Pressure ulcers in critically ill patients: incidence and associated factors

Rev Bras Enferm. 2016 Jun;69(3):460-7. doi: 10.1590/0034-7167.2016690307i.
[Article in English, Portuguese]

Abstract

Objective: to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients.

Method: this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories.

Results: an incidence of 22% (95% CI 12.6 - 31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%).

Conclusion: the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures.

MeSH terms

  • Critical Illness
  • Female
  • Humans
  • Incidence
  • Intensive Care Units
  • Male
  • Middle Aged
  • Pressure Ulcer / epidemiology*
  • Pressure Ulcer / etiology
  • Prospective Studies
  • Risk Assessment
  • Risk Factors