Assaf Harofeh (Shamir) Medical Center, General ICU, Israel; Health Research Department, Ministry of Health, Jerusalem, Israel; The Hebrew University School of Public Health and Community Medicine, Faculty of Medicine, Jerusalem, Israel.
Assaf Harofeh (Shamir) Medical Center, General ICU, Israel.
Intensive Crit Care Nurs. 2020 Jun;58:102804. doi: 10.1016/j.iccn.2020.102804. Epub 2020 Feb 4.
The development of medical device-related pressure ulcers (MDR PUs) as a result of an endotracheal tube fixator (ETTF) use affects patients particularly in the intensive care unit (ICU).
Prospective comparative study followed two similar groups of ventilated ICU patients: Group A treated with cloth tape ETTF (CT-ETTF) and Group B treated with Anchorfast Hollister-ETTF (AH-ETTF). Data were collected regarding PU development, location, grade, time from intubation and hospitalisation.
Significant differences in PU development (p < 0.01), hospital LOS until PU development (p < 0.01), and ventilation days until PU development (p < 0.01) were found between the two groups all in favour of Group B. Linear regression conducted to identify the primary reason for these findings, revealed that the key factor responsible for more than 40% of the difference in ventilation days until ETT MDR PU formation between the groups was the usage of AH-ETTF (R = 0.436, p = 0.000).
There was a significant advantage to AH-ETTF over CT-ETTF in pressure ulcer development. This should be taken into consideration when deciding which ETTF type to use.
由于使用气管内导管固定器（ETTF）导致的医疗器械相关压疮（MDR PUs）的发展，尤其影响到重症监护病房（ICU）中的患者。
本前瞻性对比研究随访了两组接受机械通气的 ICU 患者：使用布带 ETTF（CT-ETTF）的 A 组和使用 Anchorfast Hollister-ETTF（AH-ETTF）的 B 组。收集了压疮发展、位置、分级、置管和住院时间等数据。
两组患者在压疮发展（p<0.01）、发生压疮前的住院时间（p<0.01）和发生压疮前的通气天数（p<0.01）方面存在显著差异，均有利于 B 组。进行线性回归以确定这些发现的主要原因，结果显示，导致两组患者在发生 ETT MDR PU 前通气天数差异超过 40%的关键因素是 AH-ETTF 的使用（R=0.436，p=0.000）。
与 CT-ETTF 相比，AH-ETTF 在压疮发展方面具有显著优势。在决定使用哪种 ETTF 类型时，应考虑这一点。
