Análise de perfil e desfechos de internação em pacientes críticos que desenvolveram lesão por pressão

Isabela Gomes Musa dos Santos; Beatriz; Henrique Mateus Fernandes; Natalia Balestra; Karoline Razimavicius Barbado; Aline de Oliveira Ramalho

Authors

Isabela Gomes Musa dos Santos University of São Paulo, School of Nursing – Ribeirão Preto (SP), Brazil. ,https://ror.org/036rp1748 https://orcid.org/0000-0002-6174-0155
Beatriz Hospital Sírio-Libanês – São Paulo (SP), Brazil.,https://ror.org/03r5mk904 https://orcid.org/0000-0003-0289-5699
Henrique Mateus Fernandes Hospital Sírio-Libanês – São Paulo (SP), Brazil.,https://ror.org/03r5mk904 https://orcid.org/0000-0003-1160-7089
Natalia Balestra Hospital Sírio-Libanês – São Paulo (SP), Brazil.,https://ror.org/03r5mk904 https://orcid.org/0000-0002-2618-0113
Karoline Razimavicius Barbado Hospital Sírio-Libanês – São Paulo (SP), Brazil. ,https://ror.org/03r5mk904 https://orcid.org/0000-0001-6981-2814
Aline de Oliveira Ramalho Hospital Sírio-Libanês – São Paulo (SP), Brazil. ,https://ror.org/03r5mk904 https://orcid.org/0000-0001-6065-5488

Abstract

Objective: To describe the clinical profile of patients who developed pressure ulcers (PU) during intensive care in a cardiology unit and to identify the factors associated with discharge and death outcomes. Method: Observational, retrospective cohort study. Patients who developed PU during their stay in the intensive care units (ICUs) of a philanthropic hospital in São Paulo and were recorded in the database from January 2018 to June 2020 were included. The study was approved by the institution’s Research Ethics Committee. Fisher’s Exact Test, Student’s t-test, and Pearson’s ꭓ² test were used to assess the associations, with a significance level of 0.05. Results: Among 456 critically ill patients evaluated, 51 developed PU in the ICU, with a prevalence of 11%. The sample consisted of 84.3% male patients, with a mean age of 75.8 years (SD=13.6). Sacral PU were present in 70.5% of the cases. Nutritional risk, SAPS 3 score, length of ICU stays, capillary refill time, age, and RASS score showed significant correlations with death as an outcome. Conclusion: Clinical factors correlated with death outcomes were identified in critically ill patients who developed PU in the ICU. As a clinical implication, the findings highlight the importance of guiding care teams to implement targeted care strategies for these patients.

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References

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