Patient Risk Factors for Pressure Ulcers During Cardiac Surgery

Patients undergoing cardiac surgery have increased risks for developing pressure ulcers. The researchers conducted this study to identify preoperative, intraoperative, and postoperative factors associated with the development of pressure ulcers among patients undergoing cardiac surgery at the Clevel...

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Bibliographic Details
Published in:AORN journal 1997-05, Vol.65 (5), p.933,938-936,942
Main Authors: Lewicki, Linda J., Mion, Lorraine, Splane, Karen G., Samstag, Doris, Secic, Michelle
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Bedsores
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - nursing
Female
Heart
Humans
Male
Middle Aged
Nursing
Perioperative Nursing
Pressure Ulcer - etiology
Pressure Ulcer - nursing
Pressure Ulcer - prevention & control
Prospective Studies
Risk Factors
Surgery
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Summary:Patients undergoing cardiac surgery have increased risks for developing pressure ulcers. The researchers conducted this study to identify preoperative, intraoperative, and postoperative factors associated with the development of pressure ulcers among patients undergoing cardiac surgery at the Cleveland Clinic Foundation. The significant factors associated with pressure ulcer development in the study patients were presence of diabetes mellitus and other significant comorbid conditions; low preoperative Braden Risk Assessment Scale scores; lower preoperative hemoglobin, hematocrit, and serum albumin levels; presence of intraaortic balloon pumps in the postoperative period; being turned less often; and more rapid returns to preoperative body temperatures. By incorporafing vigilant observation and timely nursing interventions throughout patients' surgical experiences, perioperative nurses can help prevent the development of pressure ulcers and promote optimal patient outcomes. AORN J 65 (May 1997) 933–942.
ISSN:0001-2092
1878-0369
DOI:10.1016/S0001-2092(06)62976-1