Clinical-epidemiological profile of patients with pressure injuries in the hospital context
Keywords:Estomaterapia, Lesão por pressão, Epidemiologia, Hospital.
Objective: describe the clinical-epidemiological profile of patients with pressure injuries admitted to a university hospital. Method: descriptive study with 122 patients with pressure injuries admitted to a university hospital between January 2018 and December 2019. Data were collected from patients’ medical records and from the Serviço Assistencial de Cuidados com a Pele (Skin Care Assistance Service) database. Descriptive statistics were used for data analysis. Results: pressure injuries predominated among adults and the elderly, browns, who studied up to elementary school and had no partner. There was a similarity between the sexes. The patients had, mainly, infectious disease, one or more comorbidities, nutritional alteration, mixed incontinence and used nutritional therapy, but did not present dermatitis associated with incontinence and smoking history. Most patients were classified as high risk of pressure injury. The study totaled 237 lesions, most of which were acquired before admission, not classifiable, located in the sacrococcygeal region, treated topically with hydrogel with alginate and hydrocolloid, and not healed at the time of hospital discharge. Conclusion: the studydescribed important aspects of the characterization of pressure injuries, as well as the people affected by this serious health problem, which can optimize prevention and treatment actions.
Agência Nacional de Vigilância Sanitária (Brasil). Boletim Segurança do Paciente e Qualidade em Serviços de Saúde no 18: Incidentes Relacionados à Assistência à Saúde - 2017 [Internet]. Portal ANVISA. 2017. p. 1–7.
(EPUAP) Panel European Pressure Ulcer Advisory, (NPIAP) Panel National Pressure Injury Advisory, (PPPIA) Alliance Pan Pacific Pressure Injury. Prevention and treatment of pressure ulcers: Clinical practice guideline. [Internet]. Third edit. Emily Haesler (Ed.); 2019. p. 408.
Coleman S, Gorecki C, Nelson EA, Closs SJ, Defloor T, Halfens R, et al. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Stud. 2013;50(7):974–1003.
Qaseem A, Mir TP, Starkey M, Denberg TD. Risk assessment and prevention of pressure ulcers: A clinical practice guideline from the American College of Physicians. In: Annals of Internal Medicine. 2015. p. 359–69.
Costa AM, Matozinhos ACS, Trigueiro PS, Cunha RCG, Moreira LR. Custos do tratamento de úlceras por pressão em unidade de cuidados prolongados em uma instituição hospitalar de Minas Gerais. Enferm Rev. 2015;18(1):58–74.
Bergstrom MN, Demuth PJ, Braden BJ. A clinical trial oh the Braden scale for predicting pressure sore risk. Nurs. Clin. North Am. 1987; 22(2):417-28.
Sanders LS de C, Pinto FJM. Ocorrência de úlcera por pressão em pacientes internados em um hospital público de Fortaleza-CE. Rev Min Enferm. 2012;16(2):166–70.
Freitas MC, Medeiros ABF, Guedes MVC, de Almeida PC, de Galiza FT, Nogueira J de M. Ulcera por pressão em idosos institucionalizados: análise da prevalência e fatores de risco. Rev Gaucha Enferm. 2011;32(1):143–50.
Guimarães RVAG. Prevalência e caracterização das lesões crônicas no município da região metropolitana de Belo Horizonte - MG. Belo Horizonte. [Internet]. Monografia [Especialização em Estomaterapia]- UFMG; 2019.
Silva DRA, Bezerra SMG, Costa JP, Luz MHBA, Lopes VCA, Nogueira LT. Pressure ulcer dressings in critical patients: a cost analysis. Rev Esc Enferm USP. 2017;51:1-8.
Blanes L, Duarte I da S, Calil JA, Ferreira LM. Avaliação clínica e epidemiológica das úlceras por pressão em pacientes internados no Hospital São Paulo. Rev Assoc Med Bras. 2004;50(2):182–7.
Kennerly S, Boss L, Yap T, Batchelor-Murphy M, Horn S, Barrett R, et al. Utility of Braden Scale Nutrition Subscale Ratings as an Indicator of Dietary Intake and Weight Outcomes among Nursing Home Residents at Risk for Pressure Ulcers. Healthcare. 2015;3(4):879–97.
Hyun S, Li X, Vermillion B, Newton C, Fall M, Kaewprag P, et al. Body mass index and pressure ulcers: Improved predictability of pressure ulcers in intensive care patients. Am J Crit Care. 2014;23(6):494–500.
Li C, DiPiro ND, Cao Y, Szlachcic Y, Krause J. The association between metabolic syndrome and pressure ulcers among individuals living with spinal cord injury. Spinal Cord. 2016;54(11):967–72.
Beeckman D. A decade of research on Incontinence-Associated Dermatitis (IAD): Evidence, knowledge gaps and next steps. J Tissue Viability [Internet]. 2017;26(1):47–56.
Gray M, Giuliano KK. Incontinence-Associated Dermatitis, Characteristics and Relationship to Pressure Injury. J Wound, Ostomy Cont Nurs. 2018;45(1):63.
Hödl M, Blanař V, Amir Y, Lohrmann C. Association between incontinence, incontinence‐associated dermatitis and pressure injuries: A multisite study among hospitalised patients 65 years or older. Australas J Dermatol [Internet]. 2020 Feb 11;61(1):144–6.
Chianca TCM, Gonçales PC, Salgado PO, Machado B de O, Amorim GL, Alcoforado CLGC. Dermatite associada à incontinência : estudo de coorte em pacientes críticos. Rev Gaucha Enferm. 2016;37(Especial):1–9.
Park SH, Choi YK, Kang CB. Predictive validity of the Braden Scale for pressure ulcer risk in hospitalized patients. J Tissue Viability [Internet]. 2015;24(3):102-13.
Sousa Júnior BS, Mendonça AEO de, Duarte FH da S, Silva C de C. Riscos para o desenvolvimento de úlceras por pressão em idosos utilizando as subescalas de Braden. Revista Enfermagem Atual [Internet]. 2019;77(15):37-43.
Swafford K, Culpepper R, Dunn C. Use of a Comprehensive Program to Reduce the Incidence of Hospital-Acquired Pressure Ulcers in an Intensive Care Unit. Am J Crit Care [Internet]. 2016 Mar 1;25(2):152–5.
Boyko T V, Longaker MT, Yang GP. Review of the Current Management of Pressure Ulcers. Adv Wound Care [Internet]. 2016;00(00):1–11.
Lionelli GT, Lawrence WT. Wound dressings. Surg Clin North Am. 2003;83(3):617–38.
Furuya-Kanamori L, Walker RM, Gillespie BM, Clark J, Doi SAR, Thalib L. Effectiveness of Different Topical Treatments in the Healing of Pressure Injuries: A Network Meta-analysis. J Am Med Dir Assoc [Internet]. 2019;20(4):399–407.
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Copyright (c) 2020 Lidiane Souza Lima, Neylor Rodrigo Oliveira Aragão, Gleyce Kelly de Brito Brasileiro Santos, Edusley Santana Santos, Cátia Suely Palmeira
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