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

Bienestar psicológico y contextos relacionales de adolescentes con ideación suicida en el caribe colombiano

Objetivos: Comprender cómo construyen su sentido debienestar personal en sus contextos relacionales los adolescentescon ideación suicida.Materiales y métodos: Se utilizó un enfoque mixto, con diseñosecuencial descriptivo, en una muestra de 27 estudiantes(19% femenino y 8% masculino), entre los 12 y 16 años.Como técnica cuantitativa se utilizaron la Escala de BienestarPsicológico (BIPSI) y la Escala de Evaluación del RiesgoSuicida (ERS); a nivel cualitativo se trabajó con entrevistasemiestructurada que constaba de 6 preguntas abiertas queaproximaron a los investigadores a la comprensión que tienenlos jóvenes de las categorías Bienestar Personal y ContextosRelacionales Significativos. La escala de Evaluacióndel Riesgo Suicida permite observar si el sujeto posee unperfil suicida, mientras que, la Escala de Bienestar Psicológico,permite estandarizar la percepción que tiene el sujetosobre su propio bienestar, ajustándose esto a los objetivosdel estudio.Resultados: El análisis de la Escala Bienestar Psicológico(BIPSI) corresponde a un valor global de 61% que, ubica a losadolescentes en un indicador mínimo de Bienestar Psicológico.El análisis de los factores de riesgo suicida en hombresarrojó un valor global de 63% que, representa un indicadoralto según la estadística descriptiva de la Escala de Evaluacióndel Riesgo Suicida (ERS). El análisis de los factores deriesgo suicida en mujeres arrojó un valor global de 59% querepresenta un indicador alto según la estadística descriptivade la Escala de Evaluación del Riesgo Suicida (ERS).Conclusiones: La percepción de Bienestar Personal de enlos adolescentes con ideación suicida precisa de vínculos interpersonales,de manera que, en esta etapa del ciclo vitaldel ser humano, juega un papel preponderante el componentegrupal para dicha percepción

Bienestar psicológico y contextos relacionales de adolescentes con ideación suicida en el caribe colombiano

Objetivos: Comprender cómo construyen su sentido debienestar personal en sus contextos relacionales los adolescentescon ideación suicida.Materiales y métodos: Se utilizó un enfoque mixto, con diseñosecuencial descriptivo, en una muestra de 27 estudiantes(19% femenino y 8% masculino), entre los 12 y 16 años.Como técnica cuantitativa se utilizaron la Escala de BienestarPsicológico (BIPSI) y la Escala de Evaluación del RiesgoSuicida (ERS); a nivel cualitativo se trabajó con entrevistasemiestructurada que constaba de 6 preguntas abiertas queaproximaron a los investigadores a la comprensión que tienenlos jóvenes de las categorías Bienestar Personal y ContextosRelacionales Significativos. La escala de Evaluacióndel Riesgo Suicida permite observar si el sujeto posee unperfil suicida, mientras que, la Escala de Bienestar Psicológico,permite estandarizar la percepción que tiene el sujetosobre su propio bienestar, ajustándose esto a los objetivosdel estudio.Resultados: El análisis de la Escala Bienestar Psicológico(BIPSI) corresponde a un valor global de 61% que, ubica a losadolescentes en un indicador mínimo de Bienestar Psicológico.El análisis de los factores de riesgo suicida en hombresarrojó un valor global de 63% que, representa un indicadoralto según la estadística descriptiva de la Escala de Evaluacióndel Riesgo Suicida (ERS). El análisis de los factores deriesgo suicida en mujeres arrojó un valor global de 59% querepresenta un indicador alto según la estadística descriptivade la Escala de Evaluación del Riesgo Suicida (ERS).Conclusiones: La percepción de Bienestar Personal de enlos adolescentes con ideación suicida precisa de vínculos interpersonales,de manera que, en esta etapa del ciclo vitaldel ser humano, juega un papel preponderante el componentegrupal para dicha percepción