医学
入射(几何)
心肺适能
重症监护
队列
急诊医学
糖尿病
队列研究
前瞻性队列研究
物理疗法
重症监护医学
内科学
光学
物理
内分泌学
作者
Marcelli Cristine Vocci,Taís Lopes Saranholi,Hélio Amante Miot,Luciana Patrícia Fernandes Abbade
出处
期刊:Advances in Skin & Wound Care
[Ovid Technologies (Wolters Kluwer)]
日期:2022-03-01
卷期号:35 (3): 1-8
被引量:2
标识
DOI:10.1097/01.asw.0000815488.17717.68
摘要
ABSTRACT OBJECTIVE Identify both the risk of developing pressure injuries (PIs) by applying the CALCULATE (CriticAL Care pressure ULcer Assessment Tool made Easy) and Braden Scales and the incidence of PIs in adult patients in intensive care. METHODS This prospective cohort study was conducted from March 2016 to February 2017 in an adult ICU. The Braden and CALCULATE scales were applied every 48 hours until medical discharge, death, or PI development. RESULTS The sample included 100 patients. The investigators obtained 818 evaluations (409 Braden and 409 CALCULATE) with an average of 4.1 observations per patient. According to the CALCULATE scale, 49 participants (49%) were classified as very high risk, compared with 40 participants (40%; P = .204) according to the Braden Scale. Thirty-five patients developed 37 PIs, with a total incidence of 35%. The mean age of patients who developed PIs was 60.3 (SD, 13.7) years, and they averaged 9.2 (SD, 6.8) days of hospitalization, with diagnoses related to cardiorespiratory and neurologic diseases and associated comorbidities of hypertension, diabetes mellitus, and smoking. The most affected site was the sacral region; 64.9% of the injuries were classified as stage 1. CONCLUSIONS Patients in intensive care were high risk according to both PI scales, and many developed PIs. It is evident that even when preventive measures are used, they are insufficient without the implementation of preventive protocols.
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