Hospital-acquired pressure ulcers among adult ICU patients in tertiary hospitals in Oman: a one-year prevalence study.

IF 1.5 4区医学 Q3 DERMATOLOGY Journal of wound care Pub Date : 2024-10-01 DOI:10.12968/jowc.2022.0241

Fatma Al-Mamari, Omar Al-Rawajfah, Sulaiman Al Sabei, Khalifa Al-Wahaibi

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Abstract

Background: Hospital-acquired pressure ulcer (HAPU) is a significant problem in healthcare settings and is associated with negative impacts on patient health. Although monitoring of pressure ulcers (PUs) among hospitalised patients was started more than a decade ago in Oman, no previous studies have been completed to estimate the prevalence and risk factors of HAPUs among patients in the intensive care unit (ICU). The aim of this study was to estimate the prevalence and identify risk factors for HAPUs among adult ICU patients in selected tertiary hospitals in Oman.

Method: A retrospective, cross-sectional, nested, case-control design was used to identify the prevalence rate of HAPUs and risk factors for a cohort of adult ICU patients over one calendar year (1 January-31 December 2019) in two tertiary hospitals in Oman.

Results: The prevalence rate for HAPU among ICU patients in Oman was 36.4%. However, when excluding cases of stage 1 ulcer, the rate was 30.37%. The most prevalent location was the sacrum (64.1%), and the most common stage was stage 2 (73.1%). The risk factors for HAPU included male sex (odds ratio (OR): 0.37; p=0.023), organ failure (OR: 3.2; p=0.033), cancer (OR: 3.41; p=0.049), cerebrovascular accident (OR: 12.33; p=0.001), mechanical ventilator (OR: 9.64; p=0.025) and ICU length of stay (OR: 1.24; p<0.001).

Conclusion: HAPUs among ICU patients constitute a significant problem associated with severe clinical consequences and result in substantial adverse healthcare outcomes worldwide, including in Oman. Identifying the risk factors and the impact on the healthcare system is the foundation for preventing and managing HAPUs.

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阿曼三级医院重症监护室成人患者的医院获得性压疮：为期一年的流行率研究。

背景：医院获得性压疮（HAPU）是医疗机构中的一个重大问题，对患者的健康造成负面影响。虽然阿曼早在十多年前就开始监测住院患者的压疮（PUs），但此前还没有完成过对重症监护室（ICU）患者压疮患病率和风险因素的评估研究。本研究旨在估算阿曼部分三级医院重症监护室成人患者的 HAPUs 患病率并确定其风险因素：方法：采用回顾性、横断面、嵌套、病例对照设计，对阿曼两家三级医院在一个日历年（2019 年 1 月 1 日至 12 月 31 日）内的一组成人 ICU 患者进行 HAPU 患病率和风险因素的鉴定：阿曼 ICU 患者的 HAPU 患病率为 36.4%。但是，如果不包括溃疡 1 期的病例，患病率为 30.37%。最常见的部位是骶骨（64.1%），最常见的阶段是第二阶段（73.1%）。HAPU 的风险因素包括男性（几率比（OR）：0.37；P=0.023）、器官衰竭（OR：3.2；P=0.033）、癌症（OR：3.41；P=0.049）、脑血管意外（OR：12.33；P=0.001）、机械呼吸机（OR：9.64；P=0.025）和 ICU 住院时间（OR：1.24；P）：重症监护病房患者的高危病房是一个重大问题，会造成严重的临床后果，并导致全球（包括阿曼）出现严重的不良医疗结果。识别风险因素及其对医疗系统的影响是预防和管理 HAPU 的基础。

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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.