Intraoperative Device-Related Pressure Injuries in Patients Undergoing Prolonged Surgery

Area of Science:

• Medical Devices
• Surgical Patient Care
• Wound Prevention

Background:

• Prolonged surgeries pose unique risks for patients.
• Device-related pressure injuries (PIs) are a significant concern in surgical settings.
• Identifying risk factors for PIs in long operative procedures is crucial for patient safety.

Purpose of the Study:

• To determine the incidence of device-related pressure injuries (PIs) in patients undergoing prolonged surgeries.
• To identify risk factors associated with the development of device-related PIs during lengthy operative procedures.

Main Methods:

• A prospective, descriptive, single-center study was conducted with 367 adult patients.
• Data collection involved patient information forms, the Braden Scale, and the 3S Intraoperative Risk Assessment Scale (3S Intraoperative RAS).
• The study focused on elective surgeries with an operative time of 3 hours or longer.

Main Results:

• Device-related PIs occurred in 30% of patients, with 98.8% classified as stage 1.
• Significant risk factors included age >48 years, BMI ≥25 kg/m², position change post-anesthesia, skin abnormalities, operative time ≥250 minutes, bleeding ≥150 mL, and ≥13 medical devices.
• Patients undergoing plastic surgery represented 28.9% of the study cohort.

Conclusions:

• Patient and surgical factors significantly contribute to device-related PIs in long surgeries.
• Implementing risk assessment tools incorporating surgical risk factors is recommended.
• Evidence-based prevention strategies for medical device-related PIs are essential.