合并和不合并covid-19的危重患者压伤发生率:队列研究

Q3 Nursing Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI:10.1590/1983-1447.2024.20230221.en
Marina Raffin Buffon, Isis Marques Severo, Karina de Oliveira Azzolin, Amália de Fátima Lucena
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引用次数: 0

摘要

目的:比较重症监护病房合并和未合并新冠肺炎危重患者压力损伤的发生率、特点及危险因素。方法:对某重症监护室2021年住院患者的电子病历资料进行回顾性队列研究。302例患者,151例感染Covid-19, 151例未感染Covid-19。采用方差稳健且p < 0.05为显著值的泊松回归对数据进行分析。结果:新冠肺炎患者压伤发生率为60.3%,非新冠肺炎患者压伤发生率为35.8%。2期和骶区在两组中都占主导地位,与未感染Covid-19的患者相比,感染Covid-19的患者出现病变的时间更早。慢性疾病患者、机械通气患者和俯卧位患者的压力损伤发生率增加,相关临床变量为“肥胖”、“Braden≤12”和“镇静时间”。结论:新冠肺炎患者压伤发生率较高。无论患者是否感染Covid-19,变量“肥胖”、“Braden≤12”和“镇静时间”都与压力损伤相关,证实了压力损伤的危险因素。
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Incidence of pressure injuries in critically ill patients with and without covid-19: study of Cohort.

Objective: To compare the incidence, characteristics, and risk factors of pressure injuries among critically ill patients with and without Covid-19 in an intensive care unit.

Method: Retrospective cohort study in an intensive care unit by collecting data from electronic medical records of patients admitted in 2021. Sample of 302 patients, 151 with Covid-19 and 151 without Covid-19. Poisson's regression with robust variance and p < 0.05 as a significant value was used to analyze the data.

Results: The incidence of pressure injuries in patients with Covid-19 was 60.3% and in those without Covid-19 were 35.8%. Stage 2 and the sacral region were predominant in both groups and patients with Covid-19 developed lesions earlier compared to those without Covid-19. An increase in pressure injuries was observed in patients with chronic diseases, on mechanical ventilation and in the prone position The clinical variables associated were "obesity," "Braden ≤ 12," and "sedation time."

Conclusion: The incidence of pressure injuries was higher in patients with Covid-19.The variables "obesity," "Braden ≤ 12," and "sedation time" were associated with pressure injuries, regardless of whether the patient had Covid-19 or not, corroborating risk factors for pressure injuries.

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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
118
审稿时长
16 weeks
期刊介绍: A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.
期刊最新文献
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