Compliance with preventive measures recommended by an international study group for pressure injuries in adult critically ill patients.

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Clinical Guidelines
Authored By
Cobos-Vargas A, Acosta-Romero M, Alba-Fernández C, Gutierrez-Linares S, Rodriguez-Blanquez R, Colmenero M
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Interests
Emergency Medicine
Surgery
Speciality
Surgery
Emergency Medicine
Book Detail
volume
20
ISSN
1742-481X
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ISSN
1742-481X
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Additional Info
["Cobos-Vargas A, Acosta-Romero M, Alba-Fern\u00e1ndez C, Gutierrez-Linares S, Rodriguez-Blanquez R, Colmenero M","Publisher: Blackwell Pub Country of Publication: England NLM ID: 101230907 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1742-481X (Electronic) Linking ISSN: 17424801 NLM ISO Abbreviation: Int Wound J Subsets: MEDLINE","Journal Article","2023-04-01","International wound journal [Int Wound J] 2023 Apr; Vol. 20 (4), pp. 1205-1211. Date of Electronic Publication: 2022 Oct 21.","English","1742-481X","Pressure Ulcer*\/prevention & control , Intensive Care Units*, Critical Illness\/therapy ; Humans ; Adult ; Male ; Cross-Sectional Studies ; APACHE","Critical Illness therapy, Humans, Adult, Male, Cross-Sectional Studies, APACHE, Pressure Ulcer prevention & control, Intensive Care Units","International wound journal","20"]
Description
The objective of this cross-sectional descriptive study is to analyse the degree of compliance with the preventive measures for pressure injuries reported by an International Study Group in a cohort of adult critically ill patients. The level of risk of developing pressure injuries was determined using the Conscious level, Mobility, Hemodynamics, Oxygenation and Nutrition (COMHON) index. According to the level of risk, the preventive measures applied to each patient and scores on the different components of the index were recorded. Number, location and degree of pressure injuries were registered. Seventy-three patients (male: 68%) with an acute physiology and chronic health evaluation (APACHE) II: 12,1 ± 6,2 and 56,1% of them with invasive mechanical ventilation. The prevalence of pressure injuries was 21,9%, with 43,7% of sacral location and 75% of grade II. The level of risk using the COMHON index was distributed between low 30,1%, intermediate 23,3% and high 46,6%. The compliance range from 0% (offloading heel devices) to the use of active mattress and incontinence pads (100%). Regarding repositioning the degree of compliance varies (from 20% to 80%) according if patients with contraindications (4 points in subscale of Mobility) or those with the capacity to mobilise themselves (2 points in subscale of Mobility) are included in the denominator. We have found that in our ICU there is a wide range of compliance with the use of the preventive measures recommended by the International Study Group. Some of them are related not by the general score of the COMHON scale, but to that obtained in its subscale components.<br /> (© 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.)
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