Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

FATTY ACIDS, PHENOLS CONTENT, AND ANTIOXIDANT ACTIVITY IN Ibervillea sonorae CALLUS CULTURES

"Ibervillea sonorae callus cultures were established in order to produce fatty acids (lauric, myristic, pentadecanoic, palmitic and stearic acids) and phenolic compounds. Highest callus induction (100%) was obtained in treatments containing 2.32 or 4.65

Effect of encapsulation methods and materials on the survival and viability of Lactobacillus acidophilus: A review

Consumption of probiotics is an area of research that has rapidly expanded in the last years. Lactobacilli are one of the most important probiotic bacteria owing to their beneficial impacts on human health. The most important challenge is the survival of probiotics against several conditions during processing, as well as harsh environments during gastrointestinal digestion. As an alternative to the preservation of probiotic bacteria, different encapsulation processes have been proved. Several methods and materials are currently used for probiotic encapsulation, which influences the survivability of probiotics. Thus, this review aims to understand and summarise the effects of the methods and materials used in the encapsulation of Lactobacillus acidophilus, and its consequences on their survival and viability under simulated gastrointestinal conditions. Among several studies reported, the alginate capsules obtained by external ionic gelation through extrusion and chitosan coating showed the highest encapsulation yield of 99.33%. Lastly, future research directions on the topic are suggested

ANAMMOX ACTIVITY OF SLUDGE COMING FROM WETLAND MONOCOTS (Typha sp.): KINETIC STUDY ACTIVIDAD ANAMMOX

The anaerobic ammonium oxidation (anammox) activity was evaluated using sludge obtained from the rhizome of Typha sp., found in a natural wetland localized in the J´ose Antonio ´ Alzate dam, Toluca Valley,Mexico. Five NO2 -N concentrations (15, 30, 50, 70 and 100 mg/L) were evaluated and the ammonium remained constant at 100 10 mg N/L. All cultures presented a lag phase in the ammonium consumption. Nevertheless, after the phase lag the ammonium oxidation was linked to nitrite reduction, producing N2. The nitrite consumption eciencies for the concentrations evaluated from 15 to 50 mg/L of NO2 -N were above 95%, while the ammonium consumption eciency increased from 14 to 48%. In experiments with 70 and 100 mg/L of NO2 -N, nitrite consumption eciencies were 74 and 58% respectively. The higher nitrite concentrations tested inhibited the anammox process since the specific rates diminished at 0.51 and 0.44 mg NO2-N/g VSS d respectively. This study provides new and useful information about the anammox activity in sludges coming from wetlands, and these can be used as potential inoculum to treat wastewaters into anammox reactors, or in constructed wetlands