Oliveira Costa Ana Carolina, Sabino Pinho Cláudia Porto, Almeida dos Santos Alyne Dayana, Santos do Nascimento Alexsandra Camila
Hospital Universitário Oswaldo Cruz..
Pronto Socorro Cardiológico Universitário De Pernambuco, Brasil..
Nutr Hosp. 2015 Nov 1;32(5):2242-52. doi: 10.3305/nh.2015.32.5.9646.
Pressure ulcer (PU) is a lesion in the skin and/or underlying tissue, usually over bony prominences caused by pressure and / or shear associated. Although preventable, is still very prevalent, and pointed out that multiple factors are involved in its etiology.
to identify the incidence of pressure ulcers, clinical and nutritional factors associated in patients admitted to the Intensive Care Unity (ICU) of a university hospital.
a prospective, observational study, with patients admitted to an ICU from June to November 2014. The UP was determined by inspection body three times a week during the morning bath, based on the characteristics established by the National Pressure Ulcer Advisory Panel, 2014. We collected demographic, clinical, biochemical and nutritional. The Braden Scale was used to verify individuals at risk of PU development.
the sample consisted of 51 patients with a mean age of 57.7 (± 16.4) years. There was an incidence of UP 52.9%, and the factors associated with its development were: use of vasoactive drugs (p = 0.029), length of hospital stay > 10 days (p ≤ 0.001) and absence of anemia (p = 0.011).
the high incidence of UP highlights the vulnerability of patients in intensive care. Although characterized by being a multifactorial condition only the use of vasoactive drugs, length of hospital stay and the absence of anemia were associated with the appearance of refs. Nutritional and clinical factors often related to trauma were not associated with their development.
压疮（PU）是皮肤和/或皮下组织的损伤，通常发生在由压力和/或相关剪切力导致的骨隆突处。尽管压疮是可预防的，但仍然非常普遍，并且指出其病因涉及多种因素。
确定某大学医院重症监护病房（ICU）收治患者中压疮的发生率、相关临床和营养因素。
一项前瞻性观察性研究，研究对象为2014年6月至11月入住ICU的患者。根据2014年国家压疮咨询小组制定的特征，在晨浴期间每周三次通过身体检查确定压疮情况。我们收集了人口统计学、临床、生化和营养方面的信息。使用Braden量表来核实有发生压疮风险的个体。
样本包括51例患者，平均年龄为57.7（±16.4）岁。压疮发生率为52.9%，与其发生相关的因素有：使用血管活性药物（p = 0.029）、住院时间>10天（p≤0.001）和无贫血（p = 0.011）。
压疮的高发生率凸显了重症监护患者的易损性。尽管其特征为多因素疾病，但仅血管活性药物的使用、住院时间和无贫血与压疮的出现相关。通常与创伤相关的营养和临床因素与压疮的发生无关。
