Frequency of Pressure Ulcers and Related Risk Factors in Patients Transferred From the Intensive Care Unit to the Internal Diseases Clinic

Mustafa Keleş; Mehmet Uzunlulu; Cündullah Torun

Makale detayları

Frequency of Pressure Ulcers and Related Risk Factors in Patients Transferred From the Intensive Care Unit to the Internal Diseases Clinic

Yazarlar:

Mustafa Keleş | Mehmet Uzunlulu | Cündullah Torun

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Ahi Evran Tıp Dergisi Vol.7 Issue 3, pp.324-330

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001300276

pISSN:

2619-9203

Anahtar kelimeler:

Özet:

 Purpose: Determination of pressure ulcer frequency and pressure ulcer-related clinical features in patients transferred from intensive care units ICU to internal medicine clinics. Material and Methods: A prospective, observational study included 100 consecutive patients aged 18 years and older. Nutritional risk score NRS-2002 and BRADEN scale at admission to the intensive care unit were calculated. During the transfer to the internal medicine clinic, the frequency, localization and stage of pressure ulcers were determined. Patients with and without pressure ulcers were compared according to clinical and laboratory characteristics. Results: Of the 100 patients included in the study, 52 52 were women. The mean age was 69.816.5 years. The frequency of pressure ulcer was 50, the most common location and stage was sacrum 88, and stage 2 58. The mean age 7413, 6618 respectively, p0.022 and length of stay in ICU p0.001 were higher in patients with pressure ulcer. Those with cerebrovascular disease and dementia p0.016 and p0.001 respectively, using invasive mechanical ventilation, positive inotropic agents and antibiotics p0.001, p0.005, and p0.008, respectively, with pressure ulcer before ICU p0.001, high risk of malnutrition and pressure ulcer p0.001 were more common in patients with pressure ulcer. It was seen that 1 day increase in ICU length of stay increased the risk of pressure ulcer 1.42 times. Conclusion: This study revealed that half of the patients transferred from the ICU to the internal medicine clinics had pressure ulcer, and the risk of developing pressure ulcers increases as the length of stay in the ICU is prolonged.

 Purpose: Determination of pressure ulcer frequency and pressure ulcer-related clinical features in patients transferred from intensive care units ICU to internal medicine clinics. Material and Methods: A prospective, observational study included 100 consecutive patients aged 18 years and older. Nutritional risk score NRS-2002 and BRADEN scale at admission to the intensive care unit were calculated. During the transfer to the internal medicine clinic, the frequency, localization and stage of pressure ulcers were determined. Patients with and without pressure ulcers were compared according to clinical and laboratory characteristics. Results: Of the 100 patients included in the study, 52 52 were women. The mean age was 69.816.5 years. The frequency of pressure ulcer was 50, the most common location and stage was sacrum 88, and stage 2 58. The mean age 7413, 6618 respectively, p0.022 and length of stay in ICU p0.001 were higher in patients with pressure ulcer. Those with cerebrovascular disease and dementia p0.016 and p0.001 respectively, using invasive mechanical ventilation, positive inotropic agents and antibiotics p0.001, p0.005, and p0.008, respectively, with pressure ulcer before ICU p0.001, high risk of malnutrition and pressure ulcer p0.001 were more common in patients with pressure ulcer. It was seen that 1 day increase in ICU length of stay increased the risk of pressure ulcer 1.42 times. Conclusion: This study revealed that half of the patients transferred from the ICU to the internal medicine clinics had pressure ulcer, and the risk of developing pressure ulcers increases as the length of stay in the ICU is prolonged.

 Purpose: Determination of pressure ulcer frequency and pressure ulcer-related clinical features in patients transferred from intensive care units ICU to internal medicine clinics. Material and Methods: A prospective, observational study included 100 consecutive patients aged 18 years and older. Nutritional risk score NRS-2002 and BRADEN scale at admission to the intensive care unit were calculated. During the transfer to the internal medicine clinic, the frequency, localization and stage of pressure ulcers were determined. Patients with and without pressure ulcers were compared according to clinical and laboratory characteristics. Results: Of the 100 patients included in the study, 52 52 were women. The mean age was 69.816.5 years. The frequency of pressure ulcer was 50, the most common location and stage was sacrum 88, and stage 2 58. The mean age 7413, 6618 respectively, p0.022 and length of stay in ICU p0.001 were higher in patients with pressure ulcer. Those with cerebrovascular disease and dementia p0.016 and p0.001 respectively, using invasive mechanical ventilation, positive inotropic agents and antibiotics p0.001, p0.005, and p0.008, respectively, with pressure ulcer before ICU p0.001, high risk of malnutrition and pressure ulcer p0.001 were more common in patients with pressure ulcer. It was seen that 1 day increase in ICU length of stay increased the risk of pressure ulcer 1.42 times. Conclusion: This study revealed that half of the patients transferred from the ICU to the internal medicine clinics had pressure ulcer, and the risk of developing pressure ulcers increases as the length of stay in the ICU is prolonged.

 Amaç: Bu çalışmanın amacı yoğun bakım ünitelerinden YBÜ iç hastalıkları kliniklerine devir olan hastalardaki basınç ülseri sıklığının belirlenmesi ve basınç ülseri ile ilişkili klinik özelliklerin araştırılmasıdır. Araçlar ve Yöntem: Prospektif, gözlemsel çalışmaya iç hastalıkları kliniklerine YBÜden devir olan 18 yaş ve üzeri 100 hasta ardışık olarak alındı. Olguların YBÜye yatış esnasındaki nutrisyonel risk skoru NRS-2002 ve BRADEN ölçeği ile iç hastalıkları kliniklerine devir esnasındaki basınç ülseri sıklığı, lokalizasyonu ve evresi belirlendi. Basınç ülseri olan ve olmayan hastalar klinik ve laboratuvar özelliklerine göre karşılaştırıldı. Bulgular: Çalışmaya alınan 100 hastanın 52si 52 kadındı. Ortalama yaş 69.816.5 yıl bulundu. İç hastalıkları kliniğine devir esnasında basınç ülseri sıklığı 50, en sık basınç ülseri lokalizasyonu sakrum 88, en sık basınç ülseri evresi evre 2 58 idi. Basınç ülseri olanlarda olmayanlara göre; yaş ortalaması sırasıyla 7413, 6618; p0.022, YBÜ yatış süresi p0.001, serebrovasküler hastalık ve demansı olan sırasıyla p0.016 ve p0.001, invasif mekanik ventilasyon, pozitif inotrop ajan ve antibiyotik kullanılan sırasıyla p0.001, p0.005 ve p0.008, YBÜ yatışı öncesi basınç ülseri olan p0.001, malnütrisyon risk skoru ve BRADEN ölçeği ile belirlenen basınç ülseri riski artmış bulunan p0.001 hasta sıklığı yüksekti. Lojistik regresyon analizinde YBÜ yatış süresindeki 1 günlük artışın basınç ülseri riskini 1.42 kat artırdığı görüldü. Sonuç: Bu çalışma YBÜden iç hastalıkları kliniklerine devir olan her iki hastadan birinde basınç ülserinin mevcut olduğunu ve YBÜ yatış süresi uzadıkça basınç ülseri gelişme riskinin arttığını ortaya koymuştur.

Makale detayları

Frequency of Pressure Ulcers and Related Risk Factors in Patients Transferred From the Intensive Care Unit to the Internal Diseases Clinic

Yazarlar:

Mustafa Keleş | Mehmet Uzunlulu | Cündullah Torun

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Ahi Evran Tıp Dergisi Vol.7 Issue 3, pp.324-330

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001300276

pISSN:

2619-9203

NRS-2002 Score

Braden Scale

ImmobilizationNRS-2002 skoru

Braden Ölçeği

Hareketsizlik

Sayı

Makale detayları

Frequency of Pressure Ulcers and Related Risk Factors in Patients Transferred From the Intensive Care Unit to the Internal Diseases Clinic

Yazarlar: Mustafa Keleş | Mehmet Uzunlulu | Cündullah Torun

Yayıncı: Kirsehir Ahi Evran University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Ahi Evran Tıp Dergisi Vol.7 Issue 3, pp.324-330

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001300276

pISSN: 2619-9203

NRS-2002 Score

Braden Scale

ImmobilizationNRS-2002 skoru

Braden Ölçeği

Hareketsizlik

Sayı

Yazarlar:

Mustafa Keleş | Mehmet Uzunlulu | Cündullah Torun

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Ahi Evran Tıp Dergisi Vol.7 Issue 3, pp.324-330

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001300276

pISSN:

2619-9203