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Pressure Ulcers: Developing Clinical Indicators in Evidence-based Practice. A Prospective Study
Konstantinos Tsaras1, Maria Chatzi2, Christos F Kleisiaris3
1Nursing Department, Technological Educational Institute of Thessaly, Larissa, Greece.
Medical Archives (Sarajevo, Bosnia and Herzegovina)
|December 21, 2016
Summary
Intensive Care Unit (ICU) patients with higher age, longer hospital stays, and undergoing hemodialysis are more prone to developing pressure ulcers. Increased hematocrit levels were found to decrease this risk.
Area of Science:
- Critical Care Medicine
- Nursing Research
- Patient Safety
Background:
- Intensive Care Unit (ICU) patients face a heightened risk of developing pressure ulcers compared to other care settings.
- Identifying predictive clinical indicators is crucial for effective pressure ulcer prevention strategies.
Purpose of the Study:
- To evaluate specific clinical characteristics as potential indicators for predicting pressure ulcer development in ICU patients.
- To inform evidence-based practices for pressure ulcer prevention in critical care.
Main Methods:
- A prospective study monitored 210 ICU patients over 12 months.
- Clinical data including age, hospitalization duration, hemodialysis, hematocrit, and albumin levels were collected.
- Multiple logistic regression analysis was used to identify significant predictors of pressure ulcers.
Main Results:
- The prevalence of pressure ulcers was 24.3%.
- Increased age (AOR=1.04) and longer hospitalization (AOR=1.17) were significantly associated with higher pressure ulcer risk.
- Hemodialysis treatment increased risk (AOR=4.09), while higher hematocrit levels decreased risk (AOR=0.91).
Conclusions:
- The studied clinical characteristics are independently associated with pressure ulcer development in ICU patients.
- These factors serve as important indicators for evidence-based pressure ulcer prevention.
- Targeted interventions based on these indicators can improve patient outcomes in ICUs.
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