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Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study

This study was intended to determine the characteristics of Medical Related Pressure Injury (MDRPI) in adult intensive care patients. MDRIs are recognized as significant and complex health problems among hospitalized patients. Underestimated true scale of the problem is evident because the systemati...

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Autores principales: Saleh, Mohammad Y. N., Ibrahim, Eman Ibrahim M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797919/
https://www.ncbi.nlm.nih.gov/pubmed/35584799
http://dx.doi.org/10.1111/iwj.13845
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author Saleh, Mohammad Y. N.
Ibrahim, Eman Ibrahim M.
author_facet Saleh, Mohammad Y. N.
Ibrahim, Eman Ibrahim M.
author_sort Saleh, Mohammad Y. N.
collection PubMed
description This study was intended to determine the characteristics of Medical Related Pressure Injury (MDRPI) in adult intensive care patients. MDRIs are recognized as significant and complex health problems among hospitalized patients. Underestimated true scale of the problem is evident because the systematic clinical evaluation of MDRPI occurrence is not part of routine skin assessment among intensive care patients. A prospective approach was used to obtain data of MDRPIs with two weeks follow up to monitor the prevention and treatment strategies. Participants were 329 adult patients from three large referral and teaching centres in Jordan. Data were collected using a screening form that included demographic and clinical characteristics, and a list of medical devices. The primary outcome for this study was MDRPI and defined as a pressure injury (PI) found on the skin or mucous membrane with a medical device in use at the location of the injury (EPUAP, 2019). The patients with MDRPI were followed up for 2 weeks for prevention and treatment strategies. Prevalence of MDRPI was 5.01% (15/299) with 41 injuries, 27/41 (65.8%) were skin injuries and 14/41(34.2%) were mucosal. Most mucous membrane MDRPIs were at mouth/lips and caused by ET tube and meatal orifice caused by foley catheter. Skin MDRPIs were at the nose and caused by NG tube and hands by peripheral intravenous line and arms caused by blood pressure cuff. Inadequate prevention was provided on daily care as only 177 prevention and treatment interventions were provided over 2 weeks for 15 patients. As a growing problem among Jordanian adults in intensive care, MDRPI required the need for effective prevention. About one‐thirds of MDRPIs were mucosal, a finding not previously reported, indicating the need to include mucous membrane assessment with skin assessment when a medical device such as NG and ET tubes or foley catheters are in use. Prevention and treatment interventions provided to patients with MDRPIs were not systematic and based on routine care with no clear guidelines. A consensus has yet to be reached suggesting the need to establish effective prevention strategies for medical device‐related pressure injuries. Future research is recommended to follow up MDRPI prevention and treatment strategies among patients in ICU. We suggest to continue studying the prevalence of MDRPIs and monitoring the location, prevention and treatment of both skin and mucosal MDRPIs.
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spelling pubmed-97979192023-01-05 Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study Saleh, Mohammad Y. N. Ibrahim, Eman Ibrahim M. Int Wound J Original Articles This study was intended to determine the characteristics of Medical Related Pressure Injury (MDRPI) in adult intensive care patients. MDRIs are recognized as significant and complex health problems among hospitalized patients. Underestimated true scale of the problem is evident because the systematic clinical evaluation of MDRPI occurrence is not part of routine skin assessment among intensive care patients. A prospective approach was used to obtain data of MDRPIs with two weeks follow up to monitor the prevention and treatment strategies. Participants were 329 adult patients from three large referral and teaching centres in Jordan. Data were collected using a screening form that included demographic and clinical characteristics, and a list of medical devices. The primary outcome for this study was MDRPI and defined as a pressure injury (PI) found on the skin or mucous membrane with a medical device in use at the location of the injury (EPUAP, 2019). The patients with MDRPI were followed up for 2 weeks for prevention and treatment strategies. Prevalence of MDRPI was 5.01% (15/299) with 41 injuries, 27/41 (65.8%) were skin injuries and 14/41(34.2%) were mucosal. Most mucous membrane MDRPIs were at mouth/lips and caused by ET tube and meatal orifice caused by foley catheter. Skin MDRPIs were at the nose and caused by NG tube and hands by peripheral intravenous line and arms caused by blood pressure cuff. Inadequate prevention was provided on daily care as only 177 prevention and treatment interventions were provided over 2 weeks for 15 patients. As a growing problem among Jordanian adults in intensive care, MDRPI required the need for effective prevention. About one‐thirds of MDRPIs were mucosal, a finding not previously reported, indicating the need to include mucous membrane assessment with skin assessment when a medical device such as NG and ET tubes or foley catheters are in use. Prevention and treatment interventions provided to patients with MDRPIs were not systematic and based on routine care with no clear guidelines. A consensus has yet to be reached suggesting the need to establish effective prevention strategies for medical device‐related pressure injuries. Future research is recommended to follow up MDRPI prevention and treatment strategies among patients in ICU. We suggest to continue studying the prevalence of MDRPIs and monitoring the location, prevention and treatment of both skin and mucosal MDRPIs. Blackwell Publishing Ltd 2022-05-18 /pmc/articles/PMC9797919/ /pubmed/35584799 http://dx.doi.org/10.1111/iwj.13845 Text en © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Saleh, Mohammad Y. N.
Ibrahim, Eman Ibrahim M.
Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study
title Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study
title_full Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study
title_fullStr Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study
title_full_unstemmed Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study
title_short Prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: A prospective observational study
title_sort prevalence, severity, and characteristics of medical device related pressure injuries in adult intensive care patients: a prospective observational study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797919/
https://www.ncbi.nlm.nih.gov/pubmed/35584799
http://dx.doi.org/10.1111/iwj.13845
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