Predictors of pressure injuries in a critical care unit in Lebanon

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dc.contributor.author Doumit, Rita
dc.contributor.author El-Masri, Jihad
dc.contributor.author Zein-El-Dine, Salah
dc.contributor.author Zein, Bana
dc.contributor.author Kurdahi Badr, Lina
dc.date.accessioned 2018-11-28T10:50:49Z
dc.date.available 2018-11-28T10:50:49Z
dc.date.copyright 2018 en_US
dc.identifier.issn 1528-3976 en_US
dc.identifier.uri http://hdl.handle.net/10725/9809
dc.description.abstract The purpose of this study was to identify factors associated with pressure injury in a medical-surgical intensive care unit (MSICU). DESIGN: Retrospective review of medical records. SUBJECTS AND SETTING: We reviewed the medical records of 145 patients who developed a new pressure injury in the MSICU of a 420-bed university medical center in Lebanon. METHODS: Medical records of all patients cared for in the MSICU from December 2014 to June 2017 were reviewed by a research assistant using a standardized form. We extracted potential risk factors for pressure injury including sex, age, weight upon admission, weight at discharge, length of MSICU stay, episodes of hypotension, administration of inotropes/vasopressors, admitting diagnosis, comorbid conditions, and cumulative scores on the Braden Scale for Pressure Sore Risk. The outcome variable was development of any new pressure injury during their stay in our intensive care unit. RESULTS: Forty-nine patents (33.7%) developed a new pressure injury. Bivariate analysis found statistically significant associations between pressure injury occurrences and administration of vasopressors (odds ratio [OR] = 0.42; 95% confidence interval = 0.29-0.87; P = .02), the administration of dopamine (OR = 0.20; 95% confidence interval = 0.04-0.94; P = .04), and hospital-acquired pressure injury. Among the continuous variables, analysis revealed significant relationships between weight at discharge (t = 2.31, P = .02), MSICU length of stay (t = 5.30; P = .000), cumulative Braden Scale score (t = 3.06; P = .002), hypotension (t =−2.74; P = .007), and development a new pressure injury. Multivariate analysis indicated that length of stay (β= −.110; P = .002), administration of vasopressors (β=−.266; P = .029), and total hours of hypotension (β=−.53; P = .041) were significant predictors of pressure injury. CONCLUSIONS: Vasopressor use, hypotension, and length of stay were associated with an increased likelihood of pressure injury in adults managed in an MSICU. None of these factors is specifically evaluated during completion of the Braden Scale for Pressure Sore Risk. Based on these findings we recommend development of a pressure injury scale specific to critically ill adults. en_US
dc.language.iso en en_US
dc.title Predictors of pressure injuries in a critical care unit in Lebanon en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SON en_US
dc.author.idnumber 200200810 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Journal of Wound, Ostomy and Continence Nursing en_US
dc.journal.volume 45 en_US
dc.journal.issue 2 en_US
dc.article.pages 131-136 en_US
dc.keywords Critical care en_US
dc.keywords Pressure injury en_US
dc.keywords Pressure ulcer en_US
dc.keywords Risk factors en_US
dc.keywords Vasopressors en_US
dc.identifier.doi https://doi.org/10.1097/WON.0000000000000415 en_US
dc.identifier.ctation El-Marsi, J., Zein-El-Dine, S., Zein, B., Doumit, R., & Kurdahi Badr, L. (2018). Predictors of Pressure Injuries in a Critical Care Unit in Lebanon. Journal of Wound, Ostomy and Continence Nursing, 45(2), 131-136. en_US
dc.author.email rita.doumit@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.ingentaconnect.com/content/wk/won/2018/00000045/00000002/art00006 en_US
dc.orcid.id https://orcid.org/0000-0003-1374-2751 en_US
dc.author.affiliation Lebanese American University en_US

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