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

Quatorze années de monitoring de la migration de remontée des poissons dans les échelles à poissons du barrage de Visé-Lixhe sur la Meuse belge.

La communication présente les résultats des observations effectuées de 1990 à 2004 sur la remontée de poissons migrateurs d'eau douce et diadromes dans des pièges de capture installés sur le barrage sans écluse de Visé-Lixhe (hauteur 8 m) sur la Meuse belge à la frontière belgo-néerlandaise (environ 300 km de la mer). L'étude permet de caractériser la biodiversité locale des poissons composée de 36 espèces parmi lesquelles le saumon atlantique réintroduit dans le cadre du projet Saumon Meuse lancé en 1987 et de nouvelles espèces allochtones (Silure glane et Aspe). L'étude révèle aussi un déclin dramatique (90%) des remontées des anguilles jaunes

Movement patterns, spatial distribution and depth preference by individual whitefish, Coregonus lavaretus in a small artificial lake

Using manual acoustic tracking our study quantified (1) the spatial distribution (2) the movement patterns and (3) the depth preference of adult whitefish, Coregonus lavaretus in it small artificial lake of eastern Belgium were the species was introduced in 1978 for recreational fishing. From June to October 2004, n=6 C. lavaretus (LF 285-519 mm) were tracked (pingers and depth sensor transmitters) from a small boat over periods ranging from 98 to 108 days in Robertville Lake (elevation: 490 m; area: 63 ha max. depth: 47 in). Whitefish were consistently mobile but showed quite variable lake use patterns. Two individuals traveled the entire length and breadth of the lake, whereas others remained in movement in the deep zone in the middle part of the lake or near the retaining darn wall. Whitefish occupied positions in the water column ranging front 2.6 to 27.0 m (mean 12.7 +/- 5.6 m) that varied depending on individuals. This first study on individual whitefish behaviour provides a better understanding of the behavioural ecology of the species in small artificial lake