Hospital Vila Nova Star, Rede D'Or São Luiz, São Paulo, SP, Brazil.
Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem na Saúde do Adulto, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2021 May 21;55:e03698. doi: 10.1590/S1980-220X2019035503698. eCollection 2021.
To identify and analyze the point prevalence of medical adhesive-related skin injury in patients hospitalized in cardiac Intensive Care Units and demographic and clinical factors associated to their occurrence.
Cross-sectional study conducted in Intensive Care Units of two public hospitals, reference centers for cardiology, located in São Paulo city, with 123 patients. Demographic and clinical data from patients' medical records were collected and lesions were identified through skin inspection. The data were analyzed through descriptive statistics and bivariate and multivariate analysis (Classification and Regression Tree).
Medical adhesive-related skin injury was presented by 28 patients, which amounts to a 22.7% prevalence. Its main causative agent was transparent polyurethane film (46.9%) and the cervical region was the most affected area (25.1%). From the multivariate analysis, the associated factors were found to be the presence of serum urea higher than or equal to 48.5 mg/dL and platelets lower than 193,500 mm3 or platelets higher than or equal to 193,500 mm3 and systolic blood pressure higher than or equal to 122 mmHg.
This study has contributed to knowledge related to the epidemiology of this type of injury, favoring preventive care planning.
确定和分析心内科重症监护病房（Intensive Care Unit，ICU）住院患者中，与医用黏胶相关性皮肤损伤（adhesive-related skin injury，ARSI）相关的时点患病率，以及与 ARSI 发生相关的人口统计学和临床因素。
这是一项在两家位于巴西圣保罗市的心脏病学参考中心的公立医院 ICU 中进行的横断面研究，共纳入了 123 名患者。从患者的病历中收集人口统计学和临床数据，并通过皮肤检查来识别损伤。通过描述性统计以及二变量和多变量分析（Classification and Regression Tree，CART）对数据进行分析。
28 名患者发生了医用黏胶相关性皮肤损伤，患病率为 22.7%。其主要致病黏合剂为透明聚氨酯薄膜（46.9%），最常累及的部位为颈部（25.1%）。多变量分析显示，血清尿素水平≥48.5mg/dL 和血小板计数＜193,500mm3，或血小板计数≥193,500mm3 和收缩压≥122mmHg 是 ARSI 的相关因素。
本研究有助于了解此类损伤的流行病学，为制定预防护理计划提供了依据。
