Analysis of the presence of pressure injury in hospitalized patients and the main associated comorbities

Sara de Sousa Rocha, Ana Paula de Mendonça Falcone, Edson Douglas Silva Pontes, Samara Raquel de Sousa Rocha

Abstract


The present study aimed to analyze the presence of Pressure Injury (PI) in hospitalized patients, observing the main associated comorbidities. This is a retrospective document analysis, with an analytical observational profile, of a quantitative and transversal character. The research was carried out in a highly complex hospital in the public network, located in the state of Paraíba and was carried out through a careful analysis of 884 medical records of patients admitted from January to December 2019, including those who had at least an PI during your hospital stay. Information such as sociodemographic profile, age, sex, clinical history of the patient and associated diseases were evaluated, in addition to the Braden scale score to identify the risk of developing the lesion. The sample consisted of 85 patients, most of whom (83.5%) were over 65 years of age, 47 (55.29%) were female and 38 (44.71%) were male. An incidence of 11.5% of the presence of PI was observed in patients, characterized as a number to be taken into account, since it is a complication classified as preventable in most cases, and it is also known underreporting as it is considered a medical malpractice problem. Diabetes Mellitus (DM) and Systemic Arterial Hypertension (SAH) were identified as the main associated comorbidities, and of the patients who developed PI, 10 (11.8%) had DM, 21 (24.7%) had SAH and 33 (38.8%) had both diseases, with implications for wound healing and worsening. Therefore, it is relevant to emphasize the importance of systematic monitoring of the patient, in order to verify the existing comorbidities and the risks of the occurrence of the injury, in order to maximize the preventive care, providing a better hospital stay for the patient and avoiding high treatment costs.


Keywords


Pressure Ulcer; Residence Time; Inpatients.

References


Benoit, R., & Mion, L. (2012). Risk factors for pressure ulcer development in critically ill patients: a conceptual model to guide research. Research in Nursing & Health, 35(4), 340-362.

Black, J. M., Edsberg, L. E., Baharestani, M. M., Langemo, D., Goldberg, M., McNichol, L., & Cuddigan, J. (2011). Pressure ulcers: avoidable or unavoidable? Results of the national pressure ulcer advisory panel consensus conference. Ostomy-Wound Management, 57(2), 24.

Brasil. Ministério da Saúde. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências [Internet].

Brasil. Ministério da Saúde. Conselho Nacional de Saúde. (2012). Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos.

Campos, S. F., Chagas, Â. C. P., Costa, A. B. P., França, R. E. D. M., & Jansen, A. K. (2010). Fatores associados ao desenvolvimento de úlceras de pressão: o impacto da nutrição. Revista de Nutrição, 23(5), 703-714.

Cellard, A. (2008). A análise documental. POUPART, J. et al. A pesquisa qualitativa: enfoques epistemológicos e metodológicos. Petrópolis, Vozes, 295, 2010-2013.

Gefen, A. (2014). Tissue changes in patients following spinal cord injury and implications for wheelchair cushions and tissue loading: a literature review. Ostomy Wound Manage, 60(2), 34-45.

Gould, L., Abadir, P., Brem, H., Carter, M., Conner‐Kerr, T., Davidson, J., ... & Grice, E. (2015). Chronic wound repair and healing in older adults: current status and future research. Wound Repair and Regeneration, 23(1), 1-13.

Jiang, Q., Li, X., Qu, X., Liu, Y., Zhang, L., Su, C., ... & Bo, S. (2014). The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China. International journal of clinical and experimental pathology, 7(5), 2587.

Litchford, M. D., Dorner, B., & Posthauer, M. E. (2014). Malnutrition as a precursor of pressure ulcers. Advances in wound care, 3(1), 54-63.

Liu, P., He, W., & Chen, H. L. (2012). Diabetes mellitus as a risk factor for surgery-related pressure ulcers: a meta-analysis. Journal of Wound Ostomy & Continence Nursing, 39(5), 495-499.

Meijers, J. M., Schols, J. M., Jackson, P. A., Langer, G., Clark, M., & Halfens, R. J. (2008). Differences in nutritional care in pressure ulcer patients whether or not using nutritional guidelines. Nutrition, 24(2), 127-132.

Moreira, S. V. (2009). Análise documental como método e como técnica in Duarte, Jorge; Barros, Antonio (org.) (2009) Métodos e Técnicas de Pesquisa em Comunicação.

National Pressure Ulcer Advisory Panel. (2016). National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. NPUAP.

Pissaia, L. F., da Silva, F., & da Costa, A. E. K. (2018). Análise bibliográfica das iniciativas de prevenção da lesão por pressão em adultos internados em Unidade de Terapia Intensiva. Research, Society and Development, 7(5), 2.

Rogenski, N. M. B., & Kurcgant, P. (2012). Evaluación de la concordancia en la aplicación de la Escala de Braden interobservadores. Acta Paulista de Enfermagem, 25(1), 24-28.

Sgonc, R., & Gruber, J. (2013). Age-related aspects of cutaneous wound healing: a mini-review. Gerontology, 59(2), 159-164.

Shahin, E. S., Meijers, J. M. M., Schols, J. M. G. A., Tannen, A., Halfens, R. J. G., & Dassen, T. (2010). The relationship between malnutrition parameters and pressure ulcers in hospitals and nursing homes. Nutrition, 26(9), 886-889.

Soares, D.A.S, Vendramin, F., Pereira, L. D., Proença, P., & Marques, M. (2011). Analysis of the incidence of pressure ulcers at Hospital Metropolitano de Urgência e Emergência in Ananindeua, PA: Análise da incidência de úlcera de pressão no Hospital Metropolitano de Urgência e Emergência em Ananindeua, PA. Revista Brasileira de Cirurgia Plástica, 26(4), 578-581.

Tsourdi, E., Barthel, A., Rietzsch, H., Reichel, A., & Bornstein, S. R. (2013). Current aspects in the pathophysiology and treatment of chronic wounds in diabetes mellitus. BioMed research international, 2013.

Verschueren, J. H. M., Post, M. W. M., De Groot, S., Van der Woude, L. H. V., Van Asbeck, F. W. A., & Rol, M. (2011). Occurrence and predictors of pressure ulcers during primary in-patient spinal cord injury rehabilitation. Spinal cord, 49(1), 106-112.

Wada, A., Neto, N. T., & Ferreira, M. C. (2010). Úlceras por pressão. Revista de Medicina, 89(3-4), 170-177.




DOI: http://dx.doi.org/10.33448/rsd-v9i4.3009

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