georgiev Rosina Shayamano Peter Creber Ana Vochin Catherine O’Brien Paul Caddell Samantha Hagan Mandy Hughes James Sherwin Amber Markham Richard Lebon Julius Cranshaw Victoria Marriott Wendy Milner Casiano Barrera Groba Joao Azoia Petra Polgarova Shaly George Ceri Lynch Nathalie Fox Karen Cranmer Thomas Llewellym Kelly Matthews Louise Maltby Karen Boulton Rachel Jarman Karen Baxter Ashok Sundai Raj Arif Moghal Suzanne Barrowcliffe Vaarisan Ganeshalingam Poe Poe Ei Jennifer Hughes Madhu Balasubramanian Armorel Salberg Dagmar Holmquist Claire Derbyshire Elizabeth Stones Jane Ademokun Maria Schofield Legorburo Samantha North Carole Brett Helen Jaundoo Simon Whiteley Clare Howcroft Liz Wilby Peter Delve Jane McMullen Leah Flores Mae Templeton Heather Byers Andrea McDonnell Bernd Oliver Rose Rosie Reece-Anthony Luis Mendes Grace Lacaden Eleanor Santiago Carlos Castro Delgado Sarah Farnell-Ward Elaine Thorpe Justine Somerville Donna Cummings Helen Derrick Sarah Brumwell Claire Randell Emma Aves Gillian Berry Paul Pulak Nikki Sarkar Kerry Wright Vitor Gomes Jo Jones Ruth Palfrey Abby Lewis Antony Eneas Louise Barr Emma Parkin Phil Broadhurst Christopher Palfreeman Nicola Allison Penny Parsons Victoria Houghton Sarah Jane Turner Nicola Horrigan Karen Habgood Charalice Ramiro Michelle Kotze Jowena Ibao Treiza Trueman-Dawkins Ben Attwood |
| collection | DOAJ |
| description | Objectives Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable.Design This study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the UK.Setting This service evaluation was part of a larger, international, single-day point prevalence study of PIs in adult ICU patients. Training was provided to healthcare givers using an electronic platform to ensure standardised recognition and staging of PIs across all sites.Participants The characteristics of the ICUs were recorded before the survey; deidentified patient data were collected using a case report form and uploaded onto a secure online platform.Primary and secondary outcome measures Factors associated with ICU-acquired PIs in the UK were analysed descriptively and using mixed multiple logistic regression analysis.Results Data from 1312 adult patients admitted to 94 UK ICUs were collected. The proportion of individuals with at least one PI was 16% (211 out of 1312 patients), of whom 8.8% (n=115/1312) acquired one or more PIs in the ICU and 7.3% (n=96/1312) prior to ICU admission. The total number of PIs was 311, of which 148 (47.6%) were acquired in the ICU. The location of majority of these PIs was the sacral area, followed by the heels. Braden score and prior length of ICU stay were associated with PI development.Conclusions The prevalence and the stage of severity of PIs were generally low in adult critically ill patients admitted to participating UK ICUs during the study period. However, PIs are a problem in an important minority of patients. Lower Braden score and longer length of ICU stay were associated with the development of injuries; most ICUs assess risk using tools which do not account for this.Trial registration number NCT03270345. |
| first_indexed | 2024-04-11T14:38:59Z |
| format | Article |
| id | doaj.art-e33b2bdd0e2940a59a106e1e4f7f7769 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-11T14:38:59Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-e33b2bdd0e2940a59a106e1e4f7f77692022-12-22T04:18:07ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2021-057010Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients 0Daniel Horner1Paul Hayden2Catherine Smith3Egidija Bielskute4Monica Popescu5Bronagh Blackwood6Tamas SzakmanyUna GunterMatthew Jackson7Joanne White8David Shaw9Stephen Brett10Neil Smith11Sarah BuckleyTomas JovaisaJason CupittKaren Burns12Francesca Rubulotta13Justin WoodsMark PulletzJonathan PaddleTomasz Torlinski14Helen Williams15Julie Camsooksai16Lynne Williams17Karen Williams18Nicola McCann19David Higgins20Ian KerslakeAscanio TridenteNatalie Fox21Ahmed ZakiRachel Baumber22JOHN ADAMS23Suzanne BenchRhian BullMichele Clark24Beverley ThomasJohn Prowle25Carole Boulanger26Anne Williams27Helen Baker28Sarah Bean29Stephanie HarrisCharlotte Young30Agnieszka Kubisz-PudelkoAmy Collins31Christian FreyIngeborg D WeltersJenny Lord32Marcela VizcaychipiNigel WhiteReni JacobRitoo KapoorVongayi OgbeideJayne CraigRajnish Saha33Rosaleen Baruah34Santhana Kannan35Sophie LiuMieke Deschepper36Sonia O Labeau37Stijn Blot38Aberdeen Royal InfirmaryFaye MorrenNicola Vaughan-JonesCarmel GeorgievRosina ShayamanoPeter CreberAna VochinCatherine O’BrienPaul CaddellSamantha HaganMandy HughesJames SherwinAmber MarkhamRichard LebonJulius CranshawVictoria MarriottWendy MilnerCasiano Barrera GrobaJoao AzoiaPetra PolgarovaShaly GeorgeCeri LynchNathalie FoxKaren CranmerThomas LlewellymKelly MatthewsLouise MaltbyKaren BoultonRachel JarmanKaren BaxterAshok Sundai RajArif MoghalSuzanne BarrowcliffeVaarisan GaneshalingamPoe Poe EiJennifer HughesMadhu BalasubramanianArmorel SalbergDagmar HolmquistClaire DerbyshireElizabeth StonesJane AdemokunMaria Schofield LegorburoSamantha NorthCarole BrettHelen JaundooSimon WhiteleyClare HowcroftLiz WilbyPeter DelveJane McMullenLeah FloresMae TempletonHeather ByersAndrea McDonnellBernd Oliver RoseRosie Reece-AnthonyLuis MendesGrace LacadenEleanor SantiagoCarlos Castro DelgadoSarah Farnell-WardElaine ThorpeJustine SomervilleDonna CummingsHelen DerrickSarah BrumwellClaire RandellEmma AvesGillian BerryPaul PulakNikki SarkarKerry WrightVitor GomesJo JonesRuth PalfreyAbby LewisAntony EneasLouise BarrEmma ParkinPhil BroadhurstChristopher PalfreemanNicola AllisonPenny ParsonsVictoria HoughtonSarah Jane TurnerNicola HorriganKaren HabgoodCharalice RamiroMichelle KotzeJowena IbaoTreiza Trueman-DawkinsBen AttwoodUniversity of London, London, UK1 Emergency Department, Salford Royal NHS Foundation Trust, Salford, UK2 Department of Intensive Care Medicine and Anaesthesia, Medway NHS Foundation Trust, Gillingham, UKSt John`s Institute of Dermatology, Guy’s & St Thomas’s NHS Foundation Trust, London, UK2 Anaesthetics Department, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, UK1 Department of Anaesthesia and Intensive Care, Chelsea and Westminster Hospital NHS Foundation Trust, London, UKWellcome-Wolfson Institute for Experimental Medicine, Queen`s University Belfast, Belfast, UK1James Cook University HospitalImmunisation and Countermeasures Division, Public Health England, London, UKsenior research fellow, Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland1 Imperial College Healthcare NHS Trust, London, UKconsultant haematologist6Interdepartmental Division of Critical Care, Keenan Research Centre and the Li KaShing Knowledge Institute, St. Michael`s Hospital, University of Toronto, Toronto, CanadaIntensive Care Medicine, McGill University, Montreal, Quebec, CanadaCritical Care Unit, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, Birmingham, UKSouth East London Integrated Card Systemt, and UCLPartners, London, UKsenior research nurseSchool of Healthcare Sciences, Bangor University, Bangor, UK1British Gymnastics, Shropshire, UKNHS Lanarkshire2PhilipsManchester Royal Eye Hospital, UKRoyal National Orthopaedic Hospital Stanmore, Stanmore, UK2 Canadian PKU and Allied Disorders Inc, Toronto, Ontario, Canada1 School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, AustraliaBarts and the London School of Medicine & Dentistry, Queen Mary University of London, London, UKRoyal Devon and Exeter NHS Foundation Trust, Exeter, UKClinical Nursing and Midwifery Research Centre, Edith Cowan University, Jundalup, AustraliaGlaucoma Research Unit, NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital Foundation NHS Trust & UCL Institute of Ophthalmology, London, UKDepartment of Pathology, Duke University Medical Center, Durham; and5Mathematical Sciences Unit, Health and Safety Laboratory, Buxton, UK1 Newcastle Fibrosis Research Group, Biosciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UKDepartment of Human Development and Health, University of Southampton Faculty of Medicine, Southampton, UKspecialist registrarDepartment of Intensive Care and Anaesthesia, Western General Hospital, NHS Lothian, Edinburgh, UKCritical Care, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UKUniversitair Ziekenhuis Gent, Gent, BelgiumGhent University, Gent, BelgiumGhent University Hospital, Ghent, BelgiumObjectives Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable.Design This study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the UK.Setting This service evaluation was part of a larger, international, single-day point prevalence study of PIs in adult ICU patients. Training was provided to healthcare givers using an electronic platform to ensure standardised recognition and staging of PIs across all sites.Participants The characteristics of the ICUs were recorded before the survey; deidentified patient data were collected using a case report form and uploaded onto a secure online platform.Primary and secondary outcome measures Factors associated with ICU-acquired PIs in the UK were analysed descriptively and using mixed multiple logistic regression analysis.Results Data from 1312 adult patients admitted to 94 UK ICUs were collected. The proportion of individuals with at least one PI was 16% (211 out of 1312 patients), of whom 8.8% (n=115/1312) acquired one or more PIs in the ICU and 7.3% (n=96/1312) prior to ICU admission. The total number of PIs was 311, of which 148 (47.6%) were acquired in the ICU. The location of majority of these PIs was the sacral area, followed by the heels. Braden score and prior length of ICU stay were associated with PI development.Conclusions The prevalence and the stage of severity of PIs were generally low in adult critically ill patients admitted to participating UK ICUs during the study period. However, PIs are a problem in an important minority of patients. Lower Braden score and longer length of ICU stay were associated with the development of injuries; most ICUs assess risk using tools which do not account for this.Trial registration number NCT03270345.https://bmjopen.bmj.com/content/12/11/e057010.full |
| spellingShingle | Daniel Horner Paul Hayden Catherine Smith Egidija Bielskute Monica Popescu Bronagh Blackwood Tamas Szakmany Una Gunter Matthew Jackson Joanne White David Shaw Stephen Brett Neil Smith Sarah Buckley Tomas Jovaisa Jason Cupitt Karen Burns Francesca Rubulotta Justin Woods Mark Pulletz Jonathan Paddle Tomasz Torlinski Helen Williams Julie Camsooksai Lynne Williams Karen Williams Nicola McCann David Higgins Ian Kerslake Ascanio Tridente Natalie Fox Ahmed Zaki Rachel Baumber JOHN ADAMS Suzanne Bench Rhian Bull Michele Clark Beverley Thomas John Prowle Carole Boulanger Anne Williams Helen Baker Sarah Bean Stephanie Harris Charlotte Young Agnieszka Kubisz-Pudelko Amy Collins Christian Frey Ingeborg D Welters Jenny Lord Marcela Vizcaychipi Nigel White Reni Jacob Ritoo Kapoor Vongayi Ogbeide Jayne Craig Rajnish Saha Rosaleen Baruah Santhana Kannan Sophie Liu Mieke Deschepper Sonia O Labeau Stijn Blot Aberdeen Royal Infirmary Faye Morren Nicola Vaughan-Jones Carmel Georgiev Rosina Shayamano Peter Creber Ana Vochin Catherine O’Brien Paul Caddell Samantha Hagan Mandy Hughes James Sherwin Amber Markham Richard Lebon Julius Cranshaw Victoria Marriott Wendy Milner Casiano Barrera Groba Joao Azoia Petra Polgarova Shaly George Ceri Lynch Nathalie Fox Karen Cranmer Thomas Llewellym Kelly Matthews Louise Maltby Karen Boulton Rachel Jarman Karen Baxter Ashok Sundai Raj Arif Moghal Suzanne Barrowcliffe Vaarisan Ganeshalingam Poe Poe Ei Jennifer Hughes Madhu Balasubramanian Armorel Salberg Dagmar Holmquist Claire Derbyshire Elizabeth Stones Jane Ademokun Maria Schofield Legorburo Samantha North Carole Brett Helen Jaundoo Simon Whiteley Clare Howcroft Liz Wilby Peter Delve Jane McMullen Leah Flores Mae Templeton Heather Byers Andrea McDonnell Bernd Oliver Rose Rosie Reece-Anthony Luis Mendes Grace Lacaden Eleanor Santiago Carlos Castro Delgado Sarah Farnell-Ward Elaine Thorpe Justine Somerville Donna Cummings Helen Derrick Sarah Brumwell Claire Randell Emma Aves Gillian Berry Paul Pulak Nikki Sarkar Kerry Wright Vitor Gomes Jo Jones Ruth Palfrey Abby Lewis Antony Eneas Louise Barr Emma Parkin Phil Broadhurst Christopher Palfreeman Nicola Allison Penny Parsons Victoria Houghton Sarah Jane Turner Nicola Horrigan Karen Habgood Charalice Ramiro Michelle Kotze Jowena Ibao Treiza Trueman-Dawkins Ben Attwood Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients BMJ Open |
| title | Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients |
| title_full | Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients |
| title_fullStr | Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients |
| title_full_unstemmed | Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients |
| title_short | Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients |
| title_sort | prevalence of skin pressure injury in critical care patients in the uk results of a single day point prevalence evaluation in adult critically ill patients |
| url | https://bmjopen.bmj.com/content/12/11/e057010.full |
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prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT karenboulton prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT racheljarman prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT karenbaxter prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT ashoksundairaj prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT arifmoghal prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT suzannebarrowcliffe prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT vaarisanganeshalingam prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT poepoeei prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT jenniferhughes prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT madhubalasubramanian prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT armorelsalberg prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT dagmarholmquist prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT clairederbyshire prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT elizabethstones prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT janeademokun prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT mariaschofieldlegorburo prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT samanthanorth prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT carolebrett prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT helenjaundoo prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT simonwhiteley prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT clarehowcroft prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT lizwilby prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT peterdelve prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT janemcmullen prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT leahflores prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT maetempleton prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT heatherbyers prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT andreamcdonnell prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT berndoliverrose prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT rosiereeceanthony prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT luismendes prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT gracelacaden prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT eleanorsantiago prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT carloscastrodelgado prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT sarahfarnellward prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT elainethorpe prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT justinesomerville prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT donnacummings prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT helenderrick prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT sarahbrumwell prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT clairerandell prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT emmaaves prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT gillianberry prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT paulpulak prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT nikkisarkar prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT kerrywright prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT vitorgomes prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT jojones prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT ruthpalfrey prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT abbylewis prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT antonyeneas prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT louisebarr prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT emmaparkin prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT philbroadhurst prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT christopherpalfreeman prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT nicolaallison prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT pennyparsons prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT victoriahoughton prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT sarahjaneturner prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT nicolahorrigan prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT karenhabgood prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT charaliceramiro prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT michellekotze prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT jowenaibao prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT treizatruemandawkins prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients AT benattwood prevalenceofskinpressureinjuryincriticalcarepatientsintheukresultsofasingledaypointprevalenceevaluationinadultcriticallyillpatients |