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Pressure Ulcer in Intensive Care Units: a case-control study.
Heloisa Helena Ponchio Pachá1, Josimerci Ittavo Lamana Faria1, Kleber Aparecido de Oliveira1
1Faculdade de Medicina de São José do Rio Preto. São José do Rio Preto, São Paulo, Brasil.
Revista Brasileira De Enfermagem
|December 6, 2018
Summary
Older age and longer hospital stays increase the risk of developing Pressure Ulcers. These factors, along with specific diseases and ICU admission, are linked to higher mortality rates in patients with these ulcers.
Area of Science:
- Clinical Medicine
- Patient Safety
- Epidemiology
Background:
- Pressure Ulcers (PUs) are a significant concern in healthcare settings, impacting patient outcomes and increasing healthcare costs.
- Understanding the risk factors associated with PU development is crucial for effective prevention strategies.
Purpose of the Study:
- To investigate the association between the presence of Pressure Ulcers and various socio-demographic factors and hospitalization characteristics.
- To identify key predictors for Pressure Ulcer development in hospitalized patients.
Main Methods:
- A case-control study was conducted using data from an adverse event reporting system and a hospital information system.
- Multiple logistic regression analysis was employed to evaluate the relationships between variables.
Main Results:
- Advanced age (≥60 years), hospitalization for infectious, parasitic, or neoplastic diseases, extended hospital stays (>7 days), and ICU admission (excluding covenant ICUs) were identified as significant risk factors for Pressure Ulcers.
- The majority of reported ulcers were classified as Stage II with mild damage.
Conclusions:
- A dose-response relationship was observed between age, duration of hospitalization, and the likelihood of developing Pressure Ulcers.
- A significant association exists between the presence of Pressure Ulcers and increased mortality rates.
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