Healing status of pressure injuries among critically III patients in a Turkish hospital: A descriptive, retrospective study

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dc.authoridYAVUZ VAN GIERSBERGEN, Meryem / 0000-0002-8661-0066
dc.authorscopusid54973912200
dc.authorscopusid57196185505
dc.authorscopusid57192720907
dc.authorscopusid57211637757
dc.authorscopusid57192715069
dc.authorwosidvan Giersbergen, Meryem Yavuz/AAA-3078-2020
dc.authorwosidYAVUZ VAN GIERSBERGEN, Meryem/ABG-3476-2021
dc.contributor.authorAlcan, Aliye Okgün
dc.contributor.authorvan Giersbergen, Meryem Yavuz
dc.contributor.authorDincarslan, Gulin
dc.contributor.authorHepcicici, Ziynet
dc.contributor.authorKaya, Erdem
dc.date.accessioned2022-02-15T16:57:17Z
dc.date.available2022-02-15T16:57:17Z
dc.date.issued2019
dc.departmentBakırçay Üniversitesien_US
dc.description21st National Surgery Congress / 16th Surgical Nursing Congress -- APR 11-15, 2018 -- Antalya, TURKEYen_US
dc.description.abstractEvaluating the healing status of pressure injuries is important to planning medical and nursing care. PURPOSE: A descriptive, retrospective study was conducted to determine the healing status of pressure injuries among critically ill immobile patients. METHODS: Data were obtained via medical record review of all patients admitted to a Turkish university hospital's anesthesiology intensive care unit (ICU) between January 2008 and December 2015. Demographic (age, gender), medical (comorbidities, diagnosis, length of ICU stay), and pressure injury characteristics (number, location, stage, healing status, length, width, exudate amount, tissue type) were evaluated along with Pressure Ulcer Scale for Healing (PUSH) Tool scores. Data from all patients >18 years of age with an ICU stay >24 hours who had a pressure injury and whose records were complete were included in the study. Data were expressed as number, percentage, and mean and median values. Wilcoxon test, Spearman's correlation analysis, and chi-square test were performed as appropriate. Pressure injuries were considered healed when the PUSH score equaled zero. RESULTS: The study sample comprised 359 patients (60.97 +/- 19.31 [range 19-95] years, 217 men, median length of stay 25 [range 1-363] days) with 672 pressure injuries. Most pressure injuries were located on the coccyx (278 [41.4%]), and 153 (22.8%) healed during ICU stay. Older age (r = 0.167; P = .002) and length of ICU stay (r = 0.238; P = .0001) were significantly correlated with having multiple pressure injuries. There was a statistically significant relationship between pressure injury location and stage and healing status (chi(2) = 28.993, P = .0001 and chi(2) = 60.200, P = .001, respectively). The lowest percentage of injuries healed were on the coccyx and were stage 4 and unstageable. Overall, the mean first PUSH score was significantly higher than the last assessment score (8.99 +/- 3.82 to 7.28 +/- 5.22, respectively; z = -10.807; P = .0001). CONCLUSION: Many immobile ICU patients had multiple pressure injuries, especially patients who were older and who had a longer length of stay. Healing scores for pressure injuries were better at discharge or transfer and 22% of injuries were healed. Prospective studies comparing all factors that may contribute to pressure injury healing are warranted.en_US
dc.identifier.doi10.25270/wmp.2019.10.3036
dc.identifier.endpage36en_US
dc.identifier.issn2640-5237
dc.identifier.issn2640-5245
dc.identifier.issue10en_US
dc.identifier.pmid31702987en_US
dc.identifier.scopus2-s2.0-85074727180en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage30en_US
dc.identifier.urihttps://doi.org/10.25270/wmp.2019.10.3036
dc.identifier.urihttps://hdl.handle.net/20.500.14034/80
dc.identifier.volume65en_US
dc.identifier.wosWOS:000499320600002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHMPen_US
dc.relation.journalWound Management & Preventionen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectpressure injuryen_US
dc.subjectintensive care uniten_US
dc.subjectnursingen_US
dc.subjectIntensive-Careen_US
dc.subjectStage-Iien_US
dc.subjectUlcersen_US
dc.subjectPreventionen_US
dc.subjectPrevalenceen_US
dc.subjectFeaturesen_US
dc.subjectOutcomesen_US
dc.subjectRisken_US
dc.titleHealing status of pressure injuries among critically III patients in a Turkish hospital: A descriptive, retrospective studyen_US
dc.typeConference Objecten_US

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