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The Effect of Selected Risk Factors on Perioperative Pressure Injury Development
AORN Journal
|June 28, 2019
Summary
Perioperative pressure injuries affect 40.4% of patients undergoing long procedures. Key risk factors include vasopressor use and low diastolic blood pressure, highlighting the need for preventative nursing care.
Area of Science:
- Surgical Nursing
- Patient Safety
- Wound Prevention
Background:
- Patients undergoing invasive procedures face a significant risk of developing pressure injuries.
- Prolonged operative times increase the likelihood of perioperative pressure injury development.
Purpose of the Study:
- To determine the incidence of perioperative pressure injuries in Turkey for procedures lasting two hours or more.
- To identify risk factors associated with pressure injury development during the perioperative period.
Main Methods:
- Data collection occurred throughout the perioperative period.
- Univariate logistic regression analysis was employed to identify risk factors.
Main Results:
- The incidence of perioperative pressure injuries was found to be 40.4%.
- Intraoperative vasopressor use, poor skin turgor, and diastolic blood pressure ≤ 60 mm Hg were significantly linked to pressure injury development.
- Preoperative Braden Scale scores did not significantly differentiate between patients who developed pressure injuries and those who did not.
Conclusions:
- Perioperative nurses must proactively assess and intervene to prevent pressure injuries.
- Risk stratification and targeted interventions are crucial throughout the perioperative course to mitigate pressure injury incidence.
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