Lesão por pressão relacionada a dispositivo médico em uma unidade de terapia intensiva: estudo observacional

Julio Cesar Faustino Junior; Luana Ferreira de Almeida; Dayse Carvalho do Nascimento; Vanessa Galdino de Paula; Caroline de Deus Lisboa; Ayla Maria Farias de Mesquita

Authors

Julio Cesar Faustino Junior Universidade do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. ,https://ror.org/0198v2949 https://orcid.org/0000-0003-0721-8371
Luana Ferreira de Almeida Universidade do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. ,https://ror.org/0198v2949 https://orcid.org/0000-0001-8433-4160
Dayse Carvalho do Nascimento Universidade do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. ,https://ror.org/0198v2949 https://orcid.org/0000-0002-0728-3715
Vanessa Galdino de Paula Universidade do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. ,https://ror.org/0198v2949 https://orcid.org/0000-0002-7147-5981
Caroline de Deus Lisboa Universidade do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. ,https://ror.org/0198v2949 https://orcid.org/0000-0001-5089-9139
Ayla Maria Farias de Mesquita Universidade do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. ,https://ror.org/0198v2949 https://orcid.org/0000-0001-6777-9352

Abstract

Objective: To analyze the incidence of Medical Device-Related Pressure Injury (MDRPI) in a general adult intensive care unit. Method: A cross-sectional study conducted in an intensive care unit of a university hospital in Rio de Janeiro, from May to September 2022. The sample consisted of 70 patients with at least one medical device. Patients readmitted during the study period were excluded. Data were collected starting on the third day of hospitalization and analyzed using Stata software. Results: The incidence of medical device–related pressure injury was 18.57%. The most affected site was the auricle (62%), and the device most frequently causing injury was the orotracheal tube (61.54%). No statistically significant associations were identified between sociodemographic and clinical characteristics and the occurrence of MDRPI among participants. A length of stay equal to or greater than 16 days increased the likelihood of this type of injury by sevenfold. Conclusion: The incidence of MDRPI in the investigated unit was related to patients’ length of stay. MDRPI risk assessment and skin integrity assessment at admission and on a daily basis are necessary, in addition to documenting the actions implemented in medical records.

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References

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