The risk of pressure ulcers in a proned COVID population

The utilisation of prone positioning has been vital during the COVID-19 pandemic, however risks the development of anterior pressure ulcers. An observational study was performed to examine the prevalence of pressure ulcers in this population and define risk factors. Eighty-seven patients admitted to...

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Autores principales: Challoner, Tom, Vesel, Teodora, Dosanjh, Amandeep, Kok, Kenneth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. 2022
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8346355/
https://www.ncbi.nlm.nih.gov/pubmed/34373210
http://dx.doi.org/10.1016/j.surge.2021.07.001
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author Challoner, Tom
Vesel, Teodora
Dosanjh, Amandeep
Kok, Kenneth
author_facet Challoner, Tom
Vesel, Teodora
Dosanjh, Amandeep
Kok, Kenneth
author_sort Challoner, Tom
collection PubMed
description The utilisation of prone positioning has been vital during the COVID-19 pandemic, however risks the development of anterior pressure ulcers. An observational study was performed to examine the prevalence of pressure ulcers in this population and define risk factors. Eighty-seven patients admitted to critical care were studied. Of 62 patients with >1 day in prone position, 55 (88.7%) developed anterior pressure ulcers, 91% of which were anterior. The most commonly affected site were the oral commisures (34.6%), related to endotracheal tube placement. Prone positioning (p < .001) and the number of days prone (OR 3.11, 95% CI 1.46–6.62, p = 0.003) were a significant risk factors in development of an anterior ulcer. Prone positioning is therefore a significant cause of anterior pressure ulcers in this population.
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spelling pubmed-83463552021-08-09 The risk of pressure ulcers in a proned COVID population Challoner, Tom Vesel, Teodora Dosanjh, Amandeep Kok, Kenneth Surgeon Article The utilisation of prone positioning has been vital during the COVID-19 pandemic, however risks the development of anterior pressure ulcers. An observational study was performed to examine the prevalence of pressure ulcers in this population and define risk factors. Eighty-seven patients admitted to critical care were studied. Of 62 patients with >1 day in prone position, 55 (88.7%) developed anterior pressure ulcers, 91% of which were anterior. The most commonly affected site were the oral commisures (34.6%), related to endotracheal tube placement. Prone positioning (p < .001) and the number of days prone (OR 3.11, 95% CI 1.46–6.62, p = 0.003) were a significant risk factors in development of an anterior ulcer. Prone positioning is therefore a significant cause of anterior pressure ulcers in this population. Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. 2022-08 2021-08-07 /pmc/articles/PMC8346355/ /pubmed/34373210 http://dx.doi.org/10.1016/j.surge.2021.07.001 Text en © 2021 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Challoner, Tom
Vesel, Teodora
Dosanjh, Amandeep
Kok, Kenneth
The risk of pressure ulcers in a proned COVID population
title The risk of pressure ulcers in a proned COVID population
title_full The risk of pressure ulcers in a proned COVID population
title_fullStr The risk of pressure ulcers in a proned COVID population
title_full_unstemmed The risk of pressure ulcers in a proned COVID population
title_short The risk of pressure ulcers in a proned COVID population
title_sort risk of pressure ulcers in a proned covid population
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8346355/
https://www.ncbi.nlm.nih.gov/pubmed/34373210
http://dx.doi.org/10.1016/j.surge.2021.07.001
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