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MDRPU -an uncommonly recognized common problem in ICU: A point prevalence study.

Chitra Mehta1, MdTariq Ali1, Yatin Mehta1

  • 1Institute of Critical Care and Anesthesia, Medanta the Medicity, Gurgaon, Haryana, 122001, India.

Journal of Tissue Viability
|January 9, 2019
PubMed
Summary

Medical device-related pressure ulcers (MDRPU) affect 19.2% of critically ill patients in India, often linked to ventilation masks and feeding tubes. This highlights a significant healthcare burden and the need for prevention strategies.

Keywords:
IndiaIntensive care unitsMedical devicePoint prevalencePressure ulcers

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Area of Science:

  • Critical care medicine
  • Nursing research
  • Patient safety

Background:

  • Pressure ulcers (PU) commonly affect hospitalized patients, particularly over bony prominences.
  • Medical device-related pressure ulcers (MDRPU) are a recognized subset of PU, impacting hospital quality indicators.
  • No prior data on MDRPU prevalence existed for the Indian subcontinent.

Purpose of the Study:

  • To determine the prevalence of MDRPU in critically ill patients.
  • To identify risk factors associated with MDRPU in this population.

Main Methods:

  • A cross-sectional point prevalence study was conducted.
  • 146 adult patients in medical, cardiothoracic, and neurosurgical Intensive Care Units (ICUs) were surveyed.
  • MDRPU data was collected and staged using the National Pressure Ulcer Advisory Panel system.

Main Results:

  • The overall prevalence of PU was 26.0%, with MDRPU prevalence at 19.2%.
  • Non-invasive ventilation masks (NIV) and nasogastric tubes (NGT) were the most common devices associated with MDRPU (20% and 12.3%).
  • MDRPU occurrence was linked to a longer ICU stay.

Conclusions:

  • MDRPUs represent a substantial healthcare burden, with prevalence rates comparable to international findings.
  • There is a critical need for continuous audits and structured training for healthcare professionals to prevent MDRPU.
  • Implementing targeted prevention strategies is essential for critically ill patients.