Medical device-related pressure injuries in paediatric patients: An incidence study in a children's hospital

Zümrüt Başbakkal1, Hatice Bal Yilmaz1, Merve Gümüş1

  • 1Department of Pediatric Nursing, Ege University, İzmir, Turkey.

Journal of Clinical Nursing
|December 22, 2023
PubMed

Insights

Medical devices caused pressure injuries in 6.8% of pediatric patients, highlighting a significant issue in intensive care units. This underscores the need for enhanced prevention strategies and training for healthcare professionals.

Area of Science:

  • Pediatric Intensive Care
  • Medical Device Safety
  • Nursing Research

Background:

  • Medical devices are essential in pediatric care but pose a risk of pressure injuries.
  • Pressure injuries can affect skin and soft tissues, leading to complications.

Purpose of the Study:

  • To determine the incidence of pressure injuries caused by medical devices in children.
  • To identify the most common medical devices associated with pressure injuries in pediatric patients.

Main Methods:

  • Prospective, descriptive study following STROBE guidelines.
  • Conducted in a tertiary-level Pediatric Intensive Care Unit (PICU) in Türkiye.
  • Monitored 522 medical devices in 96 pediatric patients (1 month to 18 years) using Braden scales and a monitoring form.

Main Results:

  • The most frequent devices were ECG probes (21%), blood pressure cuffs (16%), and saturation probes.
  • A total of 36 out of 522 medical devices (6.8%) resulted in pressure injuries.
  • The incidence of medical device-related pressure injuries was found to be high.

Conclusions:

  • Medical device-related pressure injuries represent a significant healthcare problem in pediatric settings.
  • There is a critical need for effective training and implementation strategies for pediatric nurses.
  • Accelerating awareness and educational activities for healthcare professionals is essential for prevention.
Abstract