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Mouse Model of Pressure Ulcers After Spinal Cord Injury
Published on: March 9, 2019
Pressure ulcer risk in ancillary services patients
1College of Nursing, University of South Florida, Tampa, FL 33569, USA. msmesser@verizon.net
Summary
Patients undergoing procedures in ancillary units face a high risk of pressure injury, with incidence rates up to 53.8% in radiology. Key risk factors include high pressures, shear, patient age, neurological impairment, sedation, fever, sepsis, and hypotension.
Area of Science:
- Medical Science
- Patient Safety
- Clinical Procedures
Background:
- Pressure ulcer prevention is well-documented, but research on pressure injury risk in ancillary procedural units is limited.
- Ancillary units like radiology, renal dialysis, and cardiac/vascular labs perform lengthy procedures, potentially increasing patient risk.
- A prior study found a 53.8% incidence of pressure injury in patients undergoing lengthy radiology procedures.
Purpose of the Study:
- To identify specific risk factors for pressure injury in patients undergoing procedures in diagnostic and interventional ancillary units.
- To synthesize existing research literature to pinpoint key contributors to pressure injury in this understudied population.
Main Methods:
- Literature review of research studies focusing on pressure injury risk in ancillary procedural units.
- Analysis of identified studies to extract and categorize risk factors.
Main Results:
- High interface pressures on support surfaces are a significant risk factor.
- Shear forces from patient movement and positioning contribute to pressure injury.
- Patient-specific factors like advanced age, severe neurologic impairment, fever, sepsis, and hypotension increase risk.
- Procedure-related factors such as anesthesia and sedation are implicated in pressure injury development.
Conclusions:
- Patients in ancillary procedural units are at substantial risk for pressure injury.
- Multiple factors, including support surface interface pressures, shear, patient comorbidities, and procedural elements, contribute to this risk.
- Further research and targeted prevention strategies are needed for this patient population.
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