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https://swslhd.intersearch.com.au/swslhdjspui/handle/1/1144| Title: | Pressure injury prevalence in Australian intensive care units: A secondary analysis |
| Authors: | Coyer, F. Chaboyer, W. Lin, F. Doubrovsky, A. Barakat-Johnson, M. Brown, W. Lakshmanan, R. Leslie, G. Jones, S. L. Pearse, I. Martin, K. McInnes, E. Powell, M. Mitchell, M. L. Sosnowski, K. Tallot, M. Thompson, A. Thompson, L. Labeau, S. Blot, S. |
| SWSLHD Author: | Lakshmanan, Ramanathan |
| Affiliates: | Joint Appointment School of Nursing, Queensland University of Technology and Intensive Care Services, Royal Brisbane and Women's Hospital, Australia Institute for Skin Integrity and Infection Prevention, University of Huddersfield, United Kingdom National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Australia School of Nursing, Midwifery, and Paramedicine, University of the Sunshine Coast, Australia Sunshine Coast Health Institute, Australia School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Australia School of Nursing, Queensland University of Technology, Australia Skin Integrity Lead, Sydney Local Health District, Australia Hospital-Acquired Complication Operational Coordinator for Pressure Injury, Sydney Local Health District, Australia Faculty of Medicine and Health, University of Sydney, Australia School of Nursing, Faculty of Health, Queensland University of Technology, Australia Intensive Care Unit, Redcliffe Hospital, Metro North Hospital Health ServiceQLD, Australia Fairfield Hospital, Australia Liverpool Hospital, Australia UNSW, Australia WSU, Australia Curtin Nursing School, Curtin University, Perth, WA, Australia School of Nursing & Midwifery, University South Australia, Adelaide, SA, Australia Intensive Care Unit, St George HospitalNSW, Australia Critical Care Research Group, The Prince Charles HospitalQLD, Australia Intensive Care Unit, The Tweed HospitalNSW, Australia Intensive Care NSW, Agency for Clinical Innovation, NSW Health, Australia St Vincent's Hospital Melbourne, Australia Nursing Research Institute - St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne & Australian Catholic University, Australia University of New South Wales, School of Population HealthNSW, Australia Menzies Health Institute Queensland, Griffith University, Australia Princess Alexandra Hospital, Brisbane, Australia Intensive Care Unit, Logan HospitalQLD, Australia Intensive Care Unit, Gold Coast University HospitalQLD, Australia Nepean Blue Mountains Local Health DistrictNSW, Australia Practice Development, Sunshine Coast University Hospital, Australia School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium Dept. of Internal Medicine and Paediatrics, Ghent University, Ghent, Belgium Burns Trauma and Critical Care Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia |
| Department: | Fairfield Hospital, Intensive Care Unit |
| Issue Date: | 2022 |
| Journal: | Australian Critical Care |
| Abstract: | Background: Pressure injuries (PIs) are an enduring problem for patients in the intensive care unit (ICU) because of their vulnerability and numerous risk factors. Method: This study reports Australian data as a subset of data from an international 1-day point prevalence study of ICU-acquired PI in adult patients. Patients aged 18 years or older and admitted to the ICU on the study day were included. The outcome measure was the identification of a PI by direct visual skin assessment on the study day. Data collected included demographic data and clinical risk factors, PI location and stage, and PI prevention strategies used. Descriptive statistics were used to describe PI characteristics, and odds ratios (ORs) were used to identify factors associated with the development of a PI. Results: Data were collected from 288 patients from 16 Australian ICUs. ICU-acquired PI prevalence was 9.7%, with 40 PIs identified on 28 patients. Most PIs were of stage 1 and stage 2 (26/40, 65.0%). Half of the ICU-acquired PIs were found on the head and face. The odds of developing an ICU-acquired PI increased significantly with renal replacement therapy (OR: 4.25, 95% confidence interval [CI]: 1.49?12.11), impaired mobility (OR: 3.13, 95% CI: 1.08?9.12), fastest respiratory rate (OR: 1.05 [per breath per minute], 95% CI: 1.00?1.10), longer stay in the ICU (OR: 1.04 [per day], 95% CI: 1.01?1.06), and mechanical ventilation on admission (OR: 0.36, CI: 0.14?0.91). Conclusion: This study found that Australian ICU-acquired PI prevalence was 9.7% and these PIs were associated with many risk factors. Targeted PI prevention strategies should be incorporated into routine prevention approaches to reduce the burden of PIs in the Australian adult ICU patient population. ? 2021 Australian College of Critical Care Nurses Ltd |
| URI: | https://swslhd.intersearch.com.au/swslhdjspui/handle/1/1144 |
| Digital object identifier: | 10.1016/j.aucc.2021.10.009 |
| Appears in Collections: | Fairfield Hospital |
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