Medical device related pressure ulcers in hospitalized patients

International Wound Journal - Tập 7 Số 5 - Trang 358-365 - 2010
Joyce Black1, Janet Cuddigan1, Maralyn A Walko2, L Alan Didier3, Maria J Lander3, Maureen R Kelpe4
1Omaha Nursing Division
2Creighton University
3University of Nebraska Medical Center
4Nebraska Medical Center

Tóm tắt

Most pressure ulcers occur over bony prominences such as heels and the sacrum. However, the National Pressure Ulcer Advisory Panel recognises that pressure ulcers can also occur on any tissue under pressure and thereby can develop beneath medical devices. This article reports on results from a secondary analysis of existing data collected by The Nebraska Medical Center on pressure ulcer quality improvement initiatives and outcomes. The purpose of this study was to quantify the extent of the problem and identify risk factors for medical device related (MDR) pressure ulcer development in hospitalised patients. A subset of data collected during eight quarterly pressure ulcer incidence and prevalence studies (N = 2178) was created and analysed. The overall rate of hospital‐acquired pressure ulcers was 5·4% (113 of 2079). The proportion of patients with hospital‐acquired ulcers related to medical devices was 34·5% (39 of 113). Findings indicate that if a patient had a medical device, they were 2·4 times more likely to develop a pressure ulcer of any kind. Numerous risk factors for pressure ulcer development were identified; however, none differentiated between those with MDR and traditional pressure ulcers.

Từ khóa


Tài liệu tham khảo

National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel. International pressure ulcer prevention and treatment guidelines 2010 [WWW document]. URLhttp://www.npuap.org[accessed 1 April 2010].

Reger S, 2007, Support surface interface pressure, microclimate and the prevalence of pressure ulcers: an analysis of the literature., Ostomy Wound Manage, 53, 50

10.1097/00001786-200501000-00010

10.1097/00005373-199509000-00006

10.1097/00003246-200010000-00036

10.1136/thx.49.8.811

10.1016/j.bjoms.2007.10.003

Wood K, 2000, Inspissated secretions: a life‐threatening complication of prolonged noninvasive ventilation., Resp Care, 45, 491

10.1016/j.iccn.2007.11.005

Callaghan S, 1998, Evaluating two dressings for the prevention of nasal bridge pressure sores., Prof Nurs, 13, 361

10.1136/bmj.332.7539.472

10.1016/S0003-9993(95)80637-7

10.1097/00129334-200411000-00016

10.1097/00006416-200207000-00004