Risk factors for pressure ulcers in hospitalised patients
DOI:
https://doi.org/10.35381/s.v.v9i1.4698Keywords:
Pressure ulcer, Risk factors, Intensive care units, Critical care, (Source: DeCS).Abstract
Objectives: To identify risk factors for pressure ulcers in patients in the intensive care unit of Guayaquil Hospital. Method: Descriptive, retrospective and relational research with convenience sample of 100 patients admitted to ICU of Abel Gilbert Pontón Hospital during 2022. A 20-item data collection instrument and the Braden scale were used to assess risk. Results: 70% were women, 69% over 65 years old. The main risk factors identified were: 99% with medical devices, 83% immobile, 89% with mechanical ventilation, 82% without postural changes, 80% without skin lubrication, 45% with inadequate nutrition, 80% with high risk according to Braden. 77% presented stage III ulcers, 38% located in the sacral area. Conclusions: The predominant risk factors were immobility, mechanical ventilation, absence of postural changes, lack of skin lubrication and inadequate nutrition.
Downloads
References
Aizpitarte Pegenaute E, de Galdiano Fernández AG, Zugazagoitia Ciarrusta N, Margall Coscojuela MA, Asiain Erro MC. Úlceras por presión en cuidados intensivos: valoración del riesgo y medidas de prevención. Enferm Intensiva. 2005;16(4):153-63.
Mervis JS, Phillips TJ. Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation. J Am Acad Dermatol. 2019;81(4):881-90.
Canaval GE, Tobo N. Lesiones cutáneas por presión en adultos hospitalizados en el Hospital Universitario del Valle, Cali. Colomb Medica. 1997;28(4):177-81.
Bautista Paredes L, Esparza Guerrero MM, Ortega Angulo J. Las úlceras por presión en pacientes sometidos a ventilación mecánica en la unidad de cuidados intensivos. Rev Inst Nac Enfermedades Respir. 2004;17(2):91-9.
Norton PG, Murray M, Doupe MB, Cummings GG, Poss JW, Squires JE, et al. Facility versus unit level reporting of quality indicators in nursing homes when performance monitoring is the goal. BMJ Open. 2014;4(2):e004488.
Araújo TM, Araújo MFM, Caetano JÁ. Comparison of risk assessment scales for pressure ulcers in critically ill patients. Acta Paul Enferm. 2011;24(5):695-700.
Anrys C, Van Tiggelen H, Verhaeghe S, Van Hecke A, Beeckman D. Independent risk factors for pressure ulcer development in a high-risk nursing home population. Int Wound J. 2018;16(2):325-33.
Witkowski JA, Parish LC. Histopathology of the decubitus ulcer. J Am Acad Dermatol. 1982;6(6):1014-21.
Vanderwee K, Grypdonck M, Defloor T. Non-blanchable erythema as an indicator for the need for pressure ulcer prevention: a randomized-controlled trial. J Clin Nurs. 2007;16(2):325-35.
Demarre L, Verhaeghe S, Van Hecke A, Clays E, Grypdonck M, Beeckman D. Factors predicting the development of pressure ulcers in an at-risk population. J Adv Nurs. 2015;71(2):391-403.
McGinnis E, Briggs M, Collinson M, Wilson L, Dealey C, Brown J, et al. Pressure ulcer related pain in community populations: a prevalence survey. BMC Nurs. 2014;13:16.
Jiménez Hinojosa V, Gálvez Moreira D, de la Rosa Guerra H. Beneficio de la aplicación de la escala de Norton en pacientes graves. Rev Médica Electrónica. 2010;32(5):1-8.
Jansen RCS, Silva KB, Moura MES. Braden Scale in pressure ulcer risk assessment. Rev Bras Enferm. 2020;73:e20190413.
Nancy GA, Kalpana R, Nandhini S. A Study on Pressure Ulcer: Influencing Factors and Diagnostic Techniques. Int J Low Extrem Wounds. 2022;21(3):254-63.
Chung ML, Widdel M, Kirchhoff J, Sellin J, Jelali M, Geiser F, et al. Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis. Int J Environ Res Public Health. 2022;19(2):761.
Borghardt AT, Prado TN, Araújo TM, Rogenski NMB, Bringuente MEO. Evaluation of the pressure ulcers risk scales with critically ill patients: a prospective cohort study. Rev Lat Am Enfermagem. 2015;23:28-35.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Joan Elisa Jurado-Lozano, Adisnay Rodríguez-Plasencia, Ariel José Romero-Fernández
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
CC BY-NC-SA : Esta licencia permite a los reutilizadores distribuir, remezclar, adaptar y construir sobre el material en cualquier medio o formato solo con fines no comerciales, y solo siempre y cuando se dé la atribución al creador. Si remezcla, adapta o construye sobre el material, debe licenciar el material modificado bajo términos idénticos.
OAI-PMH: https://fundacionkoinonia.com.ve/ojs/index.php/saludyvida/oai.
