Singular Predictors of Hospital-Acquired Pressure Injuries Under Intensive Care: A Retrospective Cohort Study in a Medium-Complexity Hospital

A retrospective cohort study of hospital-acquired pressure injuries (HAPI) reported an incidence rate of 34.3% based on 582 medical records of adult patients admitted to the intensive care unit (ICU) of a medium-complexity public hospital in 2017 and 2018. Sixty percent of the patients used respirat...

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Bibliographic Details
Published in:Clinical nursing research 2022-05, Vol.31 (4), p.639-647
Main Authors: Argenti, Graziela, Ishikawa, Gerson, Fadel, Cristina Berger, Gomes, Ricardo Zanetti
Format: Article
Language:English
Subjects:
Adult
Cohort analysis
Critical Care
Hospitalization
Hospitals
Humans
Hypotension
Iatrogenesis
Intensive care
Intensive Care Units
Length of Stay
Mechanical ventilation
Medical records
Norepinephrine
Pressure Ulcer
Pressure ulcers
Retrospective Studies
Sensory perception
Ventilation
Ventilators
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Summary:A retrospective cohort study of hospital-acquired pressure injuries (HAPI) reported an incidence rate of 34.3% based on 582 medical records of adult patients admitted to the intensive care unit (ICU) of a medium-complexity public hospital in 2017 and 2018. Sixty percent of the patients used respirators, 49.3% presented hypotension, and 48.1% used norepinephrine. The main individual predictors of HAPI in the ICU were “days of norepinephrine” with an odds ratio (OR) of 1.625 (95% CI: 1.473–1.792) and concordance statistic (AUC) of 0.818 (95% CI: 0.779–0.857), “days of mechanical ventilation” with an OR of 1.521 (1.416–1.634) and AUC of 0.879 (0.849–0.909), “ICU stay (days)” with an OR of 1.279 (1.218–1.342) and AUC of 0.846 (0.812–0.881), and “Braden’s sensory perception” with an OR of 0.345 (95% CI: 0.278–0.429) and AUC of 0.760 (0.722–0.799). The duration of mechanical ventilation, norepinephrine administration, and ICU length of stay presented significant discriminative capacity for HAPI prediction.
ISSN:1054-7738
1552-3799
DOI:10.1177/10547738211051567