Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients
Labeau, S. O.
Rights© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
MetadataShow full item record
OBJECTIVES: Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable. DESIGN: This study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the UK. SETTING: This service evaluation was part of a larger, international, single-day point prevalence study of PIs in adult ICU patients. Training was provided to healthcare givers using an electronic platform to ensure standardised recognition and staging of PIs across all sites. PARTICIPANTS: The characteristics of the ICUs were recorded before the survey; deidentified patient data were collected using a case report form and uploaded onto a secure online platform. PRIMARY AND SECONDARY OUTCOME MEASURES: Factors associated with ICU-acquired PIs in the UK were analysed descriptively and using mixed multiple logistic regression analysis. RESULTS: Data from 1312 adult patients admitted to 94 UK ICUs were collected. The proportion of individuals with at least one PI was 16% (211 out of 1312 patients), of whom 8.8% (n=115/1312) acquired one or more PIs in the ICU and 7.3% (n=96/1312) prior to ICU admission. The total number of PIs was 311, of which 148 (47.6%) were acquired in the ICU. The location of majority of these PIs was the sacral area, followed by the heels. Braden score and prior length of ICU stay were associated with PI development. CONCLUSIONS: The prevalence and the stage of severity of PIs were generally low in adult critically ill patients admitted to participating UK ICUs during the study period. However, PIs are a problem in an important minority of patients. Lower Braden score and longer length of ICU stay were associated with the development of injuries; most ICUs assess risk using tools which do not account for this. TRIAL REGISTRATION NUMBER: NCT03270345.
CitationBMJ Open. 2022 Nov 23;12(11):e057010. doi: 10.1136/bmjopen-2021-057010.
NoteThe article is available via Open Access. Click on the 'Additional link' above to access the full-text.
Except where otherwise noted, this item's license is described as © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Showing items related by title, author, creator and subject.
Society of Critical Care Medicine 50th Anniversary Review Series: Critical Care Education Bion, Julian; Brown, Celia; Gomersall, Charles; Boulanger, Carole; Isherwood, Peter; Schulman, David (Wolters Kluwer, 2021-07-06)An abstract is unavailable. This article is available as a PDF only.
Administered circulating microparticles derived from lung cancer patients markedly improved angiogenesis, blood flow and ischemic recovery in rat critical limb ischemia. Sheu, J-J; Lee, F-Y; Wallace, Christopher G; Tsai, T-H; Leu, S; Chen, Y-L; Chai, H-T; Lu, H-I; Sun, C-K; Yip, H-K (BioMed Central, 2015-02-15)We hypothesized that lung cancer patient's circulating microparticles (Lc-MPs) could promote angiogenesis, blood flow in ischemic zone and ischemic recovery in rat critical limb ischemia (CLI).
Exendin-4 protected against critical limb ischemia in obese mice. Sheu, J-J; Chang, M-W; Wallace, Christopher G; Chiang, H-J; Sung, P-H; Tsai, T-H; Chung, S-Y; Chen, Y-L; Chua, S; Chang, H-W; Sun, C-K; Lee, F-Y; Yip, H-K (e-Century Publishing, 2015-03-15)This study tested the hypothesis that exendin-4 protects against critical limb ischemia (CLI) in obese mice undergoing hypoxic stress (H). B6 mice were categorized into aged-matched control (C)-H (group 1-A), obesity ...