Pressure ulcers related to prone positioning: a pandemic amidst a pandemic.

IF 1.5 4区医学 Q3 DERMATOLOGY Journal of wound care Pub Date : 2024-06-02 DOI:10.12968/jowc.2021.0105

Hassiel Aurelio Ramirez-Marin, Irazu Contreras-Yañez, Karin Ivette Campos-Jimenez, Leticia Molina-Murrieta, Yeni Huerta-Ramirez, Judith Guadalupe Domínguez-Cherit

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Abstract

Objective: To explore the epidemiology and risk factors associated with the development of pressure ulcers (PUs) in patients receiving prone positioning (PP) ventilatory therapy; to compare the inflammatory status of patients who develop PUs with those who do not; and to describe the experience and useful findings that have allowed us to improve the management of these patients to reduce the incidence of PUs.

Method: An observational, descriptive and longitudinal study was conducted, where sociodemographic and laboratory data were collected from patients who were hospitalised and required PP ventilatory therapy in critical care areas (CCA) during the months of May-October 2020.

Results: From the total number of patients who required PP during their CCA stay (n=240), 202 (84.2%) developed a PU. The four most frequent areas where a PU appeared were: the head and neck (n=115); the pinna (n=21); the torso (n=21); and the lower limbs (n=21). Patients who developed PU were more frequently males with higher initial levels of creatinine phosphokinase and ferritin. The incidence for each month of follow-up decreased from 8.3% to 5.8%.

Conclusion: Regardless of the intervention, a multidisciplinary approach is required to optimise the prevention and treatment of these wounds. While PUs are often the result of other medical conditions or poor health status in general, the vast majority of PUs are avoidable.

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与俯卧位有关的压疮：大流行中的大流行。

目的探讨接受俯卧位（PP）通气治疗的患者发生压疮（PU）的流行病学和相关风险因素；比较发生压疮的患者和未发生压疮的患者的炎症状态；描述我们在改善这些患者的管理以降低压疮发生率方面的经验和有用发现：方法：我们开展了一项观察性、描述性和纵向研究，收集了2020年5月至10月期间在重症监护区（CCA）住院并需要PP通气治疗的患者的社会人口学和实验室数据：在 CCA 住院期间需要 PP 的患者总数（240 人）中，202 人（84.2%）出现了 PU。PU最常出现的四个部位是：头颈部（115人）、耳廓（21人）、躯干（21人）和下肢（21人）。发生 PU 的患者多为男性，肌酐磷酸激酶和铁蛋白的初始水平较高。随访一个月的发病率从8.3%降至5.8%：无论采取何种干预措施，都需要采取多学科方法来优化这些伤口的预防和治疗。虽然 PU 通常是其他疾病或总体健康状况不良的结果，但绝大多数 PU 是可以避免的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.