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Updated: Dec 20, 2025

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
Pressure ulcers: The challenge of monitoring in hospital context
Susana Gaspar1, Mark Collier2, Adilson Marques3
1University of Lisbon, Faculty of Human Kinetics, Aventura Social, Lisbon, Portugal; University of Lisbon, Faculty of Medicine, Environmental Health Institute (ISAMB), Lisbon, Portugal.
Aim:
To describe and analyse the PUs problem based on data from hospital electronic health records.
Methods:
A retrospective cohort descriptive study was performed based on electronic health records (medical and nursing) from adult patients (≥18 years) admitted to medical, surgical and orthopaedics wards during 2016 after implementation of National Strategy of Patient Safety 2015-2020. Ethical approval was obtained.
Results:
A sample of 3904 patients was obtained, 66% (n = 2575) were older than 65 years, 24.6% (n = 962) at admission and 21.2% (n = 829) at discharge stay at high risk of develop PUs and 88.6% (n = 3458) has no visual skin assessment. PUs identification, categorization and localization are inconsistent between nurses and doctors.
Conclusion:
The creation of a unified minimum dataset for PUs monitoring to standardize data on the occurrence of PUs and assessed the effectiveness of preventive strategies in patient at risk of PUs development at national level is need. Current Portuguese guideline of PUs needs a review and an innovating upgrade with zero tolerance for PUs.
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