Risk Factors Associated With Pressure Ulcers in Patients With Traumatic Brain Injury Admitted to the Intensive Care

Jeong Eun Yoon1, Ok-Hee Cho2

  • 1Chungbuk National University Hospital, Cheongju, Republic of Korea.

Insights

Pressure injuries (PIs) are a frequent complication for intensive care unit (ICU) patients with traumatic brain injury (TBI). This study identified key risk factors including injury severity and mechanical ventilation, aiding in PI prediction for TBI patients.

Area of Science:

  • Medical Science
  • Nursing Practice
  • Trauma Care

Background:

  • Pressure injuries (PIs) are significant complications in intensive care unit (ICU) and traumatic brain injury (TBI) patients.
  • Effective identification and management of risk factors are crucial for patient outcomes.

Purpose of the Study:

  • To determine the incidence of PIs in TBI patients admitted to the ICU.
  • To identify demographic, trauma-related, and treatment-related risk factors associated with PI development in this population.

Main Methods:

  • Retrospective analysis of medical records for 237 TBI patients admitted to a university hospital's trauma ICU.
  • Evaluation of patient characteristics including injury severity, ventilation status, vasopressor use, Braden Scale scores, fever, and enteral feeding duration.

Main Results:

  • The incidence of PIs in the studied TBI patient cohort was 13.9%.
  • Identified risk factors for PIs included higher injury severity scores, mechanical ventilation, vasopressor infusion, lower Braden Scale scores, fever, and prolonged enteral feeding.

Conclusions:

  • This research provides valuable insights into the incidence and specific risk factors for PIs in TBI patients within the ICU setting.
  • Findings can enhance nursing practice by improving the prediction and prevention of PIs in critically ill TBI patients.

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