Pressure ulcer incidence in critically ill patients: Role of body mass index, nutrition therapy, and other non-nutritional factors

To assess the clinical and nutritional risk factors related to the occurrence of pressure ulcers (PUs) in patients admitted to an Intensive Care Unit (ICU). This is a cohort retrospective study, carried out by analyzing the medical records of patients admitted to the ICU of a hospital, containing in...

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Published in:Clinical nutrition ESPEN 2023-06, Vol.55, p.285-291
Main Authors: Ciríaco, Giulia Valente, Menezes-Júnior, Luiz Antônio Alves de, Oliveira, Wandeir Wagner de, Talvani, André, Turbino Ribeiro, Silvana Mara Luz
Format: Article
Language:English
Subjects:
Body Mass Index
Critical Illness - therapy
Enteral Nutrition
Excess weight
Humans
Incidence
Intensive care unit
Male
Pressure injury
Pressure Ulcer - epidemiology
Retrospective Studies
Risk Factors
Suppuration
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container_title Clinical nutrition ESPEN
container_volume 55
creator Ciríaco, Giulia Valente
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description To assess the clinical and nutritional risk factors related to the occurrence of pressure ulcers (PUs) in patients admitted to an Intensive Care Unit (ICU). This is a cohort retrospective study, carried out by analyzing the medical records of patients admitted to the ICU of a hospital, containing information on sociodemographic, clinical, dietary, and anthropometric data, presence of mechanical ventilation, sedation, and use of noradrenaline. To verify the clinical and nutritional risk factors, multivariate Poisson's regression with robust variance was used to estimate the relative risk (RR) according to the explanatory variables. A total of 130 patients were evaluated from January 1 to December 31, 2019. The incidence of PUs in the study population was 29.2%. In univariate analysis, male sex, suspended or enteral diet, use of mechanical ventilation, and sedatives had a significant association with the PUs (p 
doi_str_mv 10.1016/j.clnesp.2023.03.024
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Furthermore, in an analysis stratified by hospitalization time, it was observed that for each 1 kg/m2 increase in body mass index, there is a 10% increased risk of PUs occurrence (RR: 1.10; 95%CI: 1.01–1.23). 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subjects Body Mass Index
Critical Illness - therapy
Enteral Nutrition
Excess weight
Humans
Incidence
Intensive care unit
Male
Pressure injury
Pressure Ulcer - epidemiology
Retrospective Studies
Risk Factors
Suppuration
title Pressure ulcer incidence in critically ill patients: Role of body mass index, nutrition therapy, and other non-nutritional factors
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