Lu Weiying, Bloom Ona, Rathgeber Melissa, Maltser Susan
Department of Physical Medicine and Rehabilitation, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY, United States.
Institute of Molecular Medicine, The Feinstein Institute for Medical Research, New York, NY, United States.
Front Rehabil Sci. 2023 Apr 3;4:1058982. doi: 10.3389/fresc.2023.1058982. eCollection 2023.
To investigate the incidence and severity of pressure injuries among COVID-19 patients who required acute hospitalization and subsequent acute inpatient rehabilitation (AIR).
Data was collected retrospectively from medical charts of COVID-19 patients who were admitted to AIR during April 2020-April 2021.
Acute Inpatient Rehabilitation at a single hospital in the greater New York metropolitan area.
Subjects included COVID-19 patients ( = 120) who required acute hospitalization and subsequent acute inpatient rehabilitation, of whom 39 (32.5%) had pressure injuries.
Not applicable.
The incidence, location, and severity of pressure injuries in COVID-19 patients, as well as demographic and clinical characteristics of the acute hospitalization.
Among patients who developed pressure injuries, more patients received mechanical ventilation (59% vs. 33%, < 0.05) and tracheostomy (67% vs. 17%, < 0.00001). The lengths of stay were longer in both the intensive care unit (ICU) (34 vs. 15 days, < 0.005), and in acute inpatient rehabilitation (22 vs. 17 days < 0.05).
Pressure injuries were more common in COVID-19 patients who had longer lengths of stay, received mechanical ventilation or tracheostomy, during acute hospitalization. This supports the use of protocols to prioritize pressure offloading in this patient population.
调查需要急性住院治疗及随后进行急性住院康复（AIR）的新冠肺炎患者中压力性损伤的发生率和严重程度。
回顾性收集2020年4月至2021年4月期间入住急性住院康复科的新冠肺炎患者病历数据。
纽约大都市区一家医院的急性住院康复科。
受试者包括120名需要急性住院治疗及随后进行急性住院康复的新冠肺炎患者，其中39名（32.5%）发生了压力性损伤。
不适用。
新冠肺炎患者压力性损伤的发生率、部位和严重程度，以及急性住院治疗的人口统计学和临床特征。
在发生压力性损伤的患者中，接受机械通气的患者更多（59%对33%，P<0.05），接受气管切开术的患者更多（67%对17%，P<0.00001）。重症监护病房（ICU）的住院时间更长（34天对15天，P<0.005），急性住院康复的住院时间也更长（22天对17天，P<0.05）。
在急性住院期间，住院时间较长、接受机械通气或气管切开术的新冠肺炎患者压力性损伤更为常见。这支持在该患者群体中使用相关方案对减轻压力进行优先排序。
