Borghardt Andressa Tomazini, Prado Thiago Nascimento do, Bicudo Sheilla Diniz Silveira, Castro Denise Silveira de, Bringuente Maria Edla de Oliveira
Programa de Pós-Graduação em Enfermagem, Departamento de Enfermagem, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.
Rev Bras Enferm. 2016 Jun;69(3):460-7. doi: 10.1590/0034-7167.2016690307i.
to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients.
this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories.
an incidence of 22% (95% CI 12.6 - 31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%).
the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures.
确定重症患者压疮的发生率并描述相关因素。
这是一项针对77例患者的前瞻性队列研究，采用临床、代谢评估以及压疮相关因素，应用风险评估量表（Braden和Waterlow）并对溃疡进行分类。
发生率为22%（95%置信区间12.6 - 31.5），17例患者出现32处骶部压疮（47%），且为I级（72%）。住院时间超过10天（71%），大多数患者因手术入院（53%）或因充血性心力衰竭入院（24%），且Braden量表评估为高风险（59%）。
该研究突出了压疮的高发生率、临床和代谢特征及相关因素，以及死亡结局，因此需要采取预防措施。
