Correlation of presence of endogenous causative or aggravating factors as to the occurrence of pressure ulcers in patients of intensive care units

Eleni Grouni, Maria Tsironi, Panayiotis Prezerakos, GeorgiosI. Panoutsopoulos4, AndreaPaola RojasGil, Victoria Alikari, Sofia Zyga

Thursday, January 9, 2014

Publication year:

2014

Authors:

• Grouni Eleni, RN, MSc
• Tsironi Maria, Associate Professor in Internal Medicine, Department of Nursing, University of Peloponnese
• Prezerakos Panayiotis, Assistant Professor in Nursing Services Management-Modules of Nursing Care, Department of Nursing, University of Peloponnese
• Panoutsopoulos4 GeorgiosI., Assistant Professor in Human Physiology, Department of Nursing, University of Peloponnese
• RojasGil AndreaPaola, Assistant Professor in Biology-Biochemistry, Department of Nursing, University of Peloponnese
• Alikari Victoria, RN, MSc, PhD(c), Department of Nursing, University of Peloponnese
• Zyga Sofia, Assistant Professor in Fundamental Nursing, Department of Nursing, University of Peloponnese

Keywords index:

• pressure ulcers
• risk factors
• Intensive Care Unit

Pages: 127-133

Abstract:

Introduction: Pressure ulcers consists one of the most important clinical problems for patients hospitalized in Intensive Care Units.

Purpose: To investigate the risk factors and their correlation with the incidence of pressure ulcers in patients hospitalized in the intensive care unit.

Material and Methods: Data collected studying 264 patientsfrom the Intensive Care Unit of "Papageorgiou” Hospital of Thessaloniki in the period 2010-2012. The presence of endogenous causative and aggravating factors associated with the occurrence of pressure ulcers was recorded. These factors were: Coronary Heart Disease, malignancies, heart failure, stroke, immunosuppression, renal replacement, Diabetes Mellitus, age, hospital days. Finally, laboratory and clinical parameters (hematocrit, albumin, Glasgow Coma Scale) were recorded. Statistical analysis was processed using the SPSS software program.

Results: 56 out of the 264 patients (21.2%) experienced pressure ulcers. Age (B = -0,74, PR = 0,47, OR = 0, 32-0,69, p <0,001), days of hospitalization in the Intensive Care Unit (B = 0,04, OR = 1,01-1,07, p <0,001) and hematocrit value (B = 0,93, OR = 0,85-0,96, p <0,003) are statistically significant parameters for the occurrence of pressure ulcers.