Lucchini Alberto, Bambi Stefano, Elli Stefano, Tuccio Simona, La Marca Maria Assunta, Meduri Dominella, Minotti Dario, Vimercati Simona, Gariboldi Roberto, Iozzo Pasquale
Assist Inferm Ric. 2020 Jan-Mar;39(1):5-12. doi: 10.1702/3371.33471.
. Continuous bedside pressure mapping in a general intensive care unit: a prospective observational study.
A continuous bedside pressure mapping device (PMD) can provide real-time feedback of ideal body position to allow off-loading of high-pressure areas to prevent pressure ulcers development.
To describe the implementation of a PMD to measure tissue interface pressure (PIT) in Intensive Care (ICU) patients.
Prospective observational study in ICU critically ill mechanically ventilated adults, in an Italian University Hospital. Subjects were enrolled in the first 24 hours after ICU admission. A pressure mapping system (M.A.P. System TM) was used and 3 measurements of PIT with patient in supine position, every 6 hours after admission, were performed. The following anti-decubitus surfaces were used: Duo2® - Hill-Rom, Proficare®, Nimbus 3® or Therakair Visio® - Arjohuntleigh, Getinge Group.
27 patients (8 females) were enrolled; average Body Mass Index 27±6 (range: 16-43); 4 patients (14%) were diabetic. The average pressure of the 1215 areas analyzed was 26.7±19.6 mmHg (range: 3-78); the region with the highest contact pressure was the dorsal region (average: 48.7±12.5 mmHg), followed by the occipital (44.7±19.6 mmHg), and sacrum (44.7±10.7 mmHg). The three anti-decubitus surfaces showed different performances in the distribution of PITs, with statistically significant differences for the following factors: body weight (p = 0.017), patient height (p = 0.034), with increased pressures in taller patients, and higher BMI (p <0.0001).
Mean values of PIT were above critical levels, especially in the dorsal, occipital and sacrum region.
综合重症监护病房的连续床边压力映射：一项前瞻性观察研究。
连续床边压力映射设备（PMD）可提供理想体位的实时反馈，以使高压区域减压，防止压疮形成。
描述在重症监护病房（ICU）患者中使用PMD测量组织界面压力（PIT）的情况。
在意大利一家大学医院对ICU中机械通气的成年重症患者进行前瞻性观察研究。患者在入住ICU后的前24小时内入组。使用压力映射系统（M.A.P. System TM），患者入院后每6小时测量一次仰卧位的PIT，共测量3次。使用了以下防褥疮表面：Duo2® - Hill-Rom、Proficare®、Nimbus 3®或Therakair Visio® - Arjohuntleigh、洁定集团。
共纳入27例患者（8例女性）；平均体重指数为27±6（范围：16 - 43）；4例患者（14%）患有糖尿病。分析的1215个区域的平均压力为26.7±19.6 mmHg（范围：3 - 78）；接触压力最高的区域是背部区域（平均：48.7±12.5 mmHg），其次是枕部（44.7±19.6 mmHg）和骶骨（44.7±10.7 mmHg）。三种防褥疮表面在PIT分布方面表现不同，在以下因素方面存在统计学显著差异：体重（p = 0.017）、患者身高（p = 0.034），身高较高的患者压力升高，以及体重指数较高（p <0.0001）。
PIT的平均值高于临界水平，尤其是在背部、枕部和骶骨区域。
