Pressure ulcer incidence in critically ill patients : role of body mass index, nutrition therapy, and other non-nutritional factors.
Nenhuma Miniatura disponível
Data
2023
Título da Revista
ISSN da Revista
Título de Volume
Editor
Resumo
Objective: To assess the clinical and nutritional risk factors related to the occurrence of pressure ulcers
(PUs) in patients admitted to an Intensive Care Unit (ICU).
Methods: This is a cohort retrospective study, carried out by analyzing the medical records of patients
admitted to the ICU of a hospital, containing information on sociodemographic, clinical, dietary, and
anthropometric data, presence of mechanical ventilation, sedation, and use of noradrenaline. To verify
the clinical and nutritional risk factors, multivariate Poisson's regression with robust variance was used
to estimate the relative risk (RR) according to the explanatory variables.
Results: A total of 130 patients were evaluated from January 1 to December 31, 2019. The incidence of
PUs in the study population was 29.2%. In univariate analysis, male sex, suspended or enteral diet, use of
mechanical ventilation, and sedatives had a significant association with the PUs (p < 0.05). However,
when adjusted for potential confounders, only suspended diet remained associated with the PUs.
Furthermore, in an analysis stratified by hospitalization time, it was observed that for each 1 kg/m2
increase in body mass index, there is a 10% increased risk of PUs occurrence (RR: 1.10; 95%CI: 1.01e1.23).
Conclusion: Patients with suspended diet, diabetics, with longer-time hospitalization, and overweight
have a higher risk of presenting pressure ulcers.
Descrição
Palavras-chave
Pressure injury, Intensive care unit, Risk factors, Excess weight
Citação
CIRÍACO, G. V. et al. Pressure ulcer incidence in critically ill patients: role of body mass index, nutrition therapy, and other non-nutritional factors. Clinical Nutrition Espen, v. 55, p. 285-291, jun. 2023. Disponível em: <https://www.sciencedirect.com/science/article/pii/S2405457723000918>. Acesso em: 01 ago. 2023.