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Title: Pressure ulcer incidence and risk factors in ventilated intensive care patients
Authors: Αποστολοπούλου, Ελένη
Τσελεμπής, Αθανάσιος
Τερζής, Κωνσταντίνος
Καμαρινού, Ευσταθία
Λαμπρόπουλος, Ιωάννης
Contributors: Καλλιακμάνης, Ανδρέας
Item type: Conference publication
Keywords: Intensive care units ventilated patients;incidence;Έλκος;Εντατική φροντίδα;Ασθενείς;Παράγοντες κινδύνου;Αερισμός;Πρόληψη;Pressure ulcer;Risk factors;Prevention
Subjects: Primary care (Medicine)
Issue Date: 21-Jul-2014
Date of availability: 20-Jul-2014
Publisher: Μαρβάκη, Χριστίνα
Abstract: Background: Pressure ulcers (PUs) continue to be a major health care problem. Purpose: The aim of the present study was to determine the incidence and risk factors of PUs in ventilated patients in two medical /surgical ICUs in Athens, Greece. Materials and Methods: A prospective study in two medical/surgical ICUs was conducted. Two hundred sixteen patients with more than 48 hours on mechanical ventilation (MV) were enrolled during the studied period. The PUs of patients were measured according to the European Pressure Ulcer Advisory Panel (EPUAP). Results: incidence and incidence density of PUs was 29,6%, 14 cases per 1000 mechanical ventilation days and 13,9 cases per 1000 patient- days of ICU stay respectively. Logistic regression identified that the Cubbin and Jackson scale score ≤29(OR 0.015, CI 95%, 0.005-0.050, P <0.001) and the length of stay of MV >20 days (OR 7.225, CI 95%, 2.461-21.207, P <0.001) were independently associated with PU. Conclusions: The Ffindings of this study suggest high incidence and incidence density of PU . The most important risk factors that are independently associated with increased risk of PU were found to be Cubbin and Jackson scale score ≤29 and length of stay of MV >20 days. Cubbin and Jackson scale is a useful risk assessment scale for the early identifying of ventilated patients at risk for PU and the implementation of an intervention PU bundle. These interventions will contribute to reducing the incidence of PU and improvement of the quality of care for medical/surgical ICUs ventilated patients.
Description: Research article
Language: English
Citation: Apostolopoulou, E., Tselebis, A., Terzis, K. & Kamarinou, E. (July 2014). Pressure ulcer incidence and risk factors in ventilated intensive care patients. “Health Science Journal”. 8(3):333-342.
Journal: Health Science Journal
Type of Journal: With a review process (peer review)
Access scheme: Publicly accessible
License: Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες
Appears in Collections:Τόμος 8, τεύχος 3 (Ιουλ. - Σεπ. 2014)

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